The Pragmed Show

Disruptive Ranger, an expert in use of force, body-worn cameras, and carrying firearms, dives into arming EMS providers for active shooter situations. They explore the debate, practicality, risks, and ethical considerations. The podcast also covers situational awareness in EMS, communication challenges, patient interactions, and the importance of maintaining vigilance and accountability in emergency response.

Pragmatic Paramedics chat with the Disruptive Ranger, a full-time ranger who is a paramedic, wildland firefighter, and law enforcement officer. Topics include scene safety, violent patients, carrying on shift, self-defense legalities for first responders, safety in emergency response, rethinking age requirements in professional fields, and the crucial role of body cameras in emergency services.

Welcome to the third episode of Monday Morning Medic! In this series of episodes, Jason, Aaron, and Chris Rosa sit down and talk about real life calls and patients that we or our special guests have had. We discuss treatments and outcomes to help learn from real-world cases. In this episode, Aaron, Jason and Chris sit down with Mike from the World's Okayest Medic podcast and talk about a neonate code he ran a few years back. It is a great call that we sit down and dissect with tons of lessons learned and fun to be had by all. This episode is about one of the craziest type of calls we can run and Mike knocked it out of the park. So strap in and listen to this great episode and start getting prepared for your next neonate call with the experience learned from Mike! If you have a patient that you would like to discuss, let us know! We would love to talk about patients and improving patient care with our listeners. Let us know what you think and if there are any topics that you'd like to discuss. Check out Mike Carunchio, also known as the World's Okayest Medic on Instagram or on any podcatcher. Search for the World's Okayest Medic Podcast and it will be well worth your time and listening pleasure! Follow the PragMedics on Instagram and Twitter. You can find Chris on Instagram.

Welcome to the first episode of Monday Morning Medic! In this series of episodes, Jason and Aaron, along with special guest Chris Rosa sit down and talk about real life calls and patients that we have had. We discuss treatments and outcomes to help learn from real-world cases. This episode of Monday Morning Medics is a conversation about a worst case, once in a career patient. The patient is a woman who is 30 weeks pregnant with a saddle PE. We talk with Darren, a Canadian critical care/flight paramedic about the logistics and treatment of this patient. This is a great conversation about one of the most difficult patients a medic could ever see. If you have a patient that you would like to discuss, let us know! We would love to talk about patients and improving patient care with our listeners. Let us know what you think and if there are any topics that you'd like to discuss. Darren can be found on Instagram! Follow the PragMedics on Instagram and Twitter. You can find Chris on Instagram.

Welcome to the first episode of Monday Morning Medic! In this series of episodes, Jason and Aaron, along with special guest Chris Rosa sit down and talk about real life calls and patients that we have had. We discuss treatments and outcomes to help learn from real-world cases. In our first episode, we sat down and talked about a unique motor vehicle accident involving a motorcycle. We discuss the good, the bad, and the ugly of the call to help our listeners improve their care. If you have a patient that you would like to discuss, let us know! We would love to talk about patients and improving patient care with our listeners. Let us know what you think and if there are any topics that you'd like to discuss. Follow the PragMedics on Instagram and Twitter. You can find Chris on Instagram.

During a recent chat with Doc Godfrey "Cric Em If You Got'em," we discussed intubations and airway management in the trauma setting. Of course, after recording it we remembered that the NAEMSP published a paper discussing these very topics so we decided to have a guest come on and chat with us about it – Drew Congdon – a critical care paramedic and paramedic instructor out of New Mexico was kind enough to come on and help walk us through the paper. Listen along with us and hear what the NAEMSP thinks and our take on managing a trauma patient's airways. Link to the NAEMSP Paper: https://www.tandfonline.com/doi/full/10.1080/10903127.2021.1994069 Follow the PragMedics on Instagram and Twitter

As we wrap our series, "A Thin Blurred Line," we take a moment to sit down with an investigative journalist who has covered incidents such as the ones in the media - Elijah McClain and Tony Timpa. We discuss both cases with her in this great conversation with someone outside EMS. Listen in as we talk with Cary about her experiences, what she found during her investigation into these incidents and how they impact EMS. Cary is a reporter for the Marshall Project and has been reporting on public safety for numerous years. You can follow Cary on Twitter Check out the Marshall Project on Twitter and on the Interwebz Follow the PragMedics on Instagram and Twitter

In this episode we discuss trauma airway management with Doc Godfrey (CricEm if you got 'em). Doc sits down with us as we look at a paper from The Journal of Trauma and Acute Care Surgery which discusses prehospital definitive airway not being associated with improved survival in trauma patients. Trauma airway management is complicated, but it doesn't necessarily need to be… We talk about how to best utilize your clinical skills and assessment along with BLS and basic airway adjuncts as well as medical direction's role and the effectiveness of appropriate training. Great chat and as always, we appreciate Doc CricEm (Godfrey) for coming on to talk with us to provide everyone with some quality evidence-based guidelines for airway management. As always, thanks for listening and we hope this series provides just one more tool to help you better yourself and the patients we see daily. Follow us on Instagram and Twitter. References Journal of Trauma and Acute Care Surgery 89(2S):p S237-S241, August 2020. | DOI: 10.1097/TA.0000000000002722 The American Surgeon 87(1);159-161 January 2020 DOI:10.1177/0003134820945228

As EMS providers we know all too well about violence, trauma, and the associated dangers of the job but we tend to struggle with what to do when we encounter violent scenes that involve our brothers and sisters in law enforcement and the patients we are committed to care for. However, what happens when the line we need to cross is one of our own? Police use of force has been an ongoing issue in the U.S. for decades but recently the media has started to focus on not only the police officers involved in these violent encounters but also the EMS providers who are dispatched to aid the patient. There is a thin and very blurred line that we must navigate to be a patient care provider and advocate but also a public safety brother and sister. Listen in as we talk with providers, reporters, and others who face these difficult situations in the name of community safety, wellbeing, and the job. In this episode, with The Mando Medic, we discuss his personal experiences with these situations, thoughts on how to decrease negative patient outcomes in these scenarios, and ways to improve EMS and LE cooperation. As always, thanks for listening and we hope this series provides just one more tool to help you better yourself and the patients we see daily. Follow us on Instagram and Twitter. Give Mando Medic a follow as well!

As we hop back in the saddle we want to a reaffirm our commitment to this industry through providing you with quality insight and information about clinical practice and evidence based medicine as well current events. We are you, not experts by any standard and hope that our conversations help improve the quality of EMS in all facets for generations to come. Thank you for coming back to the show and listening in on these discussions. Make sure to follow us on IG @pragmed and on your favorite pocatcher!