Code 321 Podcast

This month's episode is for the nerds. Dive deep into cardiac physiology, pharmacology, and invasive hemodynamics of a critical care patient. Have you ever wondered what critical care transport patients are like? Have your Google machine and a hot cup of coffee ready. Remember, anatomy, physiology, and pathophysiology are the building blocks of great patient care. Special thanks to Dr. Doug George and Megan Papineau for their assistance on this one. 

Derek Gavelis is a seasoned outdoor adventurer and current firefighter. Derek shares how years of high-risk adventure sports like rock climbing, ice climbing, mountaineering, and kayaking have taught him life lessons he applies to his career in emergency services. Derek shares how adrenaline seekers share parallels with those responding to emergencies. 

Kyle Blake is a Lieutenant assigned to Engine 1 in Downtown Burlington, Vermont, and is the Recruit Academy Lead Instructor for new firefighters in the department. Kyle is responsible for developing the next generation joining the department ranks with a novel approach to entry-level firefighter training. Today’s episode is the first in a new series from the Code 321 Podcast called “Lessons in Leadership”. Kyle shares how experiences in his own life have helped develop his strategy for leading fire companies, recruits, and fellow firefighters.

David Weiss is a Critical Care Flight Nurse (CFRN) who serves on the Vermont State Urban Search and Rescue (USAR) Team. As a nurse, David works full-time in a Level 1 Trauma Center Emergency Department and with the UVM HealthNet Transport Critical Care HEMS Program. He started his EMS career at 16, working on various EMS agencies in the Northeast. David holds specialty care certifications in Critical Care, Pediatrics, Emergency Medicine, and trauma care. This episode dives into how the USAR members prepare and deploy to large-scale incidents across the nation. 

Part 2 of The Opiate Problem discusses potential solutions such as Safe Injection Sites (SIS), Community Response Teams (CRTs), Methadone, Suboxone and Buprenorphine use (Carroll, 2020). This month’s Code 321 Podcast will feature a two-part series with Patrick Crowley of vtdigger.org. Patrick and I worked at the Burlington Fire Department together as Firefighter/EMS providers. Patrick is now a reporter with vtdigger.org and joins me to discuss his two-part article series entitled “The Third Wave” (links below).   Carroll GG, Wasserman DD, Shah AA, Salzman MS, Baston KE, Rohrbach RA, Jones IL, Haroz R. Buprenorphine Field Initiation of ReScue Treatment by […]

This month’s Code 321 Podcast will feature a two-part series with Patrick Crowley of vtdigger.org. Patrick and I worked at the Burlington Fire Department together as Firefighter/EMS providers. Patrick is now a reporter with vtdigger.org and joins me to discuss his two-part article series entitled “The Third Wave” (links below). Part one of this series will explore how opiates have become such a problem and why our communities are fighting an uphill battle with this deadly epidemic. Part 2 of The Opiate Problem will be released on December 15th.  Other media used from WCAX via: https://www.wcax.com/2023/09/08/burlington-authorities-respond-rash-overdoses Ng J, Sutherland C, Kolber […]

This episode of the Code 321 Podcast takes a deep dive into Ketamine. Since the creation of the drug in the 1960s, it has been a staple of the medical community for a wide variety of treatments. Learn about the history of this medication, how it works, why it is loved (or hated) and what is coming next in the world of Ketamine use. The article used in the creation of this podcast is “Use of Ketamine During Procedural Sedation” by Tonya Jolly and Heather McLean of Duke University Medical Center (citation below). Thanks to YT for the idea for […]

United States Air Force Pararescue Jumper Paul Barendregt joins us from Alaska to talk about his 25-year career in the Special Operations Community as an PJ. Paul has conducted missions on all 5 continents with multiple combat deployments. Paul is also the owner of PJB Solutions, LLC offering leadership and medicine in the operational environment. Today’s episode we learn a little bit about the USAF PJs and what they do to save lives. 

Northeast Emergency Training Solutions, LLC owners Nick Carson and Tim Ferris share some brief thoughts on the EMS World Expo Conference live from New Orleans, Louisiana. NETS was selected as a Pre-Conference workshop for our “Hardening the Target: Preparing Your Community for the Active Threat”. Make sure to check out “Life Fire Layout” on Apple Podcasts. Prescott Nadeau (who is a reoccurring guest on Code 321) interviews Nick Carson on the recent NETS TACMED full scale exercise. https://podcasts.apple.com/us/podcast/life-fire-layout/id1700669359?i=1000628694365

Join us this month to discuss 5 lessons learned from the critical care orientation process. Set yourself up for success by practicing the fundamentals and prioritizing responsibilities in the correct order. The lessons we will discuss in this episode are:

Today’s episode features Corey Souza, a current firefighter/paramedic. We talk about Atul Gawande’s book, Being Mortal: Medicine and What Matters in the End. We should be viewing our patients’ experiences through their eyes, learning what their priorities are and respecting their wishes. The medical provider can help facilitate the life our patients want with every contact. Listen now to learn how the lessons learned from this book could affect your practice.

On this episode of the Code 321 Podcast, Nick dives deep into the 2023 Summer NAEMT Newsletter. Specifically, the article found on page 10, Tips for Creating a Culture of Workforce Engagement (NAEMT, 2023). Listen to the episode and check out the links to learn more! Make sure to leave us a review on Apple […]

Today’s episode features our Director of Operations, Kyle Brouliette as we discuss the purpose and design behind our Active Threat Response programs. Unfortunately , these events have become common place and we need to be prepared to address the loss of life. In this episode, learn why and how we have developed our training programs […]

In this episode of the show, Rebecca shares her experiences as a DCF supervisor and investigator while giving tips to providers. It is not just the scary photos in the back of the textbook, let’s dive in and discuss what the DCF does and the role of an EMS provider in the system built to […]

Welcome back listeners! As the podcast host, it felt important to give the listeners a quick update as to why we needed a little break from the show. Thank you for the support and we look forward to releasing new episodes monthly! Make sure to give us a good rating on Apple and Spotify if […]

Can you visualize what is happening inside of the body when you are treating your patients? Do you know what it is supposed to look like, how it is supposed to operate, and what you need to do to fix it? This episode features. Captain/Paramedic John Christman as we discuss how students can apply their […]

This episode was taken from our 2022 Fall CAPCE Paramedic Refresher. We welcome back Prescott Nadeau to the show as we listen to his lecture on Mass Casualty Incident Command for the EMS provider. Prescott Nadeau is a Captain and Training officer at the Williston, VT Fire Department. He has been in the fire service […]

Dave Cohen is a former mountain bike racer and current NREMT Paramedic. Dave is one of a few paramedics who provide medical event coverage for elite mountain bike races. Some of his recent race locations include British Colombia, New Zealand, Mexico, Nepal among others. Dave shares his experience on what Wilderness Medicine on a Enduro […]

*Warning* The content of this episode can be upsetting to listeners. Please use discretion.  A lecture from our archives back in February of 2022: Detective Nicki Moyer is an expert in Domestic Violence and is one of the leading investigators in the area. Nicki will talk briefly about what EMS should know, what domestic violence […]

Vermont EMS joins me to talk about the biggest retention issue they found during a large study of Vermont EMS providers: toxic workplaces and psychological safety. Learn what some of the big issues are, and the vision the State has to tackle them. Beth Brouard is the EMS data Manager for Vermont EMS. Beth is currently […]