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The World’s Okayest Medic Podcast

The World’s Okayest Medic Podcast

The World’s Okayest Medic Podcast is a podcast for all EMS providers. Whether you’re an EMT, paramedic, nurse; work in a 911 response setting or critical care transport; and are a novice or experienced clinician, this podcast is for you.

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All episodes(72)

  • StandardSummaries only
    Friday Coffee Talk (10/31/26)

    Published Oct 30, 2026

    LISTENER DISCRETION IS ADVISED!!! References: Akhtar, M., Shenasa, M., Jazayeri, M., Caceres, J., & Tchou, P. J. (1988). Wide QRS complex tachycardia: Reappraisal of a common clinical problem. Annals of Internal Medicine, 109(11), 905–912. Baerman, J. M., Morady, F., DiCarlo, L. A., Jr., & de Buitleir, M. (1987). Differentiation of ventricular tachycardia from supraventricular tachycardia with aberration: Value of the clinical history. Annals of Emergency Medicine, 16(1), 40–43. Brugada, J., et

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    Scott Kier: The Lift Assist Debacle

    Published Oct 23, 2026

    Scott Kier

    Listener discretion is advised. Reference: Leggatt L, Van Aarsen K, Columbus M, Dukelow A, Lewell M, Davis M, McLeod S. Morbidity and Mortality Associated with Prehospital "Lift-assist" Calls. Prehosp Emerg Care. 2017 Sep-Oct;21(5):556-562.

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    Friday Coffee Talk (10/16/26)

    Published Oct 16, 2026

    LISTENER DISCRETION IS ADVISED!!! References: Almallouhi, E., Al Kasab, S., Nahhas, M., Harvey, J. B., Caudill, J., Turner, N., & Holmstedt, C. A. (2020). Outcomes of interfacility helicopter transportation in acute stroke care. Neurology: Clinical Practice, 10(5), 422–427. Bartos, J. A., Clare Agdamag, A., Kalra, R., et al. (2023). Supraglottic airway devices are associated with asphyxial physiology after prolonged CPR in patients with refractory Out-of-Hospital cardiac arrest presenting for ex

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    Case Study: Neonatal Blood Administration after Delivery with Abruption

    Published Oct 13, 2026

    Case Study

    Listener discretion is advised. Sincere thanks to the Buda FD and Austin-Travis StarFlight for the permission for their staff to come onto the podcast and discuss this case.

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    Friday Coffee Talk (10/9/26)

    Published Oct 9, 2026

    LISTENER DISCRETION IS ADVISED!!! References: Galvagno SM Jr, Haut ER, Zafar SN, et al. Association between helicopter vs ground emergency medical services and survival for adults with major trauma. JAMA. 2012;307(15):1602-1610. Jarvis JL, Jarvis SE, Kennel J. The association between out-of-hospital drug-assisted airway management approach and intubation first-pass success. Ann Emerg Med. 2025;86(5) Kashyap R, Anderson PW, Vakil A, Russi CS, Cartin-Ceba R. A retrospective comparison of helicopte

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    Prehospital Sepsis with Haney Mallemat & Nick Ghionni

    Published Sep 28, 2026

    Listener discretion is advised.

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    Rapid Fire Listener Questions - Part Two

    Published Sep 25, 2026

    LISTENER DISCRETION IS ADVISED!!!

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    Amyl Nitrate Overdose Case Study with Justin Rodriguez RN

    Published Sep 21, 2026

    Listener discretion is advised!!!

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    Friday Coffee Talk (9/18/26)

    Published Sep 18, 2026

    LISTENER DISCRETION IS ADVISED!!! References: Paterson BF, Grammer LC, Greenberger PA. The management of coexisting asthma and cardiac disease. N Engl Reg Allergy Proc. 1987;8(5):309-315. Pauw EK, Stubblefield WB, Wrenn JO, Brown SK, Cosse MS, Curry ZS, Darcy TP, James TE, Koetter PE, Nicholson CE, Parisi FN, Shepherd LG, Soppet SL, Stocker MD, Walston BM, Self WH, Han JH, Ward MJ. Frequency of cardiotoxicity following intramuscular administration of epinephrine in emergency department patients

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    Timber Vignogna/Response Ready Fitness

    Published Sep 14, 2026

    Listener discretion is advised.

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    Friday Rapid Fire Questions

    Published Sep 11, 2026

    LISTENER DISCRETION IS ADVISED!!!

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    Zaf Qasim MD: Crashing Peds, Asthma, Anaphylaxis

    Published Sep 7, 2026

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    Saturday Coffee Talk (9/5/26)

    Published Sep 4, 2026

    LISTENER DISCRETION IS ADVISED!!!

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    Conversation with a Paramedic/Med Student

    Published Aug 31, 2026

    Listener discretion is advised!

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    Saturday Coffee Talk (8/29/26)

    Published Aug 29, 2026

    LISTENER DISCRETION IS ADVISED!!!

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    Friday Coffee Talk (8/21/26)

    Published Aug 21, 2026

    LISTENER DISCRETION IS ADVISED! References: Alam N, Oskam E, et. al. PHANTASi Trial Investigators and the ORCA (Onderzoeks Consortium Acute Geneeskunde) Research Consortium the Netherlands. Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial. Lancet Respir Med. 2018 Jan;6(1):40-50. Jouffroy, R., Annane, D., et. al. (2026). A 1-hour resuscitation bundle for prehospital management of septic shock. Critical Care Medicine. Knack, S. K. S., Scott, N., Driv

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    Saturday Coffee Talk (8/15/26)

    Published Aug 15, 2026

    LISTENER DISCRETION IS ADVISED!!! References: Evans C, Quinlan DO, Engels PT, Sherbino J. Reanimating Patients After Traumatic Cardiac Arrest: A Practical Approach Informed by Best Evidence. Emerg Med Clin North Am. 2018 Feb;36(1):19-40. Lott, C., Truhlář, A., et al. (2021). European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances. Resuscitation, 161, 152-219. Reuben Strayer’s ATLS Lecture at ResusX: https://youtube.be/OwgYKtB2Kj0?si=4YFkJ4oPB4l3VEGC Zaf Quasim/Han

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    Dr. Mark Piehl

    Published Aug 10, 2026

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    Saturday Coffee Talk (Plasma) - 8/8/26

    Published Aug 8, 2026

    LISTENER DISCRETION IS ADVISED!!! References: Cardenas JC, Dong JF, Kozar RA. Injury-induced endotheliopathy: What you need to know. J Trauma Acute Care Surg. 2023 Oct 1;95(4):454-463. Dietrich M, Hölle T, Lalev LD, Loos M, Schmitt FCF, Fiedler MO, Hackert T, Richter DC, Weigand MA, Fischer D. Plasma Transfusion in Septic Shock-A Secondary Analysis of a Retrospective Single-Center Cohort. J Clin Med. 2022 Jul 27;11(15):4367. Kuldanek, S. A., Kelher, M., & Silliman, C. C. (2019). Risk factors, ma

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    Greg Shea - "Rising from Ground Zero"

    Published Aug 3, 2026

    Dr. Greg Shea came onto the podcast to talk about the leadership and organizational lessons learned from the FDNY before, during, and after the 9/11 attacks. Check out the book he co-authored at https://www.risingfromgroundzero.org/

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    BONUS COFFEE TALK with Dan Rauh

    Published Jul 26, 2026

    Dan Rauh

    Unfiltered, no agenda, and no planning. Just Dan and I having a zoom call and recording it... LISTENER DISCRETION IS ADVISED!!!

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    Saturday Coffee Talk (7/25/26)

    Published Jul 24, 2026

    LISTENER DISCRETION IS ADVISED!!! References: Rezaei Zadeh Rukerd M, Shahrbabaki FR, Movahedi M, Honarmand A, Pourzand P, Mirafzal A. Single intravenous dose ondansetron induces QT prolongation in adult emergency department patients: a prospective observational study. Int J Emerg Med. 2024 Apr 2;17(1):49. Yürük Mısırlıoğlu H, Öztürk İnce E, Akkaş M. The effect of intravenous ondansetron on QT interval in the emergency department. Am J Emerg Med. 2024 Nov;85:7-12.

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    Saturday Coffee Talk (7/18/26)

    Published Jul 18, 2026

    LISTENER DISCRETION IS ADVISED!

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    Friday Coffee Talk (7/10/26)

    Published Jul 10, 2026

    Listener discretion is advised! (explicit) References: McGovern B, Garan H, Ruskin JN. Precipitation of cardiac arrest by verapamil in patients with Wolff-Parkinson-White syndrome. Ann Intern Med. 1986 Jun;104(6):791-4. doi: 10.7326/0003-4819-104-6-791. PMID: 3706931. Strasberg B, Sagie A, Rechavia E, Katz A, Ovsyscher IA, Sclarovsky S, Agmon J. Deleterious effects of intravenous verapamil in Wolff-Parkinson-White patients and atrial fibrillation. Cardiovasc Drugs Ther. 1989 Jan;2(6):801-6. doi:

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    Lil' Pharma

    Published Jul 6, 2026

    Listener discretion is advised.

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    Saturday Coffee Talk (6/27/26)

    Published Jun 26, 2026

    LISTENER DISCRETION IS ADVISED!!! References: Carunchio, M. (July 2020). Atypical Stroke Presentations. EMS World. Available: https://www.hmpgloballearningnetwork.com/site/emsworld/article/1224541/atypical-stroke-presentations Clawson, J. J., Scott, G., Gardett, I., et al. (2016). Predictive Ability of an Emergency Medical Dispatch Stroke Diagnostic Tool in Identifying Hospital-Confirmed Strokes. Journal of Stroke and Cerebrovascular Diseases, 25, 2031-2042. Gardett, Olola, Scott, Broadbent, & C

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    Saturday Coffee Talk (6/20/26)

    Published Jun 20, 2026

    Listener discretion is advised!!! References: My ResusX Talk: http://www.youtube.com/watch?v=ufC2LXtCzUI Hana Hybasek Dzurikova. (29 Jan 2025). Unmasking Hyperkalemia: Highlighting Critical ECG Changes. Available https://www.powerfulmedical.com/blog/hyperkalemia-ecg-critical-changes/

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    Thoughts on Precepting: The FTO's Priorities of Life

    Published Jun 16, 2026

    Listener discretion is advised!!!

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    Saturday Coffee Talk (6/6/26)

    Published Jun 6, 2026

    Listener discretion is advised!!! References: Gabayan, G. Z., Gould, M. K., Weiss, R. E., Patel, N., Donkor, K. A., Chiu, V. Y., Yiu, S. C., Jones, J. P., Hoffman, J. R., & Sarkisian, C. A. (2016). Poor Outcomes After Emergency Department Discharge of the Elderly: A Case-Control Study. Annals of Emergency Medicine, 68(1), 43–51.e2. Ganetsky M, Lopez G, Coreanu T, Novack V, Horng S, Shapiro NI, Bauer KA. Risk of Intracranial Hemorrhage in Ground-level Fall With Antiplatelet or Anticoagulant Agent

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    Saturday Coffee Talk (5/30/26)

    Published May 30, 2026

    Listener discretion is advised! References: Buttner & Arlanger. (May 3, 2022). ST depression does not localise. Available: https://litfl.com/st-depression-does-not-localise/ Cannon, J. W., Khan, M. A., Raja, A. S., et al. (2017). Damage control resuscitation in patients with severe traumatic hemorrhage. Journal of Trauma and Acute Care Surgery, 82, 605-617. Kabra, R., Acharya, S., Kamat, S., & Kumar, S. (2022). ST-Segment Elevation in Lead aVR With Global ST-Segment Depression: Never Neglect Lef

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    (Late) Sunday Coffee Talk (5/24/26)

    Published May 24, 2026

    LISTENER DISCRETION IS ADVISED!!!!! References: Hair Tourniquet: PMID: 29092968 ACEP. (2025). A Worthy Investment: What Every EM Resident Needs to Know About Reimbursement in 2025. Available: https://www.acep.org/administration/reimbursement/what-every-graduating-resident-needs-to-know-about-reimbursement Dan Magdziarz. (Jan 5, 2021). High-Yield RVU Generation in Emergency Medicine. Emergency Physicians Monthly. Available: https://epmonthly.com/article/high-yield-rvu-generation-in-emergency-medi

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    LATE Saturday Evening Coffee Talk (5/16/26)

    Published May 17, 2026

    Listener discretion is advised! References: ACEP. (2025). A Worthy Investment: What Every EM Resident Needs to Know About Reimbursement in 2025. Available: https://www.acep.org/administration/reimbursement/what-every-graduating-resident-needs-to-know-about-reimbursement Dan Magdziarz. (Jan 5, 2021). High-Yield RVU Generation in Emergency Medicine. Emergency Physicians Monthly. Available: https://epmonthly.com/article/high-yield-rvu-generation-in-emergency-medicine/ John Proctor. Gauging Emergenc

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    Dr. Mario Rugna & Kirk Smith, RT: Using the Vent on 911 Calls Should be Standard

    Published May 11, 2026

    Listener discretion is advised. Dr. Rugna's Article: https://assets-che.mkt.dynamics.com/82359f7e-b7af-4cc1-a9fe-c8a35b467194/digitalassets/standaloneforms/7a39198e-7127-f011-8c4d-0022480cd54d#div_id

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    Friday (Early) Coffee Talk (5/8/26)

    Published May 8, 2026

    Listener discretion is advised. Language. Adult themes. References: Anand Swaminathan, "Clinical Conundrum: Should We Always Treat Fever in Patients with Sepsis?", REBEL EM blog, December 17, 2024. Available at: https://rebelem.com/clinical-conundrum-should-we-always-treat-fever-in-patients-with-sepsis/. Jibril F, Sharaby S, Mohamed A, Wilby KJ. Intravenous versus Oral Acetaminophen for Pain: Systematic Review of Current Evidence to Support Clinical Decision-Making. Can J Hosp Pharm. 2015 May-Ju

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    Rick Maricle: Leadership at a New Agency

    Published May 5, 2026

    Rick Maricle

    Listener discretion is advised.

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    Saturday Coffee Talk (5/1/26)

    Published May 1, 2026

    Listener discretion is advised: language, adult themes Reference: Boland, Hokanson, et. al. (2016). Prehospital lactate measurement by EMS in patients meeting sepsis criteria. Western J. EM (17)5.

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    Dan Rauh: Lactate, Troponin, I-Stat, Sepsis, and More

    Published Apr 27, 2026

    Dan Rauh

    Listener discretion is advised.

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    Saturday Coffee Talk (4/25/26)

    Published Apr 24, 2026

    Listener discretion is advised.

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    Jeremy Ulrich: 10 Things the EMS Student Needs to Know

    Published Apr 20, 2026

    Jeremy Ulrich

    Listener discretion is advised.

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    Saturday Coffee Talk (4/18/26)

    Published Apr 17, 2026

    LISTENER DISCRETION IS ADVISED. Sensitive themes. Language. References: Rautaharju PM, Park L, Rautaharju FS, Crow R. A standardized procedure for locating and documenting ECG chest electrode positions: consideration of the effect of breast tissue on ECG amplitudes in women. J Electrocardiol. 1998 Jan;31(1):17-29.

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    Bill Berlin RN: Communicating with the Chronically Sick Kid and Family

    Published Apr 13, 2026

    Bill Berlin is a flight nurse and serves in the USAF. His daughter is currently battling Leukemia and Bill was kind enough to come on to the podcast to talk about what this journey has taught him about being a health care provider. Listener discretion is advised.

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    Saturday Coffee Talk (4/11/26)

    Published Apr 11, 2026

    Listener discretion is advised. References: Cook CE, Thigpen CA. Five good reasons to be disappointed with randomized trials. J Man Manip Ther. 2019 May;27(2):63-65. doi: 10.1080/10669817.2019.1589697. Epub 2019 Mar 14. PMID: 30935322 Fernainy P, Cohen AA, Murray E, Losina E, Lamontagne F, Sourial N. Rethinking the pros and cons of randomized controlled trials and observational studies in the era of big data and advanced methods: a panel discussion. BMC Proc. 2024 Jan 18;18(Suppl 2):1. doi: 10.1

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    Conversation with a Newer EMT

    Published Apr 6, 2026

    Listener discretion is advised. Sensitive language and themes.

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    Saturday Coffee Talk (4/4/26)

    Published Apr 4, 2026

    LISTENER DISCRETION IS ADVISED. Language. Sensitive themes. Study Citation: Vattipally VN, Ran KR, Myneni S, Jo J, Margolis A, Nasr IW, Robinson S, Cohen AR, Azad TD. Emergency Medical Services Time on Scene Associated with Reduced Dead-on-Arrival Status Among Pediatric Patients with Severe Traumatic Brain Injury. Prehosp Emerg Care. 2026 Jan 21:1-9. doi: 10.1080/10903127.2025.2605648. Epub ahead of print. PMID: 41418045.

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    Peds: Safe Transport and Pro Tips with Molly Harper

    Published Mar 30, 2026

    Molly Harper

    Listener discretion is advised.

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    Saturday Coffee Talk (3/28/26)

    Published Mar 27, 2026

    LISTENER DISCRETION IS ADVISED! ADULT THEMES. LANGUAGE. References: Smith, J. E., Cardigan, R., Sanderson, E., Silsby, L., Rourke, C., Barnard, E. B. G., Basham, P., Antonacci, G., Charlewood, R., Dallas, N., Davies, J., Goodwin, E., Hawton, A., Hudson, C., Lucas, J., Keen, K., Lyon, R. M., & Nolan, B. (2026). Prehospital whole blood in traumatic hemorrhage — a randomized controlled trial. The New England Journal of Medicine. https://doi.org/10.1056/nejmoa2516043 Dr. Antevy's Discussion Thread o

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    Case Study: PE Presenting as Left Breast Pain

    Published Mar 26, 2026

    Case Study

    Listener discretion is advised.

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    Saturday Coffee Talk (3/21/26)

    Published Mar 21, 2026

    Listener discretion is advised.

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    (Early) Coffee Talk 3/12/26

    Published Mar 12, 2026

    Listener discretion is advised.

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    Conversation with a Medical Director: Nate Zahustecher

    Published Mar 10, 2026

    Listener discretion is advised.

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    Saturday Coffee Talk (3/7/26)

    Published Mar 7, 2026

    Listener discretion is advised. Japanese Airway Study: Kubo A, Kunitatsu K, Nakashima T, Horitani R, Kajimoto Y, Inoue S, Hironishi M. Association between endotracheal intubation and outcomes of nonshockable out-of-hospital cardiac arrest in Japan. BMC Emerg Med. 2025 Sep 24;25(1):185. doi: 10.1186/s12873-025-01341-6. PMID: 40993541; PMCID: PMC12462024.

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    BONUS Mini Episode: Burn Intubation

    Published Mar 2, 2026

    Listener discretion is advised.

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    Jen Brennan and Ben Podsiadlo

    Published Mar 2, 2026

    Listener discretion is advised.

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    Saturday Coffee Talk (2/28/26)

    Published Feb 28, 2026

    Listener discretion is advised.

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    The Coffee Talk is EARLY THIS WEEK (2/19/26)

    Published Feb 19, 2026

    Listener discretion is advised. References: Varney J, Motawea KR, Mostafa MR, AbdelQadir YH, Aboelenein M, Kandil OA, Ibrahim N, Hashim HT, Murry K, Jackson G, Shah J, Boury M, Awad AK, Patel P, Awad DM, Rozan SS, Talat NE. Efficacy of heads-up CPR compared to supine CPR positions: Systematic review and meta-analysis. Health Sci Rep. 2022 May 24;5 Norii T, Lukas G, Samantaray A, Yabuki M, Olasveengen TM, Bray JE; International Liaison Committee on Resuscitation ILCOR Basic Life Support Task Forc

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    Subarachnoid Hemorrhage

    Published Feb 17, 2026

    Listener discretion is advised. References: Decorticate and Decerebrate Posturing. (Dec 18, 2025). David Goldemund. “Stroke Manual.” Available: https://www.stroke-manual.com/decorticate-and-decerebrate-posturing/ Schmutzhard, E. (2019). Central breathing disturbances in stroke. J. Neuro Sciences, 405 suppl. Torres AC, Bebarta VS, April MD, Maddry JK, Herson PS, Sciorilli JV, Rossi YI, Dos Reis Schevz R, da Silva DBP, Lee J, Gallani F, Maegele M. Is ketamine safe for traumatic brain injury? A sys

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    Sal Cortez and ISTM

    Published Feb 16, 2026

    Listener discretion is advised.

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    Saturday Coffee Talk (2/14/26)

    Published Feb 14, 2026

    Listener discretion is advised.

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    Nicole Hooser

    Published Feb 9, 2026

    Listener discretion is advised.

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    SUNDAY (Late) Coffee Talk (2/8/26)

    Published Feb 8, 2026

    Listner discretion is advised.

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    Dan Koloden

    Published Feb 2, 2026

    Listener discretion is advised.

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    Saturday Coffee Talk (1/31/26)

    Published Jan 31, 2026

    Listener discretion is advised.

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    Ryan Bolger

    Published Jan 26, 2026

    Listener discretion is advised.

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    Saturday Coffee Talk (1/24/26)

    Published Jan 23, 2026

    Listener discretion is advised. References: Bona & Friedman. (Apr 3, 2018). Ambulance Lights and Sirens Should Only Be Used When the Benefit Outweighs the Risks. Available: https://https://www.acepnow.com/article/ambulance-lights-and-sirens-should-only-be-used-when-the-benefit-outweighs-the-risks/ NTSB Preliminary Report: Available: https://verticalavi.org/wp-content/uploads/2026/01/Report_ERA26FA035_201974_1_21_2026-12_05_27-AM.pdf PMID 30648537, 20845321, 11339726 Zavadasky, M. (June 2, 2025).

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    Sal Cortez

    Published Jan 19, 2026

    Sal Cortez has over forty years of experience as a paramedic and LEO. He has responded to two major active shooter incidents, worked as a flight medic, served on the California Governor's protection detail, and now runs TEMS training at the International School of Tactical Medicine. Listener discretion is advised.

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    Saturday Coffee Talk (1/17/26)

    Published Jan 16, 2026

    Listener discretion is advised. References: PMID 12776641, 29463461

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    Dr. Nate Zahustecher: EMS Awareness of Medetomidine Overdose and Withdrawal

    Published Jan 12, 2026

    Dr. Nate Zahustecher

    Listener discretion is advised.

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    Saturday Coffee Talk (1/10/26)

    Published Jan 10, 2026

    Listener discretion is advised.

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    Saturday Coffee Talk (1/3/26)

    Published Jan 3, 2026

    Listener discretion is advised.

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    Saturday Coffee Talk (12/27/25)

    Published Dec 27, 2025

    Listener discretion is advised.

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    Saturday Coffee Talk (12/20/25)

    Published Dec 20, 2025

    Listener discretion is advised. CORRECTION: I mentioned that Precedex is an alpha antagonist. I misspoke and meant to say that it is an "agonist." References: Ehrman-Dupre R, Kaigh C, Salzman M, Haroz R, Peterson LK, Schmidt R. Management of Xylazine Withdrawal in a Hospitalized Patient: A Case Report. J Addict Med. 2022 Sep-Oct 01;16(5):595-598. doi: 10.1097/ADM.0000000000000955. Epub 2022 Jan 11. PMID: 35020700. London KS, Huo S, Murphy L, Warrick-Stone T, Goodstein D, Montesi M, Carter M, But

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    Saturday Coffee Talk (12/13/25)

    Published Dec 14, 2025

    Listener discretion is advised. References: Casey, J., Seitz, K., et al. (2025). Ketamine or Etomidate for Tracheal Intubation of Critically Ill Adults. NEJM. Available: https://www.nejm.org/doi/full/10.1056/NEJMoa2511420?query=featured_home Farkas. (Dec 10, 2025). PulmCrit: Hot take on RSI trial of ketamine vs etomidate. Available: https://emcrit.org/pulmcrit/rsitrial/ Srivatsa S, Chawla M, Hernandez M, et al. Helicopter transport of trauma patients continues to be overutilized: a call for univ

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