Mostly Stable

Travis Hutton

Welcome to Mostly Stable! I am your host Travis, who is mostly stable. I have several years of experience in EMS, but only about a year as a paramedic. This podcast is just me sharing calls that i've ran, what went well, what went wrong, my opinions on various EMS and firefighting topics and much more. The views expressed on this podcast are that of my own. They do not represent my employer, or any governing or licensing body.

  1. Oct 12

    Nitroglycerin in Right Sided MI; Selecting Meds for RSI

    Thank you guys for tuning into this weeks episode! Some things I forgot to mention! Im thinking about streaming! If you like my vibe and want to hang out and play some games and talk about anything at all, completely unfiltered, be it my opinion on the latest EMS topic or my favorite food, that will be the place. Stay tuned for that! Its an idea in infancy right now. Please join the discussion over on instagram! @MostlyStablePod And be sure to check out the merch store!: https://mostlystable.square.site/s/shop References Casey, J. D., Seitz, K. P., Driver, B. E., Gibbs, K. W., Ginde, A. A., Trent, S. A., Russell, D. W., Muhs, A. L., Prekker, M. E., Gaillard, J. P., Resnick-Ault, D., Stewart, L. J., Whitson, M. R., DeMasi, S. C., Robinson, A. E., Palakshappa, J. A., Aggarwal, N. R., Brainard, J. C., Douin, D. J., . . . Semler, M. W. (2025). Ketamine or etomidate for tracheal intubation of critically ill adults. New England Journal of Medicine, 394(16), 1608–1620. https://doi.org/10.1056/nejmoa2511420 Ferreira, J. C., & Mochly-Rosen, D. (2011). Nitroglycerin use in myocardial infarction patients - Risks and benefits -. Circulation Journal, 76(1), 15–21. https://doi.org/10.1253/circj.cj-11-1133 Iglesias, J. F., Valgimigli, M., Carbone, F., Lauriers, N., Masci, P., & Degrauwe, S. (2022). Comparative effects of fentanyl versus morphine on platelet inhibition induced by ticagrelor in patients with ST-segment elevation myocardial infarction: Full results of the PERSEUS randomized trial. Cardiology Journal, 29(4), 591–600. https://doi.org/10.5603/cj.a2022.0049 Naito, K., Kohno, T., & Fukuda, K. (2017). Harmful impact of morphine use in acute heart failure. Journal of Thoracic Disease, 9(7), 1831–1834. https://doi.org/10.21037/jtd.2017.06.78 Tarwade, P., & Smischney, N. J. (2022). Endotracheal intubation sedation in the intensive care unit. World Journal of Critical Care Medicine, 11(1), 33–39. https://doi.org/10.5492/wjccm.v11.i1.33 Wilkinson-Stokes, M., Betson, J., & Sawyer, S. (2022). Adverse Events from nitrate Administration during right Ventricular Myocardial Infarction: A Systematic Review and Meta-Analysis. Heart Lung and Circulation, 31, S254. https://doi.org/10.1016/j.hlc.2022.06.422

  2. Oct 2

    A Silent War Within; Kevin

    Had a great conversation on mental health with Kevin from A Silent War Within. This was a very awesome and insightful conversation. Check out his podcast! Join the conversation on Instagram!

  3. Sep 25

    Freaky Fun Friday

    This episode is a conglomeration of topics from FP-C review courses for the new medic and the "certification warriors" all the way to RSI vs Sedation only intubation Sources An Epidemiological Evaluation of an Out-of-Hospital Intubation Airway Management Approach Observational study. (n.d.). Annals of Emergency Medicine. https://www.annemergmed.com/article/S0196-0644(25)01373-3/fulltext Phelps, S. (2016). Intubation success rates of prehospital rapid sequence induction of anaesthesia by physicians versus paramedics. European Journal of Emergency Medicine, 24(1), 76–77. https://doi.org/10.1097/mej.0000000000000376 Prekker, M. E., Kwok, H., Shin, J., Carlbom, D., Grabinsky, A., & Rea, T. D. (2014). The process of prehospital airway management. Critical Care Medicine, 42(6), 1372–1378. https://doi.org/10.1097/ccm.0000000000000213

  4. Sep 21

    Situational Awareness, Self Defense, TEMS and more w/ Tactical Athlete

    A great conversation with Kevin from Tactical Athlete. We cover situational awareness, self defense, carrying while on duty (or not carrying on duty) and much, much more. I think you will enjoy this one! As always, let me know what you think I am open to discussion on instagram! @MostlyStablePod You can follow Kevin @tactical_athlete_motivation Books that were Mentioned: What Every Body is saying by Jon Navarro and Marvin Karlins Never Split the Difference by Chris Voss and Tahl Raz Left of Bang by Capt. Patrick Van Horne and Maj. Jason A. Riley Verbal Judo (Not mentioned but I thought of it after) Dr. George J. Thompson, PHD The Gift of Fear By Gavin de Becker

  5. Sep 18

    Lessons in Leadership

    The conversation covers Christine's journey in EMS, her transition from marketing to paramedic work, and her insights on leadership in the field. She emphasizes the importance of competence, integrity, communication, and accountability in leadership. Additionally, she discusses the distinction between management and leadership, the impact of military experience on leadership, and the significance of listening and learning from mistakes. The conversation delves into the experiences of a paramedic, and the qualities of effective leadership in emergency medical services. The themes of leadership, accountability, and just culture emerge as central to the discussion. Takeaways Transition from Marketing to EMSLeadership in EMSImportance of Listening and Learning from Mistakes Leaders are made, not bornJust culture and leadership are interconnectedAdaptability and empathy are essential qualities for effective leadership Chapters 00:00 Journey in EMS01:11 Transition from Marketing to Paramedic Work02:56 Leadership in EMS04:42 Management vs. Leadership19:20 Impact of Military Experience on Leadership28:21 Importance of Listening and Learning from Mistakes36:09 Leadership and Accountability55:41 Leadership Development and Adaptability

    Lessons in Leadership

  6. Sep 7

    Sports Standbys; Medication Monday: Metoprolol (lopressor)

    In this episode we talk about some unique challenges posed by EMS sporting event standbys. And then we get into the weeds on metoprolol. Fifa diploma in football medicine: https://inside.fifa.com/health-and-medical/education-awareness/diploma-football-medicine https://medlineplus.gov/druginfo/meds/a682864.html https://www.ncbi.nlm.nih.gov/books/NBK532923/

  7. Sep 1

    Pragmed

    This was an amazing conversation with pragmed! Go check him out on instagram @pragmed Also check out @thevascular guy Sorry for the delay in upload; there were some minor technical difficulties with audio.

  8. Aug 28

    Asthma, CHF, and Sepsis... Oh My!

    In this episode we break down a case that has many layers, like an onion! How would you have done it differently? Pubmed.ncbi.nlm.nih.gov. (n.d.). https://pubmed.ncbi.nlm.nih.gov/18572345/ Reece, R. J., & Hughes, M. (2022). Are digital oral thermometer readings accurate in adult emergency department patients? Cureus, 14(2), e22047. https://doi.org/10.7759/cureus.22047

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About

Welcome to Mostly Stable! I am your host Travis, who is mostly stable. I have several years of experience in EMS, but only about a year as a paramedic. This podcast is just me sharing calls that i've ran, what went well, what went wrong, my opinions on various EMS and firefighting topics and much more. The views expressed on this podcast are that of my own. They do not represent my employer, or any governing or licensing body.

Information

  • Creator
    Travis Hutton
  • Years Active
    2026
  • Episodes
    20
  • Rating
    Explicit
  • Copyright
    © 2026 Travis Hutton
  • Show Website
    Mostly Stable

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