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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.
Episodes

24 hours ago
24 hours ago
Resources
- The Resus Tailor
- EMS Cast Syncope Blog Post
- Other episodes you might like: Wide Complex Tachycardia
- Podcast announcements- WE'RE RENAMING THE SHOW TO, LOUD & CLEAR: EMS GUIDING PRINCIPLES
- Survey- Help us learn what content you want
- 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- Matt Mendes, EM doc, Resident didactics coordinator, former EMS Cast Co-Host
Hosts- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emscast
- Twitter- @ems_cast
- Website- www.emspodcast.com

Friday Jan 31, 2025
Invisible Scars: The Battle for Mental Health in EMS - PATH4EMS
Friday Jan 31, 2025
Friday Jan 31, 2025
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

Tuesday Jan 14, 2025
Wide Complex Tachycardia: Get Comfortable With Uncertainty
Tuesday Jan 14, 2025
Tuesday Jan 14, 2025
Resources
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- Dr. Kevin Butler, Emergency Physician, Lead Instructor for DHREM's EKG didactic curriculum
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emscast
- Twitter- @ems_cast
- Website- www.emspodcast.com

Saturday Dec 28, 2024
Trailer - EMS Cast
Saturday Dec 28, 2024
Saturday Dec 28, 2024
You’ve looked at other paramedic continuing education resources but it’s the same basic material they taught you in school. There’s more you need to know, or you might miss something, someone might get hurt, or worse someone might die. You don’t feel ready. Your goal is to control the chaos. To become an expert in the field of prehospital medicine. And this is all driven by the desire to be there for someone on the worst day of their life. To change an outcome that would have otherwise been catastrophic if you weren’t there.
There’s no resource for the practicing paramedic to plug the holes that were left behind by paramedic school. Everything seems stuck in basic algorithms of “A” then “do B” but what do you do when "A” wasn’t in the book. We need to get away from the algorithmic thinking and instead shift to understanding the principles behind WHY if A then B.
The truth is, you can’t learn it all. Emergency Medicine includes too many pathologies and 911 calls are too unique and chaotic to know the answer to every situation. Instead of trying to learn every answer to every call, you need guiding principles for your knowledge to stand on. If you build these principles they become the foundation for every call no matter the complaint, for every situation, no matter the chaos surrounding you.
If you have the foundation you can be stable when the storm comes. You can know when to push forward or when to change course. And then each additional piece of advanced content that you learn can be added to that foundation to build on, because mastery is not a destination, it’s a journey and the journey never ends.
We are your hosts, Ross Orpet & Will Berry and this is EMS Cast.

Monday Dec 23, 2024
From Novice to Navigator: Mastering the Art of EMS Field Training
Monday Dec 23, 2024
Monday Dec 23, 2024
Resources
- Contact The Resus Tailor
- Watch this episode on YouTube
- Read the blog post for this episode
- Other episodes you might like:
- Podcast announcements- Big news coming in 2025! Stay Tuned!
- Survey- Help us learn what content you want
- 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- Josh, Cody, Moose
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emscast
- Twitter- @ems_cast
- Website- www.emspodcast.com

Thursday Dec 05, 2024
The Difference Between Equal and Equitable Care
Thursday Dec 05, 2024
Thursday Dec 05, 2024
- 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- Ritu Sani, MD and Co-host of The EMS Show podcast
Host- Ross Orpet, Chris Pfingsten from EMS 20/20
Catch up with us after the show
- Instagram- @emscast
- Twitter- @ems_cast
- Website- www.emspodcast.com

Wednesday Nov 20, 2024
Life Over Limb: Field Amputation, Preparing for the Unthinkable
Wednesday Nov 20, 2024
Wednesday Nov 20, 2024
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 importance of being prepared for the unexpected, the steps involved in developing a protocol for such emergencies, and the logistical challenges faced during the process. Dr. Adler shares insights from real-life cases and emphasizes the critical need for planning and knowing the resources available in urgent scenarios.
Resources
- Website show notes link (picture of the kit and copy of the protocol): https://emspodcast.com/life-over-limb-field-amputation-preparing-for-the-unthinkable/
- Other episodes you might like: Episode 31- You Were Taught Wrong, Traumas Not Algorithmic
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- Erik Adler
Host- Ross Orpet, Avery Mackenzie
Catch up with us after the show
- Instagram- @emscast
- Website- www.emspodcast.com

Monday Nov 04, 2024
The Untold Impact of EMS on Organ Donation: Transforming Tragedy into Hope
Monday Nov 04, 2024
Monday Nov 04, 2024
Guest/Cast/Crew information-
Guest- Chris Meeks, Critical Care Flight Paramedic, Organ Recovery Coordinator
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emscast
- Twitter- @ems_cast
- Website- www.emspodcast.com

Monday Oct 21, 2024
Monday Oct 21, 2024
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' in EMS and its role in understanding motivations and systemic issues. The conversation covers leadership in EMS, focusing on the significance of fostering supportive relationships with staff and avoiding fear-based management. Additionally, Chris shares his journey from paramedic to Field Training Officer, offering advice on effective training and mutual support. This episode is packed with valuable insights for anyone in the EMS field aiming to enhance performance, commitment, and team dynamics. Don't forget to check below for further resources on just culture and motivational learning.
Guest/Cast/Crew information-
Guest- Chris Pfingsten, Co-host of EMS 20/20
Host- Ross Orpet, Will Berry
Resources
- Other episodes you might like
- Ep. 72 From Errors to Excellence with Geoff Murphy, Master Your Medics
- Books
- Just Culture- https://amzn.to/4eOMN7w
- Crucial Conversations- https://amzn.to/3BRBnRI
- YouTube Videos-
Catch up with us after the show
- Instagram- @emscast
- Twitter- @ems_cast
- Website- www.emspodcast.com

Monday Oct 07, 2024
Are They Choking? Esophageal Foreign Body
Monday Oct 07, 2024
Monday Oct 07, 2024
- Resources and links
- This episode was inspired by an article on EMSAirway.com- Friday Night Lights- Shift 9 Steak Night
- EMScast15 - code for 15% off an awesome pair of sunglasses
- Help Us By Filling Out Our Audience Survey
- Medic Box - awesome medical gear shipped directly to your door
- Articles-
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