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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This episode of the Not a-Fib Podcast features Dr. Sarah Jahnke, someone who spent over a decade researching the health of first responders. The conversation moves past the usual surface-level advice to tackle the deep-seated cultural issues that lead to burnout and chronic disease. Jahnke challenges the "badge of honor" mentality surrounding sleep deprivation, citing evidence that shift work itself is a likely carcinogen.

The discussion also reframes mental health through a unique lens, comparing it to hypertension—a condition that requires constant monitoring rather than just emergency intervention. While the statistics on depression and PTSD in the fire service remain high compared to the general population, Jahnke highlights the protective power of the fire service's unique camaraderie.

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JEMS Development Editor Mike Brown interviews Hannah Herbst, founder and CEO of Golden Hour Medical, about a compact, automatic tourniquet designed to guide anyone through life‑saving hemorrhage control. The device uses audio‑visual prompts and a simple three‑step interface to let a bystander or first responder apply, monitor, and adjust pressure on arm or leg wounds. It initially inflates to 300 mmHg and can be increased in roughly 20 mmHg increments; an internal sensor monitors pulse absence and informs reassessment. The cuff detaches for multi‑patient use, and the unit recharges via USB‑C — batteries last about two years between charges with monthly status updates. Golden Hour pairs the product with online training and a small trauma first‑aid kit.

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Dr. Alexandra Jabr, a longtime paramedic-turned-educator and founder of Emergency Resilience, tells the story how therapy reshaped her life and purpose. She explains practical boundaries and vulnerability, why collaboration beats competition in EMS education, and how clinicians can support peers after moral injury and critical incidents. Alexandra walks through emerging options for treatment—emphasizing ketamine-assisted therapy only when delivered in a medically supervised, ethically framed model with skilled therapists and integration work—and describes immersive retreats that combine somatic modalities, group therapy, and clinician-led psychedelic-assisted sessions for women first responders. This conversation blends lived experience, clinical nuance, and concrete guidance for providers seeking mental-health resources, workplace culture change, and pathways back to joy.

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JEMS Development Editor Mike Brown speaks with Dr. Simon Grosjean about shifting EMS from “prehospital transport” toward “territorial medicine.” They unpack alternative transport/non‑conveyance, physician response units, and why many low‑acuity calls may be better managed outside the ED. The conversation contrasts systems across Europe and the UK, highlights gaps in data collection, and exposes practical barriers—staff shortages, fractured clinical records, and reimbursement models—that stop promising approaches from scaling. They also explore where technology and AI can help: rapid chart summarization, context‑aware decision support, microlearning for clinicians, and automated handoffs to primary care.

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Firefighter Jake Ryks joins the Just a Little Salt podcast to dismantle the "hero" archetype often taught in fire science programs. He reflects on his early career, admitting he’s actually less confident now than as a rookie because he finally understands the sheer depth of the profession.

The conversation shifts to the unique culture of the fire service, specifically the "sacred" firehouse table where rankings vanish and conflicts are settled in-house rather than through a formal chain of command. Jake also dives into the misunderstood world of Hazmat, demystifying it as a discipline of basic chemistry rather than a horror movie. From sampling jars of menstrual blood at government protests to discussing the "Hazmat Guys" podcast network, this episode offers a grounded look at the reality of special operations and the importance of sharing knowledge to elevate the entire crew.

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