Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers

Frostbite is more dangerous than it looks and easier to make worse than you think. In this episode, Ross and Will sit down with Dr. Greg Doctor, a wilderness medicine specialist and emergency physician practicing in the Colorado Rockies, to break down frostbite from the prehospital perspective.

Greg walks through field assessment, when to rewarm vs. when to leave it alone, pain management, and when to bypass your local ED for a tertiary care center.

Whether you’re running urban calls or wilderness rescues, you may see this and this episode will help inform how you approach cold injury.

 

Want more?

Subscribe to The Confidence Dispatch, our free weekly newsletter for paramedics who want to get 1% better every shift: →  https://loudandclear.kit.com/d45b012fae

 

Want to go even further?

The Paramedic Confidence Builder is a year-long course and coaching community for new medics who want to close the gap between what school taught them and what the job actually demands.

Not a lecture series. Not another CE you'll forget by your next shift. Real frameworks for clinical reasoning and mental performance. The stuff nobody teaches you in school.

If that sounds like what you've been looking for, book a free 30-minute coaching call and we'll talk about whether it's the right fit. Even if it’s not we’ll give you actionable advice on the call so that you still walk away with something valuable: →  calendly.com/d/cq38-87r-fkk/paramedic-confidence-builder

The contaminated airway is one of the most unforgiving calls in prehospital medicine. Blood, vomit, debris — your laryngoscope goes in and you're blind. For decades, paramedics managed this with tools designed for a clean OR and training that never got close to the real thing.

Dr. Jim DuCanto decided that was unacceptable. He's the anesthesiologist who invented the DuCanto catheter and SALAD (Suction Assisted Laryngoscopy and Airway Decontamination). Will Berry sat down with Dr. DuCanto at the FASTCAN conference for a conversation.

In this episode we cover:

- The SALAD technique, step by step

- Why paramedic OR training should default to video laryngoscopy

- The downsides of SALAD that Dr. DuCanto himself will tell you about

- What a new portable suction device does differently

Guest: Dr. Jim DuCanto anesthesiologist, inventor of the DuCanto catheter and the SALAD technique

 

Want more?

Also subscribe to The Confidence Dispatch — Our free weekly newsletter for paramedics who want to get 1% better every shift: → https://loudandclear.kit.com/d45b012fae

 

Want to go even further?

The Paramedic Confidence Builder is a year-long course and coaching community for medics who want to close the gap between what school taught them and what the job actually demands. 

Not a lecture series. Not another CE you'll forget by your next shift. Real frameworks for clinical reasoning and mental performance — the stuff nobody teaches you in school.

If that sounds like what you've been looking for, book a free 30-minute call and we'll talk about whether it's the right fit: → calendly.com/d/cq38-87r-fkk/paramedic-confidence-builder

What if the mistake wasn't your fault... but it's still your responsibility?

That's the tension Shay Montgomery sits with every time she talks about the day she flew to a scene without the drug bag. Shay is a flight nurse and educator. At FAST 25, she gave one of the sharpest talks of the conference — not on a procedure or a drug, but on the science of why humans make mistakes and what we can actually do about it.

WHAT YOU'LL LEARN:

Task Brackets — Your brain bundles repetitive actions into smooth automated sequences.

The First Habit Rule — The first habit is permanently ingrained. Old habits lurk underneath new ones and surface under stress. Get it right the first time.

Goal-Oriented Stimulus — Don't ask "Do I have everything?" Ask "Where are the things I need?" and physically point to them.

The Preceptor Problem — Most preceptors feel unprepared. The goal isn't to make "mini me", it's to create independent critical thinkers.

Shift Fatigue — Cognitive function degrades meaningfully at 16 hours.

Just Culture — Human error is inevitable. Punishment doesn't fix the system. The guilty already feel terrible. They need peer support and system redesign.

 

RESOURCES:

Join our Paramedic Confidence Builder 

 

CONNECT WITH US:

- Instagram- @emsloudandclear

- YouTube- https://www.youtube.com/@EMSLoudandClear

- Website- www.emspodcast.com 

 

CONNECT WITH SHEA:

- TikTok: @flightnurseshay

- Instagram: @flightnurseshay

Miss your first intubation attempt and your patient's risk of adverse events jumps sevenfold. By the third attempt? Nearly guaranteed complications. This isn't about your anatomical knowledge or practice hours—expert clinicians fail too. David Olvera, who led national research on intubation checklists, reveals why your brain predictably fails under pressure and what systems actually prevent it. You'll learn the challenge-response checklist protocol that speeds up your intubation time (not slows it down), the HEAVEN criteria's six specific warning signs that predict difficult airways before you attempt, and why dump kits create muscle memory that works in the dark. David shares the story that started his human factors obsession and proves that expertise doesn't protect you from error—systems do. This is operational excellence: building checklists that think for you when tunnel vision sets in.

 

Want more? Also subscribe to The Confidence Dispatch — Our free weekly newsletter for paramedics who want to get 1% better every shift: → https://loudandclear.kit.com/d45b012fae

Want to go even further?

The Paramedic Confidence Builder is a year-long course and coaching community for new medics who want to close the gap between what school taught them and what the job actually demands. Built by an ER doc who runs medical direction for 5 rural Colorado agencies and has talked with hundreds of paramedics about exactly where that gap shows up.

Not a lecture series. Not another CE you'll forget by your next shift. Real frameworks for clinical reasoning and mental performance — the stuff nobody teaches you in school.

If that sounds like what you've been looking for, book a free 30-minute call and we'll talk about whether it's the right fit: → calendly.com/d/cq38-87r-fkk/paramedic-confidence-builder

Resources  

Paramedic Confidence Builder - emspodcast.com/program 

To see the actual checklist - https://www.airmedandrescue.com/latest/long-read/medical-insight-latest-tools-ensure-successful-first-pass-intubation 

 

Guest/Cast/Crew information-

Guest- David Olvera

Host- Ross Orpet, Will Berry 

 

Catch up with us after the show

- Instagram- @emsloudandclear

- YouTube- https://www.youtube.com/@EMSLoudandClear

- Website- www.emspodcast.com

 

Books we recommend

- The Dichotomy of Leadership - https://amzn.to/4fiCAjN

- Extreme Ownership - https://amzn.to/3O1FWfa

-  Managing the Unexpected: Sustained Performance in a Complex World -        https://amzn.to/3V7BwYf

- Thinking Fast and Slow - https://amzn.to/4fiJG85

 

Gear We Like

- Good Stethoscope - https://amzn.to/3YJJrf2

- Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn 

- Notepad for taking notes on calls - https://amzn.to/3Z1X21J

Behind the curve. We've all heard it. Most of us have lived it. That sinking feeling when you're mentally three steps behind where the call actually is. The concept of the Power Curve comes from aviation—pilots need to understand the phases of flight and how the plane will react differently and require different inputs during each of these phases. The same principle applies to your 911 calls. This episode breaks down the exact framework to chunk calls into five critical phases. When you understand phases you understand what is needed during each point of the call and how to stay ahead. How to build if-then statements that eliminate decision fatigue. The psychological safety that lets you reset after screwing up in the apartment. And why 80% of medical errors tie back to the one phase—the hospital handoff. Stop reverting to chaos. Build the system that keeps you ahead.

Guest/Cast/Crew information-

Guest- Moose and Josh from Alert Medic 1 podcast

Host- Ross Orpet, Will Berry 

Catch up with us after the show -

Instagram- @emsloudandclear 

YouTube- https://www.youtube.com/@EMSLoudandClear  

Website- www.emspodcast.com

 

Books we recommend

- The Dichotomy of Leadership - https://amzn.to/4fiCAjN

- Extreme Ownership - https://amzn.to/3O1FWfa

-  Managing the Unexpected: Sustained Performance in a Complex World -        https://amzn.to/3V7BwYf

- Thinking Fast and Slow - https://amzn.to/4fiJG85

Gear We Like

- Good Stethoscope - https://amzn.to/3YJJrf2

- Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn   

- Notepad for taking notes on calls - https://amzn.to/3Z1X21J 

 

Want to stay ahead of the top 1% in EMS and build real confidence in the field?
👉 Book a call to get personalized guidance, improve decision-making under pressure, and grow your skills as a paramedic: https://calendly.com/d/cq38-87r-fkk/paramedic-confidence-builder
📰 Join our bi-weekly newsletter for exclusive EMS insights, leadership strategies, real-life scenarios, and tools designed to help you stay sharp, confident, and ahead of the curve: https://loudandclear.kit.com/d45b012fae