# Mass Casualty Readiness, Burn Decisions, and the Fundamentals That Save Lives

An episode of [Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers](https://invisiblenetwork.ai/podcast/1500168983), 27 Jul 2026, 1 h 03 min.

Audio: https://mcdn.podbean.com/mf/web/nnzrpecrmnhhfkkh/LoudAndClear_ATCEMS_AllenWolfe_mixdown.mp3

The calls that scare clinicians the most are often the ones they have the fewest opportunities to practice. So what happens during a rare, high consequence emergency? First, Jennifer Barnhart of Austin-Travis County EMS and Sergeant Luke Serrato of the Austin Police Department discuss the response to a mass casualty shooting on Austin’s Sixth Street. Then, Ross talks with Allen Wolfe about three unusual burn and blast-injury cases. They discuss when a smaller burn may still warrant transfer to a burn center, how to recognize an airway that may require an early surgical approach, what a blast mechanism can reveal about hidden injuries, and why protecting burned tissue cannot come at the expense of protecting the airway. In this episode, you’ll learn: • How shared language and closed-loop communication help EMS and law enforcement move together • Why responders may need to pass ambulatory or vocal patients to reach those who cannot self-rescue • What disrupted tympanic membranes, clothing patterns, circumferential facial burns can reveal Resources: Want more? Sign up for our weekly newsletter, The Confidence Dispatch. Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship. Just have a question and want some personalized help? Book a free coaching call with us. Interested in ABLS Now? Our listeners get 10% off and a chance to win a free subscription. Enter before August 1, 2026. Guests: Jennifer Barnhart, Clinical Specialist, Austin-Travis County EMS Sergeant Luke Serrato, Austin Police Department Allen Wolfe, Senior Director of Clinical Education and Clinical Nurse Specialist at Life Link III

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