Home - Loud & Clear: EMS guiding principles

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

Most Recent Episode Breakdowns

From Novice to Navigator: Mastering the Art of EMS Field Training

Joined by Josh, Cody, and Moose from the AlertMedicOne podcast, we explore key principles of good training, leadership, and the importance of making mistakes in

The Difference Between Equal and Equitable Care

Explore the crucial distinction between providing equal care versus equitable care within emergency medical services (EMS). We give you an in-depth discussion with Ritu Sani

Life Over Limb: Field Amputation, Preparing For The Unthinkable

Dr. Avery McKenzie interviews Dr. Eric Adler, regional medical director for Flight for Life, about the challenging and rare procedure of field amputations. They discuss

The Untold Impact of EMS on Organ Donation: Transforming Tragedy into Hope

In this episode, we discuss the profound impact that one patient's organ donation can have on society. Even when not every patient gets to go

Values-Driven Leadership Within A Just Culture- Chris Pfingsten from EMS 20/20

Creating lasting behavioral changes in the workplace by moving beyond consequence-based policies. Chris discusses the importance of aligning personal and company values, highlighting 'just culture'

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

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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 if the evidence hierarchy you learned in school is incomplete? Dr. Eddie Lang, who helped develop the GRADE system now used by WHO and major resuscitation councils, explains why clinical practice guidelines—not RCTs or meta-analyses—should guide your practice decisions.

Join us at FASTCAN 25 as Dr. Lang, who’s helped shap guidelines for the World Health Oganization (WHO) and the International Liaison Committee on Resuscitation (ILCOR), dismantles common misconceptions about evidence-based medicine and explains how it has evolved over the years. It’s no longer “whatever the study says”—it’s now carefully evaluating research limitations, considering patient values, and assessing feasibility, acceptability, and equity. Clinical practice guidelines sometimes get a bad rap but Dr. Lang explains why they ultimately should sit atop the evidence hierarchy.

We also discuss game-changing AI applications in EMS: consolidated electronic health records enabling precision prehospital care, automated documentation, predictive analytics for patient destination, and an AI tool providing evidence synthesis with references in seconds.

Whether you’re a paramedic, nurse, or physician, this episode has the power to change how you evaluate and apply clinical evidence.

Subscribe for more evidence-based EMS content that cuts through the noise so that you never lose sight of the forest through the trees.

Guest/Cast/Crew information-

Guest- Eddy Lang, MD

Hosts- Ross Orpet, Will Berry

Catch up with us after the show

Instagram- @emsloudandclear

YouTube- https://www.youtube.com/@EMSLoudandClear

Website- www.emspodcast.com