Claim OwnershipPrehospital Paradigm Podcast
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This is a weekly podcast with our group talking about local, regional and national EMS issues. Physicians, nurses, advanced and basic EMS providers will gain professional knowledge from this podcast.
138 Episodes
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As has been the routine in 2025, the Extra Monday Episodes are dedicated to interpreting EKG rhythms. This month, the crew discusses, wide complex bradycardias and tachycardias, the symptoms and the treatments.
In this episode of the Pre-Hospital Paradigm Podcast, Dr. Jon Hill and Scott Wildenheim are joined by Tony Crino, a registered respiratory therapist and paramedic. They continue the discussion of the growing role of advanced ventilator management in EMS. Tony Crino brings both respiratory therapy and paramedic perspectives, breaking down the essentials of ventilator physiology, modes, patient-ventilator synchrony, and how these advanced tools can elevate prehospital care.
As the crew starts to summarize their time with Tony, a few things are addressed: What if a department doesn’t have the inclination to initiate advanced mechanical ventilation? If they do, what kind of education needs to be commence and be continued. Also, what about mechanical ventilation in pediatric patients? Research shows that 93% of clinicians are improperly bagging patients. Using mechanical ventilation support can be more effective as long as the proper training is done initially and continued regularly.
The crew continues to go through the basics of the respiratory system.... the anatomy, tidal volumes, pressure ventilation, the terminology, etc. As EMS professionals, we need to understand the basics of the respiratory system's operations in detail before mechanical ventilation can be applied. When you think of oxygenation, there are 2 ways to fix it, pharmacologically or with mechanical ventilation.
The crew is talking to Tony, a Respiratory Therapist educator and paramedic, about the portability and use of mechanical ventilators in the prehospital setting. Some EMS agencies have already purchased more advanced mechanical ventilators to move this concept forward. When they take this step, there needs to be a strong understanding of mechanical ventilation physiology.
In the LIVE version of this episode of the Pre-Hospital Paradigm Podcast, Dr. Jon Hill and Scott Wildenheim are joined by Ashley Rosser and Leisha Starkey of Thrive for Change, a Cleveland-based harm reduction nonprofit. They explore the real-life challenges and successes of harm reduction, tackling stigma, overdose response, safer use practices, and EMS integration. This episode bridges clinical EMS care with public health strategies, offering insights and tools for anyone committed to reducing overdose deaths and improving patient engagement. #prehospitalparadigmpodcast Thank you to Highland Heights Fire Department for hosting us!
Dr. Hill and Scott wind up this discussion in Part 3 by addressing proper terminology to use when interacting with the patients and the public record availability of previous abuse with guests Ashley Rosser and Elisha Starkey from Thrive for Change.
Ashley Rosser and Elisha Starkey from Thrive for Change continue the discussion of drug abuse patients and the treatment of in this episode. The challenge of stigmatizing of these patients is significant but the crew also finds out there is stigmatization that goes on within the drug use patient community.
Ashley Rosser and Elisha Starkey from Thrive for Change join the crew this month to talk about the stigma of drug use or opiate use disorders. According to the Thrive for Change website, their “vision is a world free from drug overdose fatalities, where people who use drugs have equal access to basic needs and are empowered to advocate for themselves.” In episode 1, Ashley talks about her personal addiction story including being “narcaned” by local police. Elisha opens with the types of programming and products for which the organization is known.
A question of Dopamine or Epinephrine initiates a discussion regarding what should/should not be in a drug box, how to have a good relationship with your pharmacy and the possible use of apps in the prehospital setting. The big question in this episode, when is it appropriate to downgrade a call from an ALS to a BLS?
Answering questions from the listeners as the grab bag episode continues. Patient refusals, the use of Ketamine within in the seizure algorithm and sepsis are part of the discussion.
Some online questions have come in through the website.. time to clear out the email box. In this grab bag, chest pain assessment, the contraindications of epinephrine for anaphylaxis. EMS Education Podcast
As will be the routine in 2025, the Extra Monday Episodes are dedicated to interpreting EKG rhythms. This month, the crew discusses, bradycardias, tachycardias and wide and narrow rhythms.
In this in-depth episode, host Scott Wildenheim is joined by regular contributors Caleb Ferroni and Ray Pace, along with special guest Falon Steiner, EMS Manager of Initial Training Programs. Together, they explore the full spectrum of modern EMS education—from foundational program structure and mentorship to test-taking psychology, AI integration, and simulation-based training. The team addresses real challenges that students, instructors, and program directors face while sharing actionable insights to build better clinicians and more effective EMS educators.
As the crew prepare to head out of the studio for the live version of the podcast, the discussion of medical math and “teaching for the test” vs. preparing providers for “the real world” of EMS, becomes a thing. And, yes, you still will have to memorize some things. Finally, how about letting potential students sit in on the courses? Might that help interested students to realize that EMS is not what they want for a career, earlier, vs. waiting until the end of the course?
Continuing the EMS education talk with Falon Steiner of the UH EMS Institute team and discusses what is practical education for EMS students and the ability to understand “why” vs. “how/when” to treat patients. The national registry is also a topic as far as assessing student competency.
EMS Education is the topic this month with Falon Steiner, EMS Manager of Initial EMS Training. What are the basics? What changes do instructors need to make in teaching methodology? EMT programs are still under oversite by the state. The paramedic programs have oversight from the Accreditation of Allied Health Education Programs (CAAHEP) is a programmatic post-secondary accrediting organization recognized by the Council for Higher Education Accreditation (CHEA). All training has been amended to be more of an ongoing competency-based evaluation vs. a course final memorization competency review.
Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals joined the team at this Live Episode held at Parma Fire Station #2. The group discusses the varied capabilities of trauma center levels and the Golden Hour.
In this 3rd part of the team’s discussion of adult trauma care with Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals, the continuation of trauma center designation criteria continues. On-scene times and the use of ground and air transport methods are discussed which leads into a discussion of what will “kill” a trauma patient?
Ray, Caleb and Dr. Hill continue with Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals. The discussion of having a defined Level 4 Trauma Center designation starts this episode and then the group discussion the changes in prehospital trauma care based .. i.e. tourniquets, lactated ringers and cervical collars that has been based on data collection.
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