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Josh and Cody unpack this clinical practice theory of Audacity. Cody posted a few months, this topic and here is what he said in the post. Audacity is having the balls to make a decision, when you know you need to make it, with only your thought processes and clinical judgement to defend you.Why, because blindly following a protocol that was not written for the exact situation you are in… is stupid. That is reckless and careless. Why? Because if you merely find the title of a protocol that “matches” the complaint you are dealing with, you are not collecting dots. You are forcing the patient into a box they may not belong in. In so doing, you doom them to suffer treatments from a recipe that does not even fit their problem.You are a clinician. You have to develop the situation and develop a gestalt or an impression.When you have to defend yourself. This is how you do it.“Here is the picture I made with the dots I collected. That is what drove the decision.” —> this avoids outcome bias. When people understand HOW you made the decision they tend to focus a lot less on the RESULT of the decision.You highlight and defend the thought process, NOT the result. You don’t control the result, you only control your responses to the information you gathered.You also cannot judge YOURSELF by the outcome. You hold the mirror up to the integrity of your process, how well you crafted a solution, and how well it was executed.

There is more to airway burns than thermal injury. Cody and Josh are going to unpack that idea.

Cody and Josh discuss a recent blog post about COPD patients and the care that we provide them. They talk about concepts that are not commonly talked about in initial paramedic education and how we should change our approach to these patients. https://emsairway.com/2026/04/30/copd-upgrade-what-i-wish-they-taught-me-in-paramedic-school/#gref https://www.ncbi.nlm.nih.gov/books/NBK580644/table/ch1.tab1/

Summary generated by Riverside AI This episode explores the integration of critical care into 911 EMS, featuring insights from Wes Rogers and Don Rose from Austin Travis County EMS. Topics include the development of the PL6 program, benefits of critical care in prehospital settings, and strategies for training and implementation.

This episode explores non-traumatic thoracic and abdominal aortic dissections, emphasizing anatomy, risk factors, physical assessment, and treatment strategies. Hosted by experts in emergency medicine and critical care, it provides vital insights for pre-hospital providers and clinicians.

Summary Hannah Herbst joins the Alert Medic 1 team to discuss the Auto TQ automatic tourniquet, which designed to improve hemorrhage control for both the lay public, and trained emergency clinicians. The conversation covers the device's design, efficacy, regulatory pathway, and potential impact on emergency response systems.

Dr. Zaffer Qasim returns to the Alert Medic 1 podcast to discuss various topics. The show covers topics such as the integration of blood in tactical EMS, comparing military and civilian approaches, and discusses the logistics, training, and tactical considerations for improving trauma care in high-stakes environments.

Summary This episode features Dr. Tim Chizmar discussing recent updates to Maryland EMS protocols, including new treatments for seizures, stroke, hypertensive emergencies, and trauma. Learn about protocol changes, innovative treatments like ketamine for refractory seizures, and the expanding role of EMS in leading medical advancements. Chapters 00:00 Introduction to Protocol Updates 02:19 Child and Vulnerable Adult Abuse Reporting Changes 05:31 Pediatric Critical Care Protocol Enhancements 08:22 Patient Refusal of Care Protocol Improvements 10:31 Expanding Buprenorphine Access in EMS 14:33 Seizure Management Protocol Changes 27:55 Introduction of Labatolol for Stroke and Aortic Syndromes 33:13 Identifying Aortic Dissection and Acute Coronary Syndrome 35:51 Beta Blockers in Emergency Medicine 38:51 Crush Syndrome and Hyperkalemia Treatment Changes 44:13 Trauma Management and Hemorrhage Control 47:52 Expanding Protocols for Emergency Care 54:20 Tourniquet Conversion Protocols

Summary generated by Riverside AI This episode features Dr. Jennifer Andrews discussing recent updates in Maryland EMS protocols, including pediatric care, seizure management, airway procedures, and the integration of ketamine. Gain insights into protocol changes, best practices, and future directions in pediatric emergency care.

Summary This episode features trauma experts Dr. Efron and Dr. Richards discussing penetrating trauma management, injury patterns, physical exam techniques, imaging, and critical decision-making in emergency situations. Key Topics Injury patterns in penetrating trauma Initial physical exam and exposure techniques Imaging modalities and their roles in trauma assessment Keywords trauma, penetrating injuries, emergency medicine, trauma management, injury patterns, physical exam, imaging, hemorrhage control, airway management, resuscitation Chapters 00:00 Introduction to Penetrating Trauma 01:36 Understanding Penetrating Trauma 07:31 Approach to Trauma Patients 14:48 Importance of Physical Examination 19:06 Imaging and Diagnostics in Trauma 27:16 Ventilation Management in Trauma Patients 32:09 Understanding Tamponade and Its Management 34:47 Pre-Hospital Management of Trauma 38:31 Advanced Airway Management in Facial Trauma 47:37 Managing Personal Reactions in Trauma Situations 57:38 Key Takeaways on Penetrating Trauma Management

Summary generated by Riverside AI This episode features a conversation on the future of EMS, mobile integrated health (MIH), and systemic reforms needed to improve healthcare access and outcomes. Mustafa and Cody discuss with Sam Magill the challenges of reactionary models, the importance of behavior change, and advocacy for policy reform to support EMS innovation. This episode features an in-depth discussion on the importance of strategic thinking, communication skills, and advocacy in EMS and community paramedicine. The speakers explore how to elevate paramedic practice from tactical skills to strategic decision-making, emphasizing the role of motivational interviewing, policy advocacy, and systemic change.

Summary In this conversation, Amanda Baker sits down with Cody & Mustafa to discuss her journey into the field of mental health, emphasizing the importance of active listening, the complexities of mental health diagnoses, and the integration of body and mind in therapy. The discussion explores the significance of authenticity, engagement strategies, and the concept of flow state in enhancing therapeutic outcomes. Amanda shares her insights on the interconnectedness of mental and physical health, advocating for a holistic approach to therapy that fosters self-discovery and personal growth.

Summary In this conversation, Danny Kustra, a critical care paramedic and educator from Manitoba, Canada, discusses the evolving landscape of EMS education, particularly the integration of AI and VR technologies. He explains the structure of the EMS system in Manitoba, the educational pathways for paramedics, and the importance of simulation in training. Danny highlights how AI and VR can enhance communication skills and clinical decision-making, and he shares insights on various VR platforms and AI tools that are being utilized in EMS education. The discussion also touches on the challenges and opportunities presented by these technologies, as well as the future innovations that may shape the field of emergency medical services.

Summary generated by Riverside AI. Summary In this conversation, Mustafa Sidik and Cody delve into the intricacies of leadership, drawing insights from the book Call Sign Chaos, by James Mattis & Bing West. They explore the importance of character versus competence, the dynamics of team leadership, and the lessons learned from failures in leadership roles. The discussion emphasizes the need for decentralized leadership, trust within teams, and the significance of making good decisions over merely achieving good outcomes. This conversation delves into the multifaceted aspects of leadership, emphasizing the importance of execution, decision-making, and effective communication. The speakers explore how leaders can navigate challenges by fostering a culture of clarity, accountability, and competence while balancing personal relationships with professional responsibilities. They highlight the significance of understanding team dynamics and the role of information in leadership, ultimately advocating for a thoughtful approach to leadership that prioritizes both individual and organizational growth.

Summary generated by Riverside AI In this conversation, Cody Winniford, Jim Brady, and Mustafa Sidik sit down to interview Shailvi Gupta, a trauma and acute care surgeon, about the newly started Masters in Trauma Sciences program at the University of Maryland, Baltimore. They discuss the program's structure, curriculum, and its focus on developing leaders in trauma care. The conversation highlights the importance of understanding trauma from a global perspective, the role of education in advancing trauma systems, and the impact of social determinants of health on trauma care. Gupta emphasizes the need for a diverse student body and the integration of clinical rotations for hands-on experience. This conversation explores the evolving landscape of Emergency Medical Services (EMS) education and practice, emphasizing the importance of data in advocacy, the need for tangible skills, and the role of mentorship. The speakers discuss advancements in EMS practices, the challenges faced by paramedics in career advancement, and the significance of interdisciplinary collaboration in trauma care. They also highlight funding opportunities for education and the necessity of leadership training in trauma systems, ultimately advocating for a shift in mindset towards a more holistic approach to trauma care. Shailvi Gupta, MD MPH FACS, is an Associate Professor of Surgery at the University of Maryland School of Medicine, Shock Trauma Center's Program in Trauma. Her secondary appointment is with the Department of Epidemiology and Public Health. Dr. Gupta is an acute care surgeon practicing trauma surgery, surgical critical care and emergency general surgery. She is double boarded in General Surgery and Surgical Critical Care. She is the Course Director for the Global Health elective at the School of Medicine, teaches the Global Public Health Emergencies course within the MPH Program, and is core faculty for the interdisciplinary Climate Change, Health and Society course. Dr. Gupta's global health endeavors focus on improving surgical capacity and trauma education in low resource settings. She has led country-wide research projects in Nepal helping to grow surgical capacity nationally. She worked with the Ministry of Health in Mozambique to help develop a country-wide ambulance system and country wide trauma registries. She is also helping to elevate trauma education in Europe with University of Milan and Niguarda Hospital in Milan, Italy, as she helped develop one of Europe's first Trauma Masters Programs. Dr. Gupta has been recognized by the American College of Surgeons as a "Future Trauma Leader" and is utilizing this opportunity to help develop protocols and educational materials to improve trauma care in low resource settings. Link to the Master of Trauma Science program: https://www.umaryland.edu/alumni/highlights/umb-launches-nations-first-masters-program-in-trauma-sciences-.php Link to the Charley Riley Scholarship: https://mhec.maryland.gov/preparing/pages/financialaid/programdescriptions/prog_fire.aspx