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.
Filtered episodes(50)
- StandardSummaries onlySaturday Coffee Talk (7/18/26)
Published Jul 18, 2026
LISTENER DISCRETION IS ADVISED!
- StandardSummaries onlyFriday 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:
- StandardSummaries onlyLil' Pharma
Published Jul 6, 2026
Listener discretion is advised.
- StandardSummaries onlySaturday 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
- StandardSummaries onlySaturday 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/
- StandardSummaries onlyThoughts on Precepting: The FTO's Priorities of Life
Published Jun 16, 2026
Listener discretion is advised!!!
- StandardSummaries onlySaturday 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
- StandardSummaries onlySaturday 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
- StandardSummaries only(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
- StandardSummaries onlyLATE 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
- StandardSummaries onlyDr. 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
- StandardSummaries onlyFriday (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
- StandardSummaries onlyRick Maricle: Leadership at a New Agency
Published May 5, 2026
Rick MaricleListener discretion is advised.
- StandardSummaries onlySaturday 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.
- StandardSummaries onlyDan Rauh: Lactate, Troponin, I-Stat, Sepsis, and More
Published Apr 27, 2026
Dan RauhListener discretion is advised.
- StandardSummaries onlySaturday Coffee Talk (4/25/26)
Published Apr 24, 2026
Listener discretion is advised.
- StandardSummaries onlyJeremy Ulrich: 10 Things the EMS Student Needs to Know
Published Apr 20, 2026
Jeremy UlrichListener discretion is advised.
- StandardSummaries onlySaturday 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.
- StandardSummaries onlyBill 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.
- StandardSummaries onlySaturday 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
- StandardSummaries onlyConversation with a Newer EMT
Published Apr 6, 2026
Listener discretion is advised. Sensitive language and themes.
- StandardSummaries onlySaturday 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.
- StandardSummaries onlyPeds: Safe Transport and Pro Tips with Molly Harper
Published Mar 30, 2026
Molly HarperListener discretion is advised.
- StandardSummaries onlySaturday 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
- StandardSummaries onlyCase Study: PE Presenting as Left Breast Pain
Published Mar 26, 2026
Case StudyListener discretion is advised.
- StandardSummaries onlySaturday Coffee Talk (3/21/26)
Published Mar 21, 2026
Listener discretion is advised.
- StandardSummaries only(Early) Coffee Talk 3/12/26
Published Mar 12, 2026
Listener discretion is advised.
- StandardSummaries onlyConversation with a Medical Director: Nate Zahustecher
Published Mar 10, 2026
Listener discretion is advised.
- StandardSummaries onlySaturday 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.
- StandardSummaries onlyBONUS Mini Episode: Burn Intubation
Published Mar 2, 2026
Listener discretion is advised.
- StandardSummaries onlyJen Brennan and Ben Podsiadlo
Published Mar 2, 2026
Listener discretion is advised.
- StandardSummaries onlySaturday Coffee Talk (2/28/26)
Published Feb 28, 2026
Listener discretion is advised.
- StandardSummaries onlyThe 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
- StandardSummaries onlySubarachnoid 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
- StandardSummaries onlySal Cortez and ISTM
Published Feb 16, 2026
Listener discretion is advised.
- StandardSummaries onlySaturday Coffee Talk (2/14/26)
Published Feb 14, 2026
Listener discretion is advised.
- StandardSummaries onlyNicole Hooser
Published Feb 9, 2026
Listener discretion is advised.
- StandardSummaries onlySUNDAY (Late) Coffee Talk (2/8/26)
Published Feb 8, 2026
Listner discretion is advised.
- StandardSummaries onlyDan Koloden
Published Feb 2, 2026
Listener discretion is advised.
- StandardSummaries onlySaturday Coffee Talk (1/31/26)
Published Jan 31, 2026
Listener discretion is advised.
- StandardSummaries onlyRyan Bolger
Published Jan 26, 2026
Listener discretion is advised.
- StandardSummaries onlySaturday 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).
- StandardSummaries onlySal 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.
- StandardSummaries onlySaturday Coffee Talk (1/17/26)
Published Jan 16, 2026
Listener discretion is advised. References: PMID 12776641, 29463461
- StandardSummaries onlyDr. Nate Zahustecher: EMS Awareness of Medetomidine Overdose and Withdrawal
Published Jan 12, 2026
Dr. Nate ZahustecherListener discretion is advised.
- StandardSummaries onlySaturday Coffee Talk (1/10/26)
Published Jan 10, 2026
Listener discretion is advised.
- StandardSummaries onlySaturday Coffee Talk (1/3/26)
Published Jan 3, 2026
Listener discretion is advised.
- StandardSummaries onlySaturday Coffee Talk (12/27/25)
Published Dec 27, 2025
Listener discretion is advised.
- StandardSummaries onlySaturday 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
- StandardSummaries onlySaturday 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