EMS CAST: Podcast – HIGH LEVEL EDUCATION WITH PRACTICAL APPLICATION

LEARN WHAT THEY DIDN'T TEACH YOU

A podcast for EMS providers, we cover topics in more depth than you learned in paramedic school and connect this all back to the guiding principle of what actually matters to you the provider in the field.

Shangsnek

“Wish I could give 6 stars. These guys are the Bob Ross of emergency care.”

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EMS Cast

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EMS Cast

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About Us

Ross Orpet, MD

A board certified emergency medicine physician practicing in Colorado, I completed my residency at Denver Health Medical Center, as well as a fellowship in Emergency Medical Services. I got my start in emergency medicine working as a paramedic at the Denver Health Paramedic Division..

Will Berry, FP-C, NR-P

I have worked in EMS for 13 years and caught the bug to be involved in emergency response after working as a wilderness guide in Colorado. Most of my career was with the Denver Health Paramedic Division where I spent several years as a Lieutenant. I am currently a practicing critical care paramedic in North Carolina.

What People Are Saying

Great Podcast!

“I have been a nurse for 10 years, most of that in the emergency department. The information on this podcast is not only helpful for paramedics, but applies to ER nursing as well! I always encourage our new nurses and experienced nurses to listen to this podcast!”

Shane G33

08/31/2023

Great For First Responders

“Paramedic of 3 years here. This is the podcast I keep coming back to. I get a great mix of in-depth information beyond my scope as well as lots of practical information for me as a provider in the field.”

Rjbaker022

07/06/2023

Most Recent Episode Breakdowns

Are They Choking? Esophageal Foreign Body

We delve into the management of esophageal foreign body obstructions, a common yet often misunderstood medical emergency. We discuss the symptoms and causes of esophageal

The Critical Four Minutes: AMAX4 framework for Anaphylaxis

Explore anaphylaxis care from the basics to the critical approach to managing severe anaphylaxis with Bruce Hoffman, FlightBridge ED senior educator. Find out what it

Poisons of the Sea: Insights with Toxicologist Dr. Nik Matsler

Think you only need to worry about toxicities that exist in the sea if you live by an ocean? Think again. No matter where you

The Critical Care of the Sick Runner: A Comprehensive Guide

Dr. Whitney Barrett, the Medical Director of the Highlonsome 100 mile ultra endurance race, discusses the critical considerations for EMS providers when encountering sick runners

How to Master the Resuscitation- EMCRIT’s Scott Weingart

EMCRIT's Scott Weingart discusses the concept of being a true resuscitationist. The mindset necessary for providing aggressive, excellent care outside hospital boundaries and the emphasis

Building Better Providers: Eric Bauer, Lessons from FlightBridgeEDEric Bauer- the pursuit of excellence

Will and I recently attended FAST24, an educational conference hosted by FlightBridgeED in Wilmington, North Carolina. We had a fantastic time meeting industry top speakers,

Ross Orpet
July 1, 2024
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EMS Cast: 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. EMS cast 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.

We delve into the management of esophageal foreign body obstructions, a common yet often misunderstood medical emergency. We discuss the symptoms and causes of esophageal food impactions, sometimes referred to as ‘Steakhouse Syndrome,’ and differentiate it from tracheal obstructions. We explore the protocols, potential treatments, and if there’s any rationale behind treatments such as glucagon administration. Join us as we also share real-life scenarios to better illustrate the challenges and solutions when dealing with such medical cases.

Resources and links

Guest/Cast/Crew information-

Host- Ross Orpet, Will Berry

Catch up with us after the show

Instagram- @emscast
Twitter- @ems_cast
Website- www.emspodcast.com

00:00 Introduction to Esophageal Foreign Bodies
00:43 Audience Survey and Sunglasses Giveaway
01:46 Interview with Contest Winner
06:11 A Choking Incident at Mile High Stadium
09:02 Discussion on Esophageal Obstructions
11:46 Life-Saving Story at Denver International Airport
13:28 A Life-Saving Outcome
14:11 The Choking Incident at the Tavern
14:57 Assessing the Patient’s Condition
19:38 Understanding Esophageal Food Impaction
21:49 Treatment Options and Challenges
29:01 The Role of Endoscopy
37:45 Managing Esophageal Impactions in the Field
39:32 Final Thoughts