Dr. Jonathan Warren discusses practical uses, evidence, and implementation challenges for prehospital ultrasound. We cover lung ultrasound for acute heart failure and B line quantification, trauma FAST exams, cardiac arrest applications including focused pulse checks and transesophageal echocardiography, and how prehospital transfusion and early diagnostics change diagnostic momentum on ED arrival. Dr. Warren also outlines real-world barriers to sustained uptake—cost, training, tech issues, clinical workflows—and describes a national survey from the ACEP prehospital/austere ultrasound subcommittee aimed at identifying why adoption often dwindles after initial implementation.

At FDIC International 2026, our panel of EMS providers and critical‑care physicians break down ventilation during cardiac arrest: what the science supports, where practice still fails, and practical fixes you can use tomorrow. We cover why bag‑valve‑mask ventilation is a high‑risk skill (and best performed as a two‑person procedure), how over‑ and under‑ventilation change intrathoracic pressure and cardiac output, and why properly opening the airway and achieving a seal are fundamental. We discuss supraglottic airways, intubation pitfalls, CPAP and high‑flow strategies, the pros and cons of mechanical ventilators in the field, and the role of objective feedback devices. The panel emphasizes regular, low‑cost simulation training, equipment readiness, pit‑crew coordination, and the hard truth: patients die from poor ventilation more often than from the absence of intubation.

Dr. Brandon Morshedi, a paramedic turned emergency physician and EMS medical director, joins Eric Chase to map a practical path toward EMS 3.0. He explains his driving “why”: improving the systems of care he and his family rely on. The conversation ranges from training paramedics as clinicians and the realistic role of degrees, to on call decision making—when to contact your medical director versus a receiving hospital. Dr. Morshedi outlines priority research areas (resuscitation science, prehospital transfusion, and low acuity treatment in place), federal traction for alternative reimbursement models, and a ten-year horizon for the paramedic practitioner credential.

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