Learn what they didn't teach you in paramedic school
“Wish I could give 6 stars. These guys are the Bob Ross of emergency care.”
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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.

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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
Let’s delve into the critical steps required to manage an upper GI bleed in the field. This episode breaks down the recognition of risk factors, vital airway and circulation interventions, and best practices for transporting and notifying the hospital. We discuss important historical clues and provide insights on airway handling and circulatory support. Learn how to navigate these time-sensitive emergencies with speed and thoroughness to improve patient outcomes.
00:30 Host Introduction and Episode Overview
01:22 Recognizing Upper GI Bleeds
01:45 Sponsor Message: The Resus Tailor
02:38 Four Clues to Identify GI Bleeds
06:17 Critical Questions for GI Bleed Patients
09:47 Airway Management Strategies
15:21 Circulatory Support and IV Access
19:26 Medication Considerations
22:28 Transport and Hospital Notification
23:41 Conclusion and Viewer Engagement
Resources
- Get 10% off FAST25 with promo code- loud&clear
- The Resus Tailor – https://www.theresustailor.com/
- Website show notes link
- Other episodes you might like:
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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
- Sunglasses – https://frontline-optics.com/discount/EMSCAST15
- 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
- A Thousand Naked Strangers: A Paramedic’s Wild Ride to the Edge and Back – https://amzn.to/3YJJrf2
Guest/Cast/Crew information-
Guest-
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emsloudandclear
- YouTube- https://www.youtube.com/@EMSLoudandClear
- Website- www.emspodcast.com
