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. 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.
Let’s discuss the pressing issue of mental health among first responders, particularly within the EMS community. Will gets vulnerable and shares a personal story of trauma on the job to highlight the urgent need for mental health resources and support. Unfortunately, his story is not unique, we will all experience some level of emotional trauma while on the job. This episode features Jessica Nelson, the coordinator of the groundbreaking program and first of its kind state legislation, PATH4EMS. PATH4EMS provides free and confidential mental health care for EMS professionals. We delve into strategies for normalizing mental health conversations, the importance of trauma-informed care, and the benefits of proactive mental health practices. The discussion also covers the need for tailored, evidence-based resources and the unique challenges faced by rural first responders. Tune in to learn about the vital steps being taken to ensure the well-being of those who brave the front lines.
00:00 The Struggles of First Responders
00:53 A Personal Story of Trauma
04:57 The Turning Point: Seeking Therapy
05:42 Introduction to EMScast
06:34 Meet Jessica Nelson: A Pioneer in EMS Mental Health
09:54 The Importance of Confidentiality and Specialized Care
12:17 Effective Mental Health Practices for EMS Providers
19:54 Path for EMS: A Groundbreaking Initiative
30:37 Future Directions and Final Thoughts
Resources
- PATH4EMS website
- Today’s Sponsor- The Resus Tailor
- Today’s episode blog post
- Podcast announcements- We’re rebranding! New name will be- Loud & Clear: EMS Guideline Principles. Look out for the changes coming soon.
- Survey- Help us learn what content you want
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- Jessica Nelson, PATH4EMS coordinator
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emscast
- Twitter- @ems_cast
- Website- www.emspodcast.com
