{"podcast":{"title":"Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers","slug":"loud-clear-ems-guiding-principles-advanced-continuing-education-for-paramedics-emts-prehospital-care-providers-422704","podcast_index_feed_id":422704,"rss_url":"https://feed.podbean.com/loudandclear/feed.xml","website_url":"https://emspodcast.com","image_url":"https://pbcdn1.podbean.com/imglogo/image-logo/7298469/Cover_Compressed_3000px.png","author":"Ross Orpet, Paramedic turned EMS Physician","episode_count":137,"summary":"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 m…","last_synced_at":"2026-09-14T20:17:23.926766+00:00","page_url":"https://stenobird.com/podcast/loud-clear-ems-guiding-principles-advanced-continuing-education-for-paramedics-emts-prehospital-care-providers-422704"},"episode":{"title":"From Tractor Rollovers to Grain Entrapment: A Field Guide to Farm Emergencies","slug":"from-tractor-rollovers-to-grain-entrapment-a-field-guide-to-farm-emergencies","published_at":"2026-09-14T10:00:00+00:00","page_url":"https://stenobird.com/podcast/loud-clear-ems-guiding-principles-advanced-continuing-education-for-paramedics-emts-prehospital-care-providers-422704/from-tractor-rollovers-to-grain-entrapment-a-field-guide-to-farm-emergencies","show_page_url":"https://stenobird.com/podcast/loud-clear-ems-guiding-principles-advanced-continuing-education-for-paramedics-emts-prehospital-care-providers-422704","url":"https://loudandclear.podbean.com/e/farm-injuries/","audio_url":"https://mcdn.podbean.com/mf/web/w33b6w292yqecrft/LoudAndClear_136_FarmInjuries_mixdown95bpe.mp3","summary":"The mechanism behind agricultural emergencies can completely change the risk to both the patient and the responders arriving to help.Ross talks with Jessica Wilburn, Agromedicine Nurse Coordinator, and Maggie Denning, Outreach Coordinator with the North Carolina Agromedicine Institute, about the injuries and environmental hazards first responders may encounter in agricultural communities. They cover tractor rollovers, livestock injuries, pesticide and fumigant exposure, grain-bin entrapment, hydraulic injection injuries, and machinery involving augers and power takeoff shafts.The conversation also covers responder safety, including how to recognize when machinery is still energized, why a barn or greenhouse call may involve dangerous chemical exposure, and how local farmers can sometimes be one of your best sources of information.In this episode, you’ll learn: Why farmers often minimize injuries, and why “minor” complaints deserve a closer look Why grain bins and manure lagoons can create secondary victims when rescuers enter How a tiny hydraulic-fluid puncture wound can threaten an entire extremity despite looking benign at first What a first responder should do first when approaching moving farm machinery 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.North Carolina Agromedicine Institute Guests:Jessica Wilburn, Agromedicine Nurse Coordinator, North Carolina Agromedicine Institute Maggie Denning, CNA and Outreach Coordinator, North Carolina Agromedicine Institute","meta_description":"The mechanism behind agricultural emergencies can completely change the risk to both the patient and the responders arriving to help.Ross talks with Jessi…","key_points":[],"chapters":[],"topics":[],"duration_seconds":3096,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/loud-clear-ems-guiding-principles-advanced-continuing-education-for-paramedics-emts-prehospital-care-providers-422704/episodes/from-tractor-rollovers-to-grain-entrapment-a-field-guide-to-farm-emergencies/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/loud-clear-ems-guiding-principles-advanced-continuing-education-for-paramedics-emts-prehospital-care-providers-422704/from-tractor-rollovers-to-grain-entrapment-a-field-guide-to-farm-emergencies.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}