{"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":"The First 60 Seconds After ROSC: How To Prevent Re-Arrest","slug":"the-first-60-seconds-after-rosc-how-to-prevent-re-arrest","published_at":"2026-09-07T10:00:00+00:00","page_url":"https://stenobird.com/podcast/loud-clear-ems-guiding-principles-advanced-continuing-education-for-paramedics-emts-prehospital-care-providers-422704/the-first-60-seconds-after-rosc-how-to-prevent-re-arrest","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/ian-blanchard-mike-humphrey/","audio_url":"https://mcdn.podbean.com/mf/web/ethfbeuru25ik5ud/LoudAndClear_135_IanBlanchard_MikeHumphrey_mixdown6jnb0.mp3","summary":"The First 60 Seconds After ROSC: How To Prevent Re-Arrest How do you improve your resuscitation systems beyond the ACLS algorithm? Will talks with Ian Blanchard, Senior Scientist for Alberta’s provincial EMS system about the “frame of survival” and why rehearsing equipment placement and vector change can make critical actions nearly automatic when the call comes in. Then, Ross talks with Mike Humphrey of Lethbridge Fire and Emergency Services about what happened when his team reviewed their cardiac arrests and discovered a recurring pattern: post-ROSC hypotension followed by a near 50% re-arrest rate. Their response was to redesign post-ROSC care around the first 60 seconds to prevent life-sustaining therapies from disappearing during the transition of care.In this episode, you’ll learn: What “doing reps in the clinical gym” looks like when you don’t have access to a high-fidelity simulator Why moving a cardiac-arrest patient too early can undermine CPR quality and make resuscitation worse What 1 minute blood pressure reassessments can reveal that a single “good” post-ROSC pressure may miss Why a vasopressor-dependent patient should stay on the EMS stretcher The best time to prepare for vector change, pit-crew roles, and post-ROSC care 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. Canadian Resuscitation Outcomes ConsortiumResuscitation AcademyInternational Liaison Committee on ResuscitationEpisode 133: Post-ROSC Care & Pacing: Prove the PerfusionGuests:Ian Blanchard, former paramedic and Senior Scientist for Alberta’s provincial EMS system Mike Humphrey, Le…","meta_description":"The First 60 Seconds After ROSC: How To Prevent Re-Arrest How do you improve your resuscitation systems beyond the ACLS algorithm? Will talks with Ian Bla…","key_points":[],"chapters":[],"topics":[],"duration_seconds":2152,"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/the-first-60-seconds-after-rosc-how-to-prevent-re-arrest/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/the-first-60-seconds-after-rosc-how-to-prevent-re-arrest.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}