

The World’s Okayest Medic Podcast
Mike Carunchio
The World’s Okayest Medic Podcast is a podcast for all EMS providers. Whether you’re an EMT, paramedic, nurse; work in a 911 response setting or critical care transport; and are a novice or experienced clinician, this podcast is for you.
Episodes
Mentioned books

Sep 19, 2025 • 54min
Debriefing the New England Whole Blood Summit
Listener discretion is advised.
Dr. Steve Wood and Paramedic Ryan Mueller come on to debrief the New England Whole Blood Summit and talk about all things prehospital blood (and politics.....blood politics...not world politics)...

Sep 17, 2025 • 0sec
LIVE at Crash and Learn with the HLTH Crew
Join Mike Boone, Founder of the Crash and Learn conference and co-host of Heavy Lies the Helmet podcast, as he shares insights from a lively outdoor recording. They discuss the magic of no-PowerPoint talks, which foster real connections. The beautiful West Virginia location enhances learning, while the "Sim Till You Puke" intensity pushes crews in realistic scenarios. Mike emphasizes the importance of community, networking, and authentic presentations that truly resonate, making this gathering a unique experience for flight and EMS clinicians alike.

Sep 13, 2025 • 32min
Saturday Morning Coffee Talk (9/13/25)
Listener discretion is advised.

Sep 9, 2025 • 1h 12min
Community Paramedics: Sam Magill and Cody Winniford
Listener discretion is advised.
@medicmagill and @ordinaryopsmedic come on to the podcast and discuss a topic I know absolutely nothing about: community paramedicine.

Sep 6, 2025 • 29min
Saturday Morning Coffee Talk (9/6/25)
Explore the vital advantages of video laryngoscopy and its role in modern intubation practices. Discover humorous and frustrating tales of dealing with incompetent supervisors in high-stakes environments. Learn about the importance of maintaining professionalism and clear communication during stressful medical calls. Dive into the tension between technology and personal patient interactions in emergency care, emphasizing the need for human connection while navigating modern demands.

Sep 4, 2025 • 43min
Precepting, Orientation (and More) with Kayla Katt
Kayla Katt, an experienced EMS provider with over 11 years in the field, shares her wisdom on precepting and the realities facing new EMS professionals. She discusses the evolving methods of training, advocating for empathy over authoritarianism. Pressure in emergency medicine, especially during airway management, is explored, emphasizing patient safety. Katt highlights the importance of building a supportive environment for new recruits and delves into the unique challenges of flight medicine, where adaptability is essential.

Aug 29, 2025 • 0sec
Yes, That Wide Complex Tach is Probably VT
Delve into the complexities of diagnosing ventricular tachycardia, where misdiagnoses can have serious implications. The discussion emphasizes the need for emergency providers to confidently identify VTAC in symptomatic patients. Listeners learn about historical perspectives and current algorithms for differentiating wide complex tachycardias. It’s a deep dive into critical decision-making that can save lives, making it a must-listen for those in the medical field.

Aug 20, 2025 • 0sec
Listener Questions, NEMSAC Termination
The termination of the National EMS Advisory Council stirs discussion on its effectiveness in EMS advocacy. New paramedics share personal stories about managing anxiety during high-pressure calls, emphasizing the need for calm and coping strategies. The importance of critical interventions in saving lives is highlighted, along with the ongoing necessity for education. The benefits of attending medical conferences, particularly ResusX, are explored, showcasing how they foster networking and professional growth for EMTs and paramedics.

Aug 10, 2025 • 0sec
Random Ramblings: Dan Rauh
In this insightful discussion, Dan Rauh, a seasoned paramedic and medical director, shares his vast experience in emergency and critical care. He dives into the complexities of diagnosing overlapping physical and neurological pain, highlighting the emotional hurdles in the process. Dan also emphasizes the vital skills of scene management for new paramedics and addresses the challenges of toxic leadership within organizations. Their anticipation for an upcoming conference on drowning patients adds an exciting layer to this engaging conversation.

Aug 3, 2025 • 42min
Case Study: Subarachnoid Hemorrhage
Listener discretion is advised.
References:
Cook AM, Morgan Jones G, Hawryluk GWJ, Mailloux P, McLaughlin D, Papangelou A, Samuel S, Tokumaru S, Venkatasubramanian C, Zacko C, Zimmermann LL, Hirsch K, Shutter L. Guidelines for the Acute Treatment of Cerebral Edema in Neurocritical Care Patients. Neurocrit Care. 2020 Jun;32(3):647-666. doi: 10.1007/s12028-020-00959-7. PMID: 32227294; PMCID: PMC7272487.
Desai A, Damani R. Hyperosmolar therapy: A century of treating cerebral edema. Clin Neurol Neurosurg. 2021 Jul;206:106704. doi: 10.1016/j.clineuro.2021.106704. Epub 2021 May 20. PMID: 34045110.
Mount CA, Das JM. Cerebral Perfusion Pressure. [Updated 2023 Apr 3]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537271/
Susanto M, Riantri I. Optimal Dose and Concentration of Hypertonic Saline in Traumatic Brain Injury: A Systematic Review. Medeni Med J. 2022 Jun 23;37(2):203-211. doi: 10.4274/MMJ.galenos.2022.75725. PMID: 35735001; PMCID: PMC9234368.


