# Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers A podcast by Ross Orpet, Paramedic turned EMS Physician. Paramedic training is over, you’re in the front seat now. Whether day 1 or day 1,000 you can’t shake the fear you’re underprepared. You were taught to systematically decide if A... do B. But what if “A” wasn’t in the book? The truth is each emergency call is too unique to teach the right response to every situation. We need to go beyond algorithmic thinking and understand deeper principles, the WHY behind the algorithm. When every decision counts you want to rely on a framework that will guide you when things don’t make sense. Loud & Clear: EMS Guiding Principles is your resource to build that framework. Through discussions with experts, review of evidence-based best practices, and real-world case studies we teach you one step past what you learned in paramedic school. But all of this advanced education is connected back to the guiding principles that answer the question- “at the end of the day, what actually matters to the patient I have in front of me?” Our mission is to elevate your practice and help you improve patient outcomes in every emergency situation. You may not feel ready, you may not feel like you know enough, but by understanding the guiding principles of emergency… Feed: https://feed.podbean.com/loudandclear/feed.xml ## Latest episodes - [Plasma for TBI and Nebulized Nitro in Cardiac Arrest: A Fun Look Into Early Research with Dr. Peter Antevy and Bruce Hoffman](https://invisiblenetwork.ai/podcast/1500168983/b0d95de7cb6e) (2026-10-26, 52 min): audio https://mcdn.podbean.com/mf/web/g3kimpqx2apxrv9g/LoudAndClear_142_BruceHoffman_PeterAntevy_mixdownac167.mp3 - [When Trauma Care Turns to Comfort: Inside a Trauma Center Hospice Program](https://invisiblenetwork.ai/podcast/1500168983/f551ffb58502) (2026-10-19, 16 min): audio https://mcdn.podbean.com/mf/web/cbqvdxt8y6uhjwee/LoudAndClear_141_AmieLemire_mixdown7buvw.mp3 - [Shock in Trauma: What Paramedics Need To Recognize](https://invisiblenetwork.ai/podcast/1500168983/431de2f4685f) (2026-10-12, 15 min): audio https://mcdn.podbean.com/mf/web/dkgbw5tpgnqjgm4y/LoudAndClear_140_MaglinHalsey-Nichols_mixdown874z1.mp3 - [When You Can’t Stop the Bleeding: Inside A Massive Trauma Case](https://invisiblenetwork.ai/podcast/1500168983/918f2c5231e8) (2026-10-05, 34 min): audio https://mcdn.podbean.com/mf/web/d8x8hfrppzgz33q5/LoudAndClear_139_JimPhipps_mixdownb0vle.mp3 - [Maternal Trauma Emergencies: What Changes in the Pregnant Patient](https://invisiblenetwork.ai/podcast/1500168983/891b42f400c8) (2026-09-28, 19 min): audio https://mcdn.podbean.com/mf/web/sh7bp8fbckungybx/LoudAndClear_138_JohannaQuistNelson_mixdown9nx6t.mp3 - [Training for the Big Call: How Emergency Teams Can Build Better Performance Under Pressure](https://invisiblenetwork.ai/podcast/1500168983/8308800592d8) (2026-09-21, 58 min): audio https://mcdn.podbean.com/mf/web/3i62dk2h79q8gy57/LoudAndClear_137_DaryrlJohnson_mixdown7nwml.mp3 - [From Tractor Rollovers to Grain Entrapment: A Field Guide to Farm Emergencies](https://invisiblenetwork.ai/podcast/1500168983/9e012442c6da) (2026-09-14, 52 min): audio https://mcdn.podbean.com/mf/web/w33b6w292yqecrft/LoudAndClear_136_FarmInjuries_mixdown95bpe.mp3 - [The First 60 Seconds After ROSC: How To Prevent Re-Arrest](https://invisiblenetwork.ai/podcast/1500168983/2596d80dae02) (2026-09-07, 36 min): audio https://mcdn.podbean.com/mf/web/ethfbeuru25ik5ud/LoudAndClear_135_IanBlanchard_MikeHumphrey_mixdown6jnb0.mp3 - [Post-ROSC Care and Pacing: Prove the Perfusion](https://invisiblenetwork.ai/podcast/1500168983/134742ae73ef) (2026-08-31, 67 min): audio https://mcdn.podbean.com/mf/web/u6bfnd6bxcq2sqw9/LoudAndClear_134_GeoffMurphy_JacobMiller_mixdownaq1l6.mp3 - [Burn Care in EMS: What Actually Matters in the First 15 Minutes](https://invisiblenetwork.ai/podcast/1500168983/5d8124eb3766) (2026-08-24, 63 min): audio https://mcdn.podbean.com/mf/web/d2yea38kpxgepnup/LoudAndClear_133_ABLSNow_MarkJohnston_mixdownbtovv.mp3 - [Readiness Beyond the Medicine: Neurodivergence, Pediatrics, and Better Communication](https://invisiblenetwork.ai/podcast/1500168983/8a5409ac3e2b) (2026-08-17, 52 min): audio https://mcdn.podbean.com/mf/web/h3re2b8jg4a2j6wk/LoudAndClear_132_Nicole_Christopher_mixdown99976.mp3 - [Heat Stroke: Recognition, Cooling, and Transport Decisions](https://invisiblenetwork.ai/podcast/1500168983/b00bf02e9333) (2026-08-10, 48 min): audio https://mcdn.podbean.com/mf/web/naiccfwmfp9t44ew/LoudAndClear_131_HeatIllness_mixdown7yjqi.mp3 - [The Pursuit of Mastery: Preparation, Mentorship, and Learning From Mistakes](https://invisiblenetwork.ai/podcast/1500168983/c9727c0da244) (2026-08-03, 49 min): audio https://mcdn.podbean.com/mf/web/52xi8drujsi6fu8b/LoudAndClear_130_EricBauer_GeoffMurphy_mixdownb3ttl.mp3 - [Mass Casualty Readiness, Burn Decisions, and the Fundamentals That Save Lives](https://invisiblenetwork.ai/podcast/1500168983/90d433743baa) (2026-07-27, 64 min): audio https://mcdn.podbean.com/mf/web/nnzrpecrmnhhfkkh/LoudAndClear_ATCEMS_AllenWolfe_mixdown.mp3 - [What the Evidence Really Says About Cervical Collars with Dr. Jeff Jarvis and Dr. Ben Abo](https://invisiblenetwork.ai/podcast/1500168983/cbc2995d4322) (2026-07-20, 77 min): audio https://mcdn.podbean.com/mf/web/zvdswntmunfckjkn/LoudAndClear_Jeff_Ben_mixdown.mp3 - [The Three Building Blocks of Trust in EMS](https://invisiblenetwork.ai/podcast/1500168983/a8e45512add7) (2026-07-13, 69 min): audio https://mcdn.podbean.com/mf/web/qu8baqak7d3w3wkw/Trust_Leadership61tuv.mp3 - [The Skill Is Not The Hard Part](https://invisiblenetwork.ai/podcast/1500168983/62104a159c07) (2026-06-29, 30 min): audio https://mcdn.podbean.com/mf/web/x854aywyer4qntnx/Human_Factors_Finala63xw.mp3 - [Treat Mom First: Amniotic Fluid Embolus and Other Peri-partum Emergencies](https://invisiblenetwork.ai/podcast/1500168983/69254e91b05d) (2026-06-15, 55 min): audio https://mcdn.podbean.com/mf/web/qr3qu8umhwn7ggbx/Peripartum_Emergencies_Edited6bihj.mp3 - [Pressure Matters: Oxygenation vs. Ventilation in Pre-Oxygenation with Scott Weingart](https://invisiblenetwork.ai/podcast/1500168983/436fb701db11) (2026-06-07, 31 min): audio https://mcdn.podbean.com/mf/web/idn6witkh6vunkk9/Scott_Weingart_preox_audio_with_ABA_ad9o8iv.mp3 - [Your Checklist Is Making You Worse: Why Pilots Use Checklists and Paramedics Don't](https://invisiblenetwork.ai/podcast/1500168983/fd142af54073) (2026-05-31, 67 min): audio https://mcdn.podbean.com/mf/web/c4xm459hacp8y8zm/Glenn_Fisher_Checklists9eyiu.mp3 - [Pediatric Sepsis with Dr. Peter Antevy](https://invisiblenetwork.ai/podcast/1500168983/de1f4ead65e2) (2026-05-21, 33 min): audio https://mcdn.podbean.com/mf/web/cnj3wa5dvgb5f9fx/Peter_Antevy_Pediatric_Sepsisa3rmw.mp3 - [How to Build Procedural Skills - That Actually Stick](https://invisiblenetwork.ai/podcast/1500168983/f7cdb6153639) (2026-05-14, 98 min): audio https://mcdn.podbean.com/mf/web/7ne2f92bsrpxrm4u/How_to_Build_Procedural_Skills_-_That_Actually_Stick6iw04.mp3 - [How to Fail Better in EMS: A Framework for Growth](https://invisiblenetwork.ai/podcast/1500168983/7537017ede39) (2026-04-28, 17 min): audio https://mcdn.podbean.com/mf/web/jbkmn3jybfuhduv2/Final_Failurea9vfa.mp3 - [The Call Nobody Trained You For — Jim Schmidt on Domestic Violence Recognition](https://invisiblenetwork.ai/podcast/1500168983/5c86c8d2c067) (2026-04-22, 73 min): audio https://mcdn.podbean.com/mf/web/th9vjbmpmz937ajc/Final_Domestic_Violence_Jim_Schmidt6utj7.mp3 - [Great Mentors Shape Better Clinicians](https://invisiblenetwork.ai/podcast/1500168983/24da99804c36) (2026-04-14, 20 min): audio https://mcdn.podbean.com/mf/web/vcwwi4j3kze4q9pi/Ben_Tacy_FT_final7bxit.mp3 - [Frozen Fingers, Time Is Tissue: The Prehospital Approach to Frostbite](https://invisiblenetwork.ai/podcast/1500168983/13f771151800) (2026-04-01, 61 min): audio https://mcdn.podbean.com/mf/web/v5yz73vap9mdb75x/Frost_Bitebtlc0.mp3 - [Suction First: Dr. DuCanto on the SALAD Technique for the Contaminated Airway and What Comes Next](https://invisiblenetwork.ai/podcast/1500168983/3c3a716189e5) (2026-03-09, 30 min): audio https://mcdn.podbean.com/mf/web/474tyg7k2qs3676b/Final_DuCanto_FASTCAN84bbc.mp3 - [Wired to Fail: The Science of Human Error in EMS](https://invisiblenetwork.ai/podcast/1500168983/7cd937fd584f) (2026-02-25, 12 min): audio https://mcdn.podbean.com/mf/web/xk2yj27qvrivv7qj/Human_Errorsbhw8n.mp3 - [Dump Kits and Checklists: Why Expert Paramedics Still Crash](https://invisiblenetwork.ai/podcast/1500168983/36e56a76952c) (2026-02-09, 19 min): audio https://mcdn.podbean.com/mf/web/z2h8dkk6bu6n9piv/Final_Intubation_Checklistb8qw7.mp3 - [Feeling Behind the Curve? Understanding the EMS Power Curve Will Help You Stay Ahead](https://invisiblenetwork.ai/podcast/1500168983/af4293c5d0ed) (2026-01-26, 77 min): audio https://mcdn.podbean.com/mf/web/tcxfr2ybkc3aifsb/Final_L_C_-Power_Curve7hegz.mp3 - [Stupidity in EMS: The causes and remedies](https://invisiblenetwork.ai/podcast/1500168983/e02cea7b349e) (2026-01-13, 24 min): audio https://mcdn.podbean.com/mf/web/zujyfp76w82r2wcm/Stupid_Final6es9z.mp3 - [Anaphylaxis + Asthma: When Standard Anaphylaxis Treatment May Not Be Enough (AMAX4 Explained)](https://invisiblenetwork.ai/podcast/1500168983/2d46adef8010) (2025-12-17, 20 min): audio https://mcdn.podbean.com/mf/web/57bumcektdj48qfe/Audio_Final_AMAX4b3vf6.mp3 - [The Habit Loop: How Master EMS Clinicians Build Unconscious Competence Through Habits](https://invisiblenetwork.ai/podcast/1500168983/bb59337e4d8a) (2025-12-12, 17 min): audio https://mcdn.podbean.com/mf/web/8ydf8wfiz7j93qq6/Habits.mp3 - [Hypothermia Rescue: Cardiac Arrest in a Tree Well](https://invisiblenetwork.ai/podcast/1500168983/3cd5ca5de024) (2025-12-03, 40 min): audio https://mcdn.podbean.com/mf/web/a8hb5iny5f5hpfe9/Final_Hypothermic_Cardiac_Arrestbjnep.mp3 - [When The Anatomy Is Gone: Facial Trauma Airway Management](https://invisiblenetwork.ai/podcast/1500168983/025cd2bcefd2) (2025-11-17, 25 min): audio https://mcdn.podbean.com/mf/web/dfqx3qe74bhnqipm/Final_Allen_Wolfe_GSW_Face_audioa5zxe.mp3 - [Stop Building Resilience, Strengthen Your Resistance](https://invisiblenetwork.ai/podcast/1500168983/d6402dd3529f) (2025-11-10, 26 min): audio https://mcdn.podbean.com/mf/web/9uinikqcdnz2qmi6/Mental_Health_Resistance_Finalauqrm.mp3 - [What If They Find Out I'm A Fraud? - Imposter Syndrome in EMS](https://invisiblenetwork.ai/podcast/1500168983/e166e610e398) (2025-11-03, 24 min): audio https://mcdn.podbean.com/mf/web/dwryn5fvnxpw2a27/Final_Imposter_Syndromeb4dfi.mp3 - [Why Those With Addiction Don't "Just Change" - Opioid Crisis Reality for EMS](https://invisiblenetwork.ai/podcast/1500168983/e1ccde01db56) (2025-10-27, 60 min): audio https://mcdn.podbean.com/mf/web/t9t7whpx93aqgch3/Why_Addicts_Don_t_Just_Change_-_Opioid_Crisis_Reality_for_EMS9g7ng.mp3 - [When to Act: Mastering Vasopressors in 2025](https://invisiblenetwork.ai/podcast/1500168983/754d239fe0c4) (2025-10-20, 15 min): audio https://mcdn.podbean.com/mf/web/hkg7ffki9qnbictv/When_to_Act_-_Mastering_Vasopressors_in_2025bmd3r.mp3 - [The 5 Levels of EMS Mental Breakdown & How to Escape Them](https://invisiblenetwork.ai/podcast/1500168983/4a260e4187d5) (2025-10-13, 38 min): audio https://mcdn.podbean.com/mf/web/c332fav59fyk8539/The_5_Levels_of_EMS_Mental_Breakdown_How_to_Escape_Themab5rg.mp3 - [Following Evidence or Following the Crowd? The Truth About Evidence-Based Medicine with Dr. Eddy Lang](https://invisiblenetwork.ai/podcast/1500168983/6a4ffd5aa08e) (2025-10-06, 16 min): audio https://mcdn.podbean.com/mf/web/zd9xfhbxb8xqa2a7/Following_Evidence_or_Following_the_Crowd_The_Truth_About_Evidence-Based_Medicine_with_Dr_Eddy_Lang6k2l6.mp3 - [Toxidromes Demystified](https://invisiblenetwork.ai/podcast/1500168983/81fe41430089) (2025-09-29, 37 min): audio https://mcdn.podbean.com/mf/web/dacw2z9ufe8m489d/Subtle_Clues_Can_You_Spot_the_Signs_-_Toxidromes_Demystified7fqzz.mp3 - [Rescue Breaths: Demystifying the Physiology of Safe and Effective BVM Ventilation](https://invisiblenetwork.ai/podcast/1500168983/f5d450641fe9) (2025-09-22, 27 min): audio https://mcdn.podbean.com/mf/web/rwfqbb3jfypw553q/Final_Audio_Melody_Bishop_BVM949n2.mp3 - [Prehospital Blood, Trauma Arrest, Hypertension in Pregnancy, and Diltiazem in Afib with RVR](https://invisiblenetwork.ai/podcast/1500168983/cf92658fa6ef) (2025-09-12, 50 min): audio https://mcdn.podbean.com/mf/web/cxwnw3tyamr39x3n/Final_NAEMSP_lit_review74n4g.mp3 - [Unlocking the Hidden Keys to Calm Under Chaos: How Simple Tools Like A Checklist Can Elevate Your Care](https://invisiblenetwork.ai/podcast/1500168983/aa09401d1de6) (2025-08-16, 22 min): audio https://mcdn.podbean.com/mf/web/vrekuhb522wtigab/Ross_Geoff_checklistsa0gyj.mp3 - [EXCITING NEWS! FIND OUT WHAT WE'VE BEEN WORKING ON.](https://invisiblenetwork.ai/podcast/1500168983/2de6fb01a261) (2025-08-09, 7 min): audio https://mcdn.podbean.com/mf/web/9bmfrpqpayxgv2xe/August_2025_update_PCB_CEs90bqs.mp3 - [Engineering Simplicity in Crisis: Mastering Airway Management Through Systematic Approaches With Dr. Rich Levitan](https://invisiblenetwork.ai/podcast/1500168983/fea131c5dbf2) (2025-07-01, 70 min): audio https://mcdn.podbean.com/mf/web/dk6mvfr56pt7rds9/Airway_audio_final9w2k4.mp3 - [The Cost of Saving Lives: Complications Arising from Pre-Hospital Tourniquet Use](https://invisiblenetwork.ai/podcast/1500168983/391516093fd6) (2025-06-18, 52 min): audio https://mcdn.podbean.com/mf/web/cayr2jgqmg972t4v/Cost_of_Saving_Livesa2hi3.mp3 - [Why Two Paramedics Watched Their Trainer Nearly Kill a Patient (And Said Nothing): How Lessons From The Aviation Industry Could Have Prevented It](https://invisiblenetwork.ai/podcast/1500168983/78ce5e0d4261) (2025-06-01, 75 min): audio https://mcdn.podbean.com/mf/web/emd5a2mz8w3rebdk/CRM_Finalaxm0v.mp3 - [The Art of Managing Agitated Patients](https://invisiblenetwork.ai/podcast/1500168983/02fdba05bd95) (2025-05-25, 80 min): audio https://mcdn.podbean.com/mf/web/rbi67btfwqbt2zcy/APM-audio.mp3 Shows are listed from Apple Podcasts' charts and directory, and Podcast Index where it is used. 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