Some patients don’t crash all at once, they decline while providers stay comfortable.

In this episode, we feature Status Paramedicus, and the dangerous space where protocol adherence turns into hesitation, and comfort replaces clinical aggression. When respiratory patients are circling the drain, the difference between doing something and doing the right thing matters.

We dig into the decision points that often get delayed or avoided:
• Nebulized medications vs. IM interventions
• CPAP vs. BiPAP — and when each truly matters
• Understanding and applying PEEP beyond the basics
• Recognizing the subtle signs of a respiratory patient slipping into failure

This conversation challenges the mindset of “following the flow” and pushes providers to recognize when escalation is necessary, even when it feels uncomfortable.

Because sometimes the biggest threat to a patient isn’t lack of knowledge… it’s hesitation.

Get CE credit here: https://medicmaterialscmeacademy.thinkific.com/

Podcast Links: LISTEN on your FAVORITE platform, just choose your LINK...https://linktr.ee/MedicMaterialsPodcast

Do you have a great call you want us to review on a future episode? Email it to us: info.medicmaterials@gmail.com

Grab some SWAG: https://medic-materials-llc.square.site/

Send the show an email: info.medicmaterials@gmail.com

Visit our Website: https://www.Medic-Materials.com/

See ALL our Links on our LINKTREE: https://linktr.ee/MedicMaterials

Want your own custom wooden American Flag? Contact US Military Veteran Jared for more information. Instagram @Ledslinger85

DISCLAIMER: This audio is for Demonstration purposes only. The information provided in this audio is no replacement for proper EMT/Paramedic training, education and or practice. The skills, techniques, ideas and theories offered in this audio represent the individual participants featured in this audio and are not intended to showcase the only method of performing these skills. Please continue to consult with your local EMS system, Agency Standard Operating Procedures/Medical Director, Your Local and State Protocols and your EMS educator for clarification and further proper EMT/Paramedic training.

A motorcycle rider goes down in a serious, almost puzzling crash—and from the moment EMS arrives, the signs of internal bleeding are there. The problem? What happens next (and what doesn’t) sparks a deep dive worth having.

In this episode, we break down how bleeding is identified in trauma patients, where providers sometimes hesitate or miss opportunities, and how those decisions impact outcomes. We dig into hemorrhage control fundamentals like direct pressure and hemostatic agents, then go deep on TXA—when it helps, when it doesn’t, and what the future of blood products could look like in ground EMS.

If trauma care, bleeding control, and honest call review discussions are your thing, this episode is one you don’t want to miss.

Get CE credit here: https://medicmaterialscmeacademy.thinkific.com/

Podcast Links: LISTEN on your FAVORITE platform, just choose your LINK...https://linktr.ee/MedicMaterialsPodcast

Do you have a great call you want us to review on a future episode? Email it to us: info.medicmaterials@gmail.com

Grab some SWAG: https://medic-materials-llc.square.site/

Send the show an email: info.medicmaterials@gmail.com

Visit our Website: https://www.Medic-Materials.com/

See ALL our Links on our LINKTREE: https://linktr.ee/MedicMaterials

Want your own custom wooden American Flag? Contact US Military Veteran Jared for more information. Instagram @Ledslinger85

DISCLAIMER: This audio is for Demonstration purposes only. The information provided in this audio is no replacement for proper EMT/Paramedic training, education and or practice. The skills, techniques, ideas and theories offered in this audio represent the individual participants featured in this audio and are not intended to showcase the only method of performing these skills. Please continue to consult with your local EMS system, Agency Standard Operating Procedures/Medical Director, Your Local and State Protocols and your EMS educator for clarification and further proper EMT/Paramedic training.

Every EMS provider is familiar with the tongue-in-cheek acronym EMS: Earn Money Sleeping. This playful jab highlights a pervasive issue within the profession—widespread laziness that has reached alarming levels. We uncover the harsh reality of this laziness epidemic, exploring its root causes and telltale signs when a provider succumbs to the "lazy bug." We also offer practical solutions for both individuals and administrators to address the problem. Joined by Mike (NYS AEMTP, CIC), Gerard (NC AEMTP), and Emily (Flight RN, NYS EMTB).

Get CE credit here: https://medicmaterialscmeacademy.thinkific.com/

Podcast Links: LISTEN on your FAVORITE platform, just choose your LINK...https://linktr.ee/MedicMaterialsPodcast

Do you have a great call you want us to review on a future episode? Email it to us: info.medicmaterials@gmail.com

Grab some SWAG: https://medic-materials-llc.square.site/

Send the show an email: info.medicmaterials@gmail.com

Visit our Website: https://www.Medic-Materials.com/

See ALL our Links on our LINKTREE: https://linktr.ee/MedicMaterials

Want your own custom wooden American Flag? Contact US Military Veteran Jared for more information. Instagram @Ledslinger85

DISCLAIMER: This audio is for Demonstration purposes only. The information provided in this audio is no replacement for proper EMT/Paramedic training, education and or practice. The skills, techniques, ideas and theories offered in this audio represent the individual participants featured in this audio and are not intended to showcase the only method of performing these skills. Please continue to consult with your local EMS system, Agency Standard Operating Procedures/Medical Director, Your Local and State Protocols and your EMS educator for clarification and further proper EMT/Paramedic training.

We make our return with a crazy call where police lose their suspect and gain a huge headache. Severe trauma, airway compromise, and massive foul ups with scene management are only a few of the troubles these crew face. Oh and a special appearance from Jess Turek (Flight RN, Flight AEMT-P)! Hear from Mike (NY AEMT-P, CIC, AHA), Emily (Flight RN, EMT, AHA), Phil Foundation (NY AEMT-P), Maha Butchie (NY AEMT-P) and Gerard (NC AEMT-P).

Get CE credit here: https://medicmaterialscmeacademy.thinkific.com/

Podcast Links: LISTEN on your FAVORITE platform, just choose your LINK...https://linktr.ee/MedicMaterialsPodcast

Do you have a great call you want us to review on a future episode? Email it to us: info.medicmaterials@gmail.com

Grab some SWAG: https://medic-materials-llc.square.site/

Send the show an email: info.medicmaterials@gmail.com

Visit our Website: https://www.Medic-Materials.com/

See ALL our Links on our LINKTREE: https://linktr.ee/MedicMaterials

Want your own custom wooden American Flag? Contact US Military Veteran Jared for more information. Instagram @Ledslinger85

DISCLAIMER: This audio is for Demonstration purposes only. The information provided in this audio is no replacement for proper EMT/Paramedic training, education and or practice. The skills, techniques, ideas and theories offered in this audio represent the individual participants featured in this audio and are not intended to showcase the only method of performing these skills. Please continue to consult with your local EMS system, Agency Standard Operating Procedures/Medical Director, Your Local and State Protocols and your EMS educator for clarification and further proper EMT/Paramedic training.

We consistently see the same teaching habits by the same instructors that are holding onto their past glory. Never striving to get out of their own self built rut. In the follow up to our last episode "Stuck In The Mud" we discuss ways to spice up the classroom, engage adult students, understand the psychology and neurology of education and learning and so much more. his is the final part of a two part discussion on the dire state that is the current EMS education model. Hear from Mike (NY AEMT-P, CIC, AHA), Tammy (NC EMT-B, CLI), Johnny Mac (NY AEMT-P, CIC, AHA)and Gerard (NC AEMT-P).

Get CE credit here: https://medicmaterialscmeacademy.thinkific.com/

Podcast Links: LISTEN on your FAVORITE platform, just choose your LINK...https://linktr.ee/MedicMaterialsPodcast

Do you have a great call you want us to review on a future episode? Email it to us: info.medicmaterials@gmail.com

Grab some SWAG: https://medic-materials-llc.square.site/

Send the show an email: info.medicmaterials@gmail.com

Visit our Website: https://www.Medic-Materials.com/

See ALL our Links on our LINKTREE: https://linktr.ee/MedicMaterials

Want your own custom wooden American Flag? Contact US Military Veteran Jared for more information. Instagram @Ledslinger85

DISCLAIMER: This audio is for Demonstration purposes only. The information provided in this audio is no replacement for proper EMT/Paramedic training, education and or practice. The skills, techniques, ideas and theories offered in this audio represent the individual participants featured in this audio and are not intended to showcase the only method of performing these skills. Please continue to consult with your local EMS system, Agency Standard Operating Procedures/Medical Director, Your Local and State Protocols and your EMS educator for clarification and further proper EMT/Paramedic training.

Ever wonder why EMS education is stagnant, bland, unoriginal & can't seem to prepare students for the taking an EMS job? We discuss the toils of EMS education and the lack of vision within the classroom. Many of us struggled to get through class, and felt completely unprepared to take a job in the field. We consistently see the same teaching habits by the same instructors that are holding onto their past glory. This is a part 1 to a two part discussion on the dire state that is the current EMS education model. Head from Mike (NY AEMT-P, CIC, AHA), the Phil Foundation (NY AEMT-P), and Gerard (NC AEMT-P).

Get CE credit here: https://medicmaterialscmeacademy.thinkific.com/

Podcast Links: LISTEN on your FAVORITE platform, just choose your LINK...https://linktr.ee/MedicMaterialsPodcast

Do you have a great call you want us to review on a future episode? Email it to us: info.medicmaterials@gmail.com

Grab some SWAG: https://medic-materials-llc.square.site/

Send the show an email: info.medicmaterials@gmail.com

Visit our Website: https://www.Medic-Materials.com/

See ALL our Links on our LINKTREE: https://linktr.ee/MedicMaterials

Want your own custom wooden American Flag? Contact US Military Veteran Jared for more information. Instagram @Ledslinger85

DISCLAIMER: This audio is for Demonstration purposes only. The information provided in this audio is no replacement for proper EMT/Paramedic training, education and or practice. The skills, techniques, ideas and theories offered in this audio represent the individual participants featured in this audio and are not intended to showcase the only method of performing these skills. Please continue to consult with your local EMS system, Agency Standard Operating Procedures/Medical Director, Your Local and State Protocols and your EMS educator for clarification and further proper EMT/Paramedic training.

A string of strange patient interactions are the source of today's call. Our crew today disregards the basics, but somehow makes it to the hospital without disaster. We discuss a systems RSI protocols as well as facts about a budding overdose culture. Hear from Mike Turek (AEMT-P, CIC), Emily Yates (Flight RN, EMT-B) & Maha Butch (AEMT-P).

Get CE credit here: https://medicmaterialscmeacademy.thinkific.com/

Podcast Links: LISTEN on your FAVORITE platform, just choose your LINK...https://linktr.ee/MedicMaterialsPodcast

Do you have a great call you want us to review on a future episode? Email it to us: info.medicmaterials@gmail.com

Grab some SWAG: https://medic-materials-llc.square.site/

Send the show an email: info.medicmaterials@gmail.com

Visit our Website: https://www.Medic-Materials.com/

See ALL our Links on our LINKTREE: https://linktr.ee/MedicMaterials

Want your own custom wooden American Flag? Contact US Military Veteran Jared for more information. Instagram @Ledslinger85

DISCLAIMER: This audio is for Demonstration purposes only. The information provided in this audio is no replacement for proper EMT/Paramedic training, education and or practice. The skills, techniques, ideas and theories offered in this audio represent the individual participants featured in this audio and are not intended to showcase the only method of performing these skills. Please continue to consult with your local EMS system, Agency Standard Operating Procedures/Medical Director, Your Local and State Protocols and your EMS educator for clarification and further proper EMT/Paramedic training.

After seeing a recent JEMS article we had to discuss the idea of an armed EMS provider. This is a can of worms that if opened gives us more questions then answers. We tackle trust and training, need vs desire, agency or individual, cost and legal, and many other subjects in this hot button topic. What is your opinion? Should EMS providers be armed for their protection and the protection of their patient? Hear from Mike Turek (AEMT-P, CIC), Emily Yates (RN, EMT-B) & Gerard Cuomo (AEMT-P).

Get CE credit here: https://medicmaterialscmeacademy.thinkific.com/

Podcast Links: LISTEN on your FAVORITE platform, just choose your LINK...https://linktr.ee/MedicMaterialsPodcast

Do you have a great call you want us to review on a future episode? Email it to us: info.medicmaterials@gmail.com

Grab some SWAG: https://medic-materials-llc.square.site/

Send the show an email: info.medicmaterials@gmail.com

Visit our Website: https://www.Medic-Materials.com/

See ALL our Links on our LINKTREE: https://linktr.ee/MedicMaterials

Want your own custom wooden American Flag? Contact US Military Veteran Jared for more information. Instagram @Ledslinger85

DISCLAIMER: This audio is for Demonstration purposes only. The information provided in this audio is no replacement for proper EMT/Paramedic training, education and or practice. The skills, techniques, ideas and theories offered in this audio represent the individual participants featured in this audio and are not intended to showcase the only method of performing these skills. Please continue to consult with your local EMS system, Agency Standard Operating Procedures/Medical Director, Your Local and State Protocols and your EMS educator for clarification and further proper EMT/Paramedic training.