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Learn what they didn't teach you in paramedic school

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.

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

Shangsnek

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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

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It seems like there are new drugs hitting the streets every month. That's because there are and there's a reason for that! Come learn why

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Tips on calling medical control. Assistant Medical Director Whitney Barrett discusses the dos and don'ts of calling in for medical control.

Approach to the Tracheostomy

This is still included in the A of ABCs but I got essentially no training on this in paramedic school. Airway problems are terrifyring without

Communication Pitfalls

We have important information to share. Where do our communication skills fail us and how can we be better?

Ross Orpet
July 8, 2020
Podcast Episodes
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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

What do you do when the anatomy you’ve memorized simply doesn’t exist anymore? When a patient’s entire face is gone, and your standard airway management tools won’t work? This is where training meets reality.

Critical care transport legend Allen Wolfe joins us to dissect a real case, a conscious patient with a self-inflicted shotgun wound—no mandible, no nose, no midface—just open tissue and blood spraying everywhere.

This conversation covers the Lefort facial injury classification, why the cervical collar is often more harmful than helpful in penetrating trauma, delayed sequence intubation techniques, and intubating in atypical positions. Allen also explains cerebral perfusion pressure through the Monroe-Kelley hypothesis, and why hypotension can be devastating in traumatic brain injury.

But beyond the technical skills, this episode is about leadership under pressure, verbalizing your thought process to your team, and having backup plans A through Z before you need them. It’s about deliberate practice and mental simulation so you don’t freeze when chaos hits.

Want to train like this? We built the Paramedic Confidence Builder course to teach you to manage high-stress situations just like this through deliberate practice. You don’t rise to the occasion; you fall to the level of your training. Visit our website to learn more and reach out through the contact page- https://emspodcast.com/

Guest/Cast/Crew information-

Guest- Allen Wolfe, CFRN

Host- Ross Orpet, MD

Catch up with us after the show