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

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

Ross Orpet, Paramedic turned EMS Physician
Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers
Latest episode

127 episodes

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

    Treat Mom First: Amniotic Fluid Embolus and Other Peri-partum Emergencies

    15/06/2026 | 54 mins.
    A postpartum patient does not need to look dramatic to be in real danger. In this episode from FAST 26, Ross talks with Amy Loucks about pregnancy-related deaths, maternal care deserts, postpartum warning signs, hypertension, cardiomyopathy, infection, and the calls EMS can easily miss. Then Elizabeth Garchar walks through amniotic fluid embolism, now often framed as an anaphylactoid reaction of pregnancy: sudden cardiovascular collapse, right heart failure, DIC, TXA, whole blood, AOK, and the principle that matters most when everything goes bad: treat mom first.

     

    Interested in the Loud & Clear Fellowship? Sign up for a free coaching call to learn more. 

     

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    Episode Resources-

    CDC: Preventing pregnancy-related deaths — https://www.cdc.gov/maternal-mortality/preventing-pregnancy-related-deaths/index.html

    Amniotic fluid embolism overview — https://my.clevelandclinic.org/health/diseases/15463-amniotic-fluid-embolism

    AOK regimen for amniotic fluid embolism — https://pmc.ncbi.nlm.nih.gov/articles/PMC9477128/

     

    https://www.marchofdimes.org/peristats/

    https://www.marchofdimes.org/research/maternity-care-deserts-report.aspx 

    https://saferbirth.org/ 

    https://www.nmperinatalcollaborative.com/
  • Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers

    Pressure Matters: Oxygenation vs. Ventilation in Pre-Oxygenation with Scott Weingart

    07/06/2026 | 30 mins.
    Pre-Oxygenation is not just putting oxygen on the patient and hoping the sat buys you enough time. In this episode, Ross talks with Scott Weingart after his FAST26 talk on preventing peri-intubation arrest.

    They get into why many peri-intubation arrests are predictable and preventable, why shunt physiology requires pressure and not just FiO2, and how EMS clinicians can build a field-ready setup with a nasal cannula, BVM mask, PEEP valve, and continuous pressure. Scott also walks through low-, moderate-, and high-risk patients, why high-risk oxygenation patients may not be good RSI candidates, and what changes for asthma, aspiration risk, and morbid obesity.

    Book a FREE Coaching Call with Us Here

    Learn More About the Loud & Clear Fellowship

    American Burn Association ABLS Now giveaway and 10% listener discount

    PREOXI trial: Noninvasive Ventilation for Preoxygenation during Emergency Intubation

    PreVent trial: Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults

    EMS World Live + FAST 26 conference coverage

    Guest: Scott Weingart / EMCrit — https://emcrit.org/
  • Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers

    Your Checklist Is Making You Worse: Why Pilots Use Checklists and Paramedics Don't

    31/05/2026 | 1h 6 mins.
    A checklist should reduce cognitive load. So why does yours make things worse? Airline pilot and safety officer Glenn Fisher breaks down how aviation refined checklists over decades of crash data and human factors research — from verification-only flows to abnormal read-and-do procedures to defining the criteria for what should actually earn a spot on the card.

    Want more?

    Book a Free Coaching Call at emspodcast.com/free-coaching-call

    Sign up for the weekly newsletter at empodcast.com/newsletter

    NASA papers on checklist design-
    Human Factors of Flight-Deck Checklists: The Normal Checklist

    COCKPIT CHECKLISTS: CONCEPTS, DESIGN, AND USE

    Design Guidance for Emergency and Abnormal Checklists in Aviation

     

    American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
  • Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers

    Pediatric Sepsis with Dr. Peter Antevy

    21/05/2026 | 32 mins.
    Pediatric sepsis is easy to miss because the first hour often looks ordinary. Kids compensate, until they don't. In this episode, Will Berry talks with Dr. Peter Antevy about the case that still bothers him and why fluids, vasopressors, antibiotics, and hospital feedback all have to be treated as one resuscitation system.

    Book a Free Coaching Call with us at emspodcast.com/free-coaching-call

    Sign up for our weekly newsletter The Confidence Dispatch at emspodcast.com/newsletter 

    American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
  • Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers

    How to Build Procedural Skills - That Actually Stick

    14/05/2026 | 1h 37 mins.
    Most EMS skills training creates an illusion of competence. You drill a procedure, check a box, and move on. But what does the research actually show about competency and retention?

    Dr. Jason Hine (EM physician, SimKit founder) breaks down the actual science of procedural skill acquisition: S-curves, encoding and consolidation, retrieval practice, and why expensive simulation labs often underperform cheap, high-rep lo-fi tools.

    Plus: a big announcement about SimKit and The Loud & Clear Fellowship.

    Book a Free Coaching Call at emspodcast.com/free-coaching-call

    Sign up for the weekly newsletter at emspodcast.com/newsletter

     

    SimKit - https://simkit.co

    Made to Stick - https://amzn.to/4d5B5qA

    American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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About Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers
Paramedic training is over, you’re in the front seat now. Whether day 1 or day 1,000 you can’t shake the fear you’re underprepared. You were taught to systematically decide if A... do B. But what if “A” wasn’t in the book? The truth is each emergency call is too unique to teach the right response to every situation. We need to go beyond algorithmic thinking and understand deeper principles, the WHY behind the algorithm. When every decision counts you want to rely on a framework that will guide you when things don’t make sense. Loud & Clear: EMS Guiding Principles is your resource to build that framework. Through discussions with experts, review of evidence-based best practices, and real-world case studies we teach you one step past what you learned in paramedic school. But all of this advanced education is connected back to the guiding principles that answer the question- “at the end of the day, what actually matters to the patient I have in front of me?” Our mission is to elevate your practice and help you improve patient outcomes in every emergency situation. You may not feel ready, you may not feel like you know enough, but by understanding the guiding principles of emergency medicine you can become an expert EMS clinician. Because what you do matters.Loud & Clear: EMS Guiding Principles is an EMS Cast LLC production
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