{"version":"https://jsonfeed.org/version/1","title":"SMFR EMS Podcast","home_page_url":"https://smfr-ems-podcast.fireside.fm","feed_url":"https://smfr-ems-podcast.fireside.fm/json","description":"The SMFR EMS Podcast brings you the latest in EMS education and innovation. Designed for EMS professionals at every level, our podcast dives deep into the heart of the emergency medical services field. We explore hot topics currently shaping the EMS landscape, share interesting case studies with lessons learned, and provide insight into the latest equipment and medical practices that continue to push the boundaries of what’s possible in pre-hospital care.\r\n\r\nFrom discussions on cardiac arrest survival rates to reviews of new technology, our episodes aim to foster a culture of learning and growth within the EMS community. Whether you're a paramedic, EMT, or someone simply interested in the world of EMS, our podcast is designed to keep you informed and inspired.\r\n\r\nJoin us for engaging, educational content that not only enhances your knowledge but also highlights the passion and dedication that drives EMS professionals to make a difference every day.","_fireside":{"subtitle":"Welcome to South Metro Fire Rescue's Emergency Medical Services Podcast.","pubdate":"2025-12-01T08:00:00.000-07:00","explicit":false,"copyright":"2025 by SMFR Communications","owner":"SMFR Communications","image":"https://media24.fireside.fm/file/fireside-images-2024/podcasts/images/1/1c28740f-057f-4af2-8189-4e5ec397398b/cover.jpg?v=1"},"items":[{"id":"edf5928c-c649-4313-98c2-bb75fc292078","title":"Episode 23: Epi - Volume vs Tone","url":"https://smfr-ems-podcast.fireside.fm/23","content_text":"This episode features Medical Director Dr. Jonathan Apfelbaum and EMS Lieutenant Dusty King as they unpack when epi helps, when it adds nothing, and when it can actually work against your patient. Using real cases, they revisit alpha and beta receptor effects, walk through why there is no evidence-based role for epi in classic traumatic arrest, and contrast that with scenarios like neurogenic shock, tamponade, tension pneumothorax, and peri-RSI hypotension where carefully titrated push-dose epi can be appropriate. Along the way they review the MARCH algorithm, prehospital blood, TXA and calcium, ultrasound findings that clarify shock type, and those “medical vs trauma” MVCs where a cardiac event or PE causes the crash. The discussion blends fundamentals with nuance to give EMS providers practical tools to decide when the problem is volume, when it’s tone, and how to let physiology, not habit, drive the decision to reach for epi.","content_html":"\u003cp\u003eThis episode features Medical Director Dr. Jonathan Apfelbaum and EMS Lieutenant Dusty King as they unpack when epi helps, when it adds nothing, and when it can actually work against your patient. Using real cases, they revisit alpha and beta receptor effects, walk through why there is no evidence-based role for epi in classic traumatic arrest, and contrast that with scenarios like neurogenic shock, tamponade, tension pneumothorax, and peri-RSI hypotension where carefully titrated push-dose epi can be appropriate. Along the way they review the MARCH algorithm, prehospital blood, TXA and calcium, ultrasound findings that clarify shock type, and those “medical vs trauma” MVCs where a cardiac event or PE causes the crash. The discussion blends fundamentals with nuance to give EMS providers practical tools to decide when the problem is volume, when it’s tone, and how to let physiology, not habit, drive the decision to reach for epi.\u003c/p\u003e","summary":"This episode features Medical Director Dr. Jonathan Apfelbaum and EMS Lieutenant Dusty King as they unpack when epi helps, when it adds nothing, and when it can actually work against your patient. Using real cases, they revisit alpha and beta receptor effects, walk through why there is no evidence-based role for epi in classic traumatic arrest, and contrast that with scenarios like neurogenic shock, tamponade, tension pneumothorax, and peri-RSI hypotension where carefully titrated push-dose epi can be appropriate.","date_published":"2025-12-01T08:00:00.000-07:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/edf5928c-c649-4313-98c2-bb75fc292078.mp3","mime_type":"audio/mpeg","size_in_bytes":54034118,"duration_in_seconds":1672}]},{"id":"e9957240-1637-458e-aea0-2c75cd1c652e","title":"Episode 22: Geriatrics Unfiltered","url":"https://smfr-ems-podcast.fireside.fm/22","content_text":"This episode takes a closer look at geriatric care, why “minor” complaints aren’t always minor, and how small misses can become big problems. Together with Dr. Jonathan Apfelbaum and EMS Lieutenant Dusty King, we review high-risk considerations in older adults, from bradycardia management, to low-speed trauma with hidden injuries, unwitnessed falls, and the “lift assist.\" Through real cases, we highlight atypical ACS presentations, medication and anticoagulant considerations, dehydration, and when a low threshold for transport is warranted. The conversation blends fundamentals with nuance to give EMS providers practical insight into balancing protocol, presentation, and sound clinical judgment in the field.","content_html":"\u003cp\u003eThis episode takes a closer look at geriatric care, why “minor” complaints aren’t always minor, and how small misses can become big problems. Together with Dr. Jonathan Apfelbaum and EMS Lieutenant Dusty King, we review high-risk considerations in older adults, from bradycardia management, to low-speed trauma with hidden injuries, unwitnessed falls, and the “lift assist.\u0026quot; Through real cases, we highlight atypical ACS presentations, medication and anticoagulant considerations, dehydration, and when a low threshold for transport is warranted. The conversation blends fundamentals with nuance to give EMS providers practical insight into balancing protocol, presentation, and sound clinical judgment in the field.\u003c/p\u003e","summary":"This episode takes a closer look at geriatric care, why “minor” complaints aren’t always minor, and how small misses can become big problems.","date_published":"2025-11-03T09:00:00.000-07:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/e9957240-1637-458e-aea0-2c75cd1c652e.mp3","mime_type":"audio/mpeg","size_in_bytes":35695925,"duration_in_seconds":1482}]},{"id":"37f8c91a-d60f-46ae-92ed-960c7024ddae","title":"Episode 21: STEMI Alerts: Getting the Call Right","url":"https://smfr-ems-podcast.fireside.fm/21","content_text":"This episode takes a closer look at STEMI alerts—when they apply, when they don’t, and why accuracy matters. Together with Dr. Jonathan Apfelbaum and EMS Lieutenant Dusty King, reviews the four key criteria, discusses common pitfalls and mimics, and walks through real-world cases where judgment calls made all the difference. The conversation highlights both the fundamentals and the nuances, giving EMS providers practical insight into balancing protocol, patient presentation, and sound clinical decision-making in the field.","content_html":"\u003cp\u003eThis episode takes a closer look at STEMI alerts—when they apply, when they don’t, and why accuracy matters. Together with Dr. Jonathan Apfelbaum and EMS Lieutenant Dusty King, reviews the four key criteria, discusses common pitfalls and mimics, and walks through real-world cases where judgment calls made all the difference. The conversation highlights both the fundamentals and the nuances, giving EMS providers practical insight into balancing protocol, patient presentation, and sound clinical decision-making in the field.\u003c/p\u003e","summary":"This episode takes a closer look at STEMI alerts—when they apply, when they don’t, and why accuracy matters. Together with Dr. Jonathan Apfelbaum and EMS Lieutenant Dusty King, reviews the four key criteria, discusses common pitfalls and mimics, and walks through real-world cases where judgment calls made all the difference.","date_published":"2025-10-01T04:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/37f8c91a-d60f-46ae-92ed-960c7024ddae.mp3","mime_type":"audio/mpeg","size_in_bytes":60049021,"duration_in_seconds":1872}]},{"id":"26bd6995-7d00-48fa-b8c2-aa2d50e1a3de","title":"Episode 20: Episode 20: Overheated: EMS Lessons in Heat Stroke","url":"https://smfr-ems-podcast.fireside.fm/20","content_text":"This episode dives into a real-world case of a patient found altered and seizing at Cherry Creek State Park during a string of heat-related calls. Paramedic Zach Hutchins recounts the challenges of navigating multiple simultaneous incidents, accessing the patient in a campsite, and recognizing the signs of heat stroke. Together with Dr. Jonathan Apfelbaum, the team breaks down key assessment points, including differential diagnosis for altered mental status, the role of environmental factors, and when to initiate active cooling. The conversation provides practical takeaways for EMS providers managing hyperthermic patients in the pre-hospital setting.","content_html":"\u003cp\u003eThis episode dives into a real-world case of a patient found altered and seizing at Cherry Creek State Park during a string of heat-related calls. Paramedic Zach Hutchins recounts the challenges of navigating multiple simultaneous incidents, accessing the patient in a campsite, and recognizing the signs of heat stroke. Together with Dr. Jonathan Apfelbaum, the team breaks down key assessment points, including differential diagnosis for altered mental status, the role of environmental factors, and when to initiate active cooling. The conversation provides practical takeaways for EMS providers managing hyperthermic patients in the pre-hospital setting.\u003c/p\u003e","summary":"This episode dives into a real-world case of a patient found altered and seizing at Cherry Creek State Park during a string of heat-related calls.","date_published":"2025-09-01T03:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/26bd6995-7d00-48fa-b8c2-aa2d50e1a3de.mp3","mime_type":"audio/mpeg","size_in_bytes":45186524,"duration_in_seconds":1409}]},{"id":"989017c6-04ad-4d2c-9fe8-235b08fcd532","title":"Episode 19: Episode 19: ECGs Unlocked: Crack the Code, Part 2","url":"https://smfr-ems-podcast.fireside.fm/19","content_text":"Join EMS Lieutenant Dusty King, EMS Lieutenant Scott Hipwell and Medical Director Dr. Jonathan Apfelbaum for part two of the \"ECGs Unlocked: Crack the Code\" series. In this episode, they apply their systematic approach to interpreting complex and challenging 12-lead ECGs. Covering rhythms such as first-degree AV block, second-degree type I and type II heart blocks, supraventricular tachycardia (SVT), and bundle branch blocks, the hosts provide clear guidance to ensure accuracy in recognizing subtle and critical findings. The podcast concludes with a compelling real-world case discussion on hyperkalemia and how expert ECG interpretation can significantly impact patient outcomes. Tune in to reinforce your understanding and continue elevating your clinical competence.","content_html":"\u003cp\u003eJoin EMS Lieutenant Dusty King, EMS Lieutenant Scott Hipwell and Medical Director Dr. Jonathan Apfelbaum for part two of the \u0026quot;ECGs Unlocked: Crack the Code\u0026quot; series. In this episode, they apply their systematic approach to interpreting complex and challenging 12-lead ECGs. Covering rhythms such as first-degree AV block, second-degree type I and type II heart blocks, supraventricular tachycardia (SVT), and bundle branch blocks, the hosts provide clear guidance to ensure accuracy in recognizing subtle and critical findings. The podcast concludes with a compelling real-world case discussion on hyperkalemia and how expert ECG interpretation can significantly impact patient outcomes. Tune in to reinforce your understanding and continue elevating your clinical competence.\u003c/p\u003e","summary":"Join EMS Lieutenant Dusty King, EMS Lieutenant Scott Hipwell and Medical Director Dr. Jonathan Apfelbaum for part two of the \"ECGs Unlocked: Crack the Code\" series. In this episode, they apply their systematic approach to interpreting complex and challenging 12-lead ECGs","date_published":"2025-08-01T06:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/989017c6-04ad-4d2c-9fe8-235b08fcd532.mp3","mime_type":"audio/mpeg","size_in_bytes":50748788,"duration_in_seconds":1583}]},{"id":"94aeff70-d69c-44dc-b271-101bd0755462","title":"Episode 18: Episode 18: ECGs Unlocked: Crack the Code, Part 1","url":"https://smfr-ems-podcast.fireside.fm/18","content_text":"In this episode, EMS Lieutenant Dusty King hosts EMS Lieutenant Scott Hipwell and Medical Director Dr. Jonathan Apfelbaum for a deep dive into systematically interpreting 12-lead ECGs. Whether you’re refreshing your knowledge or learning a consistent method for the first time, this practical discussion simplifies ECG interpretation through a clear, step-by-step approach. ","content_html":"\u003cp\u003eIn this episode, EMS Lieutenant Dusty King hosts EMS Lieutenant Scott Hipwell and Medical Director Dr. Jonathan Apfelbaum for a deep dive into systematically interpreting 12-lead ECGs. Whether you’re refreshing your knowledge or learning a consistent method for the first time, this practical discussion simplifies ECG interpretation through a clear, step-by-step approach. \u003c/p\u003e","summary":"In this episode, EMS Lieutenant Dusty King hosts EMS Lieutenant Scott Hipwell and Medical Director Dr. Jonathan Apfelbaum for a deep dive into systematically interpreting 12-lead ECGs.","date_published":"2025-08-01T05:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/94aeff70-d69c-44dc-b271-101bd0755462.mp3","mime_type":"audio/mpeg","size_in_bytes":40008784,"duration_in_seconds":1247}]},{"id":"2123a510-678a-4ac6-9e31-2c9a14b392a6","title":"Episode 17: Episode 17: The Art of EMS Transport Decisions, Part 2","url":"https://smfr-ems-podcast.fireside.fm/17","content_text":"Join host Dusty King, EMS Lieutenant, and Medical Director Jonathan Apfelbaum as they tackle one of the most important decisions in prehospital care: choosing the right destination for your patient. This episode breaks down the capabilities and limitations of free-standing emergency departments (FSEDs), who should (and shouldn’t) be transported there, and why good clinical judgment is critical. Through real-world case reviews and practical guidance, you’ll learn how to avoid unnecessary secondary transfers and ensure your patients get the care they truly need. Whether it’s a minor injury, complex medical condition, psychiatric crisis, or pediatric emergency, this episode helps you sharpen your decision-making when every mile matters.","content_html":"\u003cp\u003eJoin host Dusty King, EMS Lieutenant, and Medical Director Jonathan Apfelbaum as they tackle one of the most important decisions in prehospital care: choosing the right destination for your patient. This episode breaks down the capabilities and limitations of free-standing emergency departments (FSEDs), who should (and shouldn’t) be transported there, and why good clinical judgment is critical. Through real-world case reviews and practical guidance, you’ll learn how to avoid unnecessary secondary transfers and ensure your patients get the care they truly need. Whether it’s a minor injury, complex medical condition, psychiatric crisis, or pediatric emergency, this episode helps you sharpen your decision-making when every mile matters.\u003c/p\u003e","summary":"Join host Dusty King, EMS Lieutenant, and Medical Director Jonathan Apfelbaum as they tackle one of the most important decisions in prehospital care: choosing the right destination for your patient.","date_published":"2025-07-31T09:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/2123a510-678a-4ac6-9e31-2c9a14b392a6.mp3","mime_type":"audio/mpeg","size_in_bytes":41045135,"duration_in_seconds":1282}]},{"id":"e583871e-5d1c-4b8f-b9c7-4a5473667471","title":"Episode 16: Episode 16: The Art of EMS Transport Decisions, Part 1","url":"https://smfr-ems-podcast.fireside.fm/16","content_text":"In this episode of the SMFR EMS podcast, EMS Lieutenant Dusty King, along with Paramedic Bob Rafferty and Medical Director Jonathan Apfelbaum, break down the essentials of safe patient transport in the field. This episode explores the latest protocols for securing adult and pediatric patients, provider restraint safety, and why proper use of seatbelts and restraint systems is critical for everyone in the ambulance. We’ll discuss real-world risks, national standards, and how small changes in transport decisions can make a big difference in patient and provider outcomes.","content_html":"\u003cp\u003eIn this episode of the SMFR EMS podcast, EMS Lieutenant Dusty King, along with Paramedic Bob Rafferty and Medical Director Jonathan Apfelbaum, break down the essentials of safe patient transport in the field. This episode explores the latest protocols for securing adult and pediatric patients, provider restraint safety, and why proper use of seatbelts and restraint systems is critical for everyone in the ambulance. We’ll discuss real-world risks, national standards, and how small changes in transport decisions can make a big difference in patient and provider outcomes.\u003c/p\u003e","summary":"In this episode of the SMFR EMS podcast, EMS Lieutenant Dusty King, along with Paramedic Bob Rafferty and Medical Director Jonathan Apfelbaum, break down the essentials of safe patient transport in the field.","date_published":"2025-07-31T08:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/e583871e-5d1c-4b8f-b9c7-4a5473667471.mp3","mime_type":"audio/mpeg","size_in_bytes":60837265,"duration_in_seconds":1900}]},{"id":"0f60de90-bfb3-4356-8282-80b2d44cec68","title":"Episode 15: Episode 15: Refusals Done Right: Legal, Ethical, and Practical Tips, Part 2     ","url":"https://smfr-ems-podcast.fireside.fm/15","content_text":"In this episode of the SMFR EMS podcast, EMS Lieutenant Dusty King, along with Medical Director Jonathan Apfelbaum and Legal Counsel Allison Ulmer, explores key considerations when handling refusals, including when a patient has the capacity to refuse care and how to navigate the legal and ethical implications. The conversation covers real-world scenarios, offering practical advice for making these challenging decisions, ensuring patient safety, and maintaining proper documentation.","content_html":"\u003cp\u003eIn this episode of the SMFR EMS podcast, EMS Lieutenant Dusty King, along with Medical Director Jonathan Apfelbaum and Legal Counsel Allison Ulmer, explores key considerations when handling refusals, including when a patient has the capacity to refuse care and how to navigate the legal and ethical implications. The conversation covers real-world scenarios, offering practical advice for making these challenging decisions, ensuring patient safety, and maintaining proper documentation.\u003c/p\u003e","summary":"In this episode of the SMFR EMS podcast, EMS Lieutenant Dusty King, along with Medical Director Jonathan Apfelbaum and Legal Counsel Allison Ulmer, explores key considerations when handling refusals, including when a patient has the capacity to refuse care and how to navigate the legal and ethical implications.","date_published":"2025-06-12T09:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/0f60de90-bfb3-4356-8282-80b2d44cec68.mp3","mime_type":"audio/mpeg","size_in_bytes":61761232,"duration_in_seconds":1929}]},{"id":"ed526145-8c1c-4153-9123-0ce24a98ff52","title":"Episode 14: Episode 14: Refusals Done Right: Legal, Ethical, and Practical Tips, Part 1","url":"https://smfr-ems-podcast.fireside.fm/14","content_text":"In this episode of the SMFR EMS podcast, EMS Lieutenant Dusty King, along with Paramedic Austin Burrell and Medical Director Jonathan Apfelbaum, explores the evolving legal and ethical framework around patient refusals. The discussion covers key topics such as assessing a patient's capacity to refuse care, handling difficult or impaired patients, and the importance of effective communication and documentation. Through a case study example, the team highlights how to manage refusals professionally while ensuring patient safety and legal protection, especially when dealing with aggressive or uncooperative individuals. ","content_html":"\u003cp\u003eIn this episode of the SMFR EMS podcast, EMS Lieutenant Dusty King, along with Paramedic Austin Burrell and Medical Director Jonathan Apfelbaum, explores the evolving legal and ethical framework around patient refusals. The discussion covers key topics such as assessing a patient\u0026#39;s capacity to refuse care, handling difficult or impaired patients, and the importance of effective communication and documentation. Through a case study example, the team highlights how to manage refusals professionally while ensuring patient safety and legal protection, especially when dealing with aggressive or uncooperative individuals. \u003c/p\u003e","summary":"In this episode of the SMFR EMS podcast, EMS Lieutenant Dusty King, along with Paramedic Austin Burrell and Medical Director Jonathan Apfelbaum, explores the evolving legal and ethical framework around patient refusals.","date_published":"2025-06-12T08:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/ed526145-8c1c-4153-9123-0ce24a98ff52.mp3","mime_type":"audio/mpeg","size_in_bytes":56667856,"duration_in_seconds":1770}]},{"id":"77a5fcd2-d5b9-416e-b24e-d1e272bf3f33","title":"Episode 13: Episode 13: Sound Decisions: Ultrasound’s Role in EMS, Part 2","url":"https://smfr-ems-podcast.fireside.fm/13","content_text":"Welcome back to Sound Decisions: Ultrasound's Role in EMS for Part 2 of our deep dive into ultrasound's transformative impact on pre-hospital care. Hosted by EMS Lieutenant, Dusty King, this episode features expert insights from Medical Director Dr. Jonathan Apfelbaum and Paramedic Zac Hutchins as they explore another interesting case study. In this episode, we discuss the life-saving power of ultrasound in diagnosing conditions like pericardial effusion, which could have otherwise gone unnoticed. You'll hear how ultrasound helped shift the care trajectory, allowing for timely interventions that saved a patient’s life. We also expand the conversation to cover other exciting ultrasound applications, from assessing increased intracranial pressure, pulmonary embolisms, to enhancing accuracy in procedures done in the ER. Tune in to learn how ultrasound is becoming an indispensable tool in EMS, improving patient outcomes, and revolutionizing how we approach critical care in the field.","content_html":"\u003cp\u003eWelcome back to Sound Decisions: Ultrasound\u0026#39;s Role in EMS for Part 2 of our deep dive into ultrasound\u0026#39;s transformative impact on pre-hospital care. Hosted by EMS Lieutenant, Dusty King, this episode features expert insights from Medical Director Dr. Jonathan Apfelbaum and Paramedic Zac Hutchins as they explore another interesting case study. In this episode, we discuss the life-saving power of ultrasound in diagnosing conditions like pericardial effusion, which could have otherwise gone unnoticed. You\u0026#39;ll hear how ultrasound helped shift the care trajectory, allowing for timely interventions that saved a patient’s life. We also expand the conversation to cover other exciting ultrasound applications, from assessing increased intracranial pressure, pulmonary embolisms, to enhancing accuracy in procedures done in the ER. Tune in to learn how ultrasound is becoming an indispensable tool in EMS, improving patient outcomes, and revolutionizing how we approach critical care in the field.\u003c/p\u003e","summary":"Welcome back to Sound Decisions: Ultrasound's Role in EMS for Part 2 of our deep dive into ultrasound's transformative impact on pre-hospital care.","date_published":"2025-04-30T15:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/77a5fcd2-d5b9-416e-b24e-d1e272bf3f33.mp3","mime_type":"audio/mpeg","size_in_bytes":33061119,"duration_in_seconds":1373}]},{"id":"7a1fab9b-343c-4a68-8d86-8205f8360396","title":"Episode 12: Episode 12: Sound Decisions: Ultrasound’s Role in EMS, Part 1","url":"https://smfr-ems-podcast.fireside.fm/12","content_text":"Welcome to Sound Decisions: Ultrasound's Role in EMS, a podcast that dives deep into the evolving capabilities of ultrasound in the pre-hospital setting. Hosted by EMS Lieutenant Dusty King, this series features case studies and expert insights from Medical Director Dr. Jonathan Apfelbaum and Paramedic Zac Hutchins, exploring how ultrasound technology is transforming patient care in EMS. This episode will review real-life incidents where ultrasound changed the course of treatment, from routine protocol to advanced applications in critical care. Whether you're a paramedic or healthcare provider, this podcast will highlight how ultrasound is becoming a game-changer in EMS, improving patient outcomes, and saving lives. Tune in for thought-provoking discussions, expert analysis, and valuable lessons learned from the field.","content_html":"\u003cp\u003eWelcome to Sound Decisions: Ultrasound\u0026#39;s Role in EMS, a podcast that dives deep into the evolving capabilities of ultrasound in the pre-hospital setting. Hosted by EMS Lieutenant Dusty King, this series features case studies and expert insights from Medical Director Dr. Jonathan Apfelbaum and Paramedic Zac Hutchins, exploring how ultrasound technology is transforming patient care in EMS. This episode will review real-life incidents where ultrasound changed the course of treatment, from routine protocol to advanced applications in critical care. Whether you\u0026#39;re a paramedic or healthcare provider, this podcast will highlight how ultrasound is becoming a game-changer in EMS, improving patient outcomes, and saving lives. Tune in for thought-provoking discussions, expert analysis, and valuable lessons learned from the field.\u003c/p\u003e","summary":"This episode will review real-life incidents where ultrasound changed the course of treatment, from routine protocol to advanced applications in critical care.","date_published":"2025-04-30T15:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/7a1fab9b-343c-4a68-8d86-8205f8360396.mp3","mime_type":"audio/mpeg","size_in_bytes":27605185,"duration_in_seconds":1145}]},{"id":"9602024b-c083-40ff-abb6-783a1ef8ac2c","title":"Episode 11: Episode 11: Chain of Survival, Part 2","url":"https://smfr-ems-podcast.fireside.fm/11","content_text":"In this episode of the EMS podcast, EMS Lieutenant Dusty King and Medical Director Apfelbaum break down a compelling pediatric cardiac arrest case from mid‑January. The discussion follows a high school athlete from Namibia who, during a school basketball event, suddenly collapsed in the stands. With bystanders initiating CPR and a school nurse alongside Parker PD swiftly applying an AED and delivering a shock, the early chain of survival was set in motion. Engine and Medic 46 arrived to take over compressions and transition care, emphasizing precise role assignment and the critical importance of minimizing off‑chest time. The episode also highlights best practices in high‑performance CPR, revealing that the young patient’s collapse was ultimately linked to an anomalous left main coronary takeoff—a rare congenital condition that was later corrected surgically. The case reinforces how coordinated on‑scene care can significantly improve outcomes in pediatric cardiac emergencies. It also features a review of the latest C.A.R.E.S. national cardiac arrest data alongside SMFR-specific insights, providing a data-driven look at how we can continue improving survival rates. ","content_html":"\u003cp\u003eIn this episode of the EMS podcast, EMS Lieutenant Dusty King and Medical Director Apfelbaum break down a compelling pediatric cardiac arrest case from mid‑January. The discussion follows a high school athlete from Namibia who, during a school basketball event, suddenly collapsed in the stands. With bystanders initiating CPR and a school nurse alongside Parker PD swiftly applying an AED and delivering a shock, the early chain of survival was set in motion. Engine and Medic 46 arrived to take over compressions and transition care, emphasizing precise role assignment and the critical importance of minimizing off‑chest time. The episode also highlights best practices in high‑performance CPR, revealing that the young patient’s collapse was ultimately linked to an anomalous left main coronary takeoff—a rare congenital condition that was later corrected surgically. The case reinforces how coordinated on‑scene care can significantly improve outcomes in pediatric cardiac emergencies. It also features a review of the latest C.A.R.E.S. national cardiac arrest data alongside SMFR-specific insights, providing a data-driven look at how we can continue improving survival rates. \u003c/p\u003e","summary":"In this episode of the EMS podcast, EMS Lieutenant Dusty King and Medical Director Apfelbaum break down a compelling pediatric cardiac arrest case from mid‑January. ","date_published":"2025-04-13T14:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/9602024b-c083-40ff-abb6-783a1ef8ac2c.mp3","mime_type":"audio/mpeg","size_in_bytes":19402103,"duration_in_seconds":805}]},{"id":"5625a9aa-1087-4c5a-8563-e76009160d19","title":"Episode 10: Episode 10: Chain of Survival, Part 1","url":"https://smfr-ems-podcast.fireside.fm/10","content_text":"In this dynamic EMS podcast episode, EMS Lieutenant Dusty King, Paramedic Rafferty, and Medical Director Apfelbaum break down a recent, high-stakes cardiac arrest case involving a 29‑year‑old male who collapsed on a basketball court. The crew details the life-saving chain of survival—from swift bystander CPR and proper AED pad placement to rapid on-scene role assignment, advanced airway management, timely defibrillation, and critical drug administration. They emphasize the importance of minimizing delays with new Zoll monitor technology and precise team coordination. This in-depth discussion not only reviews the clinical interventions that led to a successful resuscitation but also offers valuable lessons and best practices for EMS professionals.","content_html":"\u003cp\u003eIn this dynamic EMS podcast episode, EMS Lieutenant Dusty King, Paramedic Rafferty, and Medical Director Apfelbaum break down a recent, high-stakes cardiac arrest case involving a 29‑year‑old male who collapsed on a basketball court. The crew details the life-saving chain of survival—from swift bystander CPR and proper AED pad placement to rapid on-scene role assignment, advanced airway management, timely defibrillation, and critical drug administration. They emphasize the importance of minimizing delays with new Zoll monitor technology and precise team coordination. This in-depth discussion not only reviews the clinical interventions that led to a successful resuscitation but also offers valuable lessons and best practices for EMS professionals.\u003c/p\u003e","summary":"In this dynamic EMS podcast episode, EMS Lieutenant Dusty King, Paramedic Rafferty, and Medical Director Apfelbaum break down a recent, high-stakes cardiac arrest case involving a 29‑year‑old male who collapsed on a basketball court. ","date_published":"2025-04-13T13:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/5625a9aa-1087-4c5a-8563-e76009160d19.mp3","mime_type":"audio/mpeg","size_in_bytes":35481650,"duration_in_seconds":1475}]},{"id":"bb5b4eec-9d1c-4bc3-ae06-f5e00cac2706","title":"Episode 9: Episode 9: 5x5 - Shortness of Breath","url":"https://smfr-ems-podcast.fireside.fm/9","content_text":"Shortness of breath is one of the most common and urgent EMS complaints, with causes ranging from minor to immediately life-threatening. In this episode, we use the B.R.E.A.TH. approach to break down five critical differentials: Bronchoconstriction (COPD/Asthma), Respiratory Infection (Pneumonia), Edema (Congestive Heart Failure), Acidosis (Diabetic Ketoacidosis), and THromboembolism (Pulmonary Embolism/Myocardial Infarction). We’ll discuss key assessment findings and differentiating factors to ensure your patients get the right treatment fast. ","content_html":"\u003cp\u003eShortness of breath is one of the most common and urgent EMS complaints, with causes ranging from minor to immediately life-threatening. In this episode, we use the B.R.E.A.TH. approach to break down five critical differentials: Bronchoconstriction (COPD/Asthma), Respiratory Infection (Pneumonia), Edema (Congestive Heart Failure), Acidosis (Diabetic Ketoacidosis), and THromboembolism (Pulmonary Embolism/Myocardial Infarction). We’ll discuss key assessment findings and differentiating factors to ensure your patients get the right treatment fast. \u003c/p\u003e","summary":"In this episode, we use the B.R.E.A.TH. approach to break down five critical differentials: Bronchoconstriction (COPD/Asthma), Respiratory Infection (Pneumonia), Edema (Congestive Heart Failure), Acidosis (Diabetic Ketoacidosis), and THromboembolism (Pulmonary Embolism/Myocardial Infarction). ","date_published":"2025-04-13T12:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/bb5b4eec-9d1c-4bc3-ae06-f5e00cac2706.mp3","mime_type":"audio/mpeg","size_in_bytes":29288890,"duration_in_seconds":1217}]},{"id":"d0ef378a-531a-454a-af69-15e465cc7d4e","title":"Episode 8: Episode 8: 5x5 - Trauma","url":"https://smfr-ems-podcast.fireside.fm/8","content_text":"Trauma patients can deteriorate rapidly, making early recognition of life-threatening conditions essential. In this episode, we use the B.L.E.E.D. approach to break down five critical trauma differentials: Bleeding (Hemorrhagic Shock), Low Oxygen Levels (Hypoxia), Elevated Intrathoracic Pressure (Tension Pneumothorax/Pericardial Tamponade), Elevated Intracranial Pressure (Closed Head Injury), and Dysfunction of Coagulation (DIC/Coagulopathy). We’ll explore key assessment findings, resuscitation priorities, and the importance of rapid decision-making in the field. ","content_html":"\u003cp\u003eTrauma patients can deteriorate rapidly, making early recognition of life-threatening conditions essential. In this episode, we use the B.L.E.E.D. approach to break down five critical trauma differentials: Bleeding (Hemorrhagic Shock), Low Oxygen Levels (Hypoxia), Elevated Intrathoracic Pressure (Tension Pneumothorax/Pericardial Tamponade), Elevated Intracranial Pressure (Closed Head Injury), and Dysfunction of Coagulation (DIC/Coagulopathy). We’ll explore key assessment findings, resuscitation priorities, and the importance of rapid decision-making in the field. \u003c/p\u003e","summary":"In this episode, we use the B.L.E.E.D. approach to break down five critical trauma differentials: Bleeding (Hemorrhagic Shock), Low Oxygen Levels (Hypoxia), Elevated Intrathoracic Pressure (Tension Pneumothorax/Pericardial Tamponade), Elevated Intracranial Pressure (Closed Head Injury), and Dysfunction of Coagulation (DIC/Coagulopathy).","date_published":"2025-04-13T11:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/d0ef378a-531a-454a-af69-15e465cc7d4e.mp3","mime_type":"audio/mpeg","size_in_bytes":31623382,"duration_in_seconds":1314}]},{"id":"e7a64316-a36b-47b7-aed7-89bc3fb3dfc6","title":"Episode 7: Episode 7: 5x5 - Abdominal Pain","url":"https://smfr-ems-podcast.fireside.fm/7","content_text":"Abdominal pain can be deceptive; ranging from benign to life-threatening in seconds. In this episode, we use the G.R.O.A.N. approach to break down five critical differentials: Gastrointestinal Perforation, Reproductive Organ Torsion (Testicular/Ovarian), Occlusive Ischemic Bowel/Infarction, Abdominal Aortic Aneurysm, and Nonviable Ectopic Pregnancy. We’ll discuss how to recognize red flags, differentiate between emergent conditions, and prioritize interventions in the field. ","content_html":"\u003cp\u003eAbdominal pain can be deceptive; ranging from benign to life-threatening in seconds. In this episode, we use the G.R.O.A.N. approach to break down five critical differentials: Gastrointestinal Perforation, Reproductive Organ Torsion (Testicular/Ovarian), Occlusive Ischemic Bowel/Infarction, Abdominal Aortic Aneurysm, and Nonviable Ectopic Pregnancy. We’ll discuss how to recognize red flags, differentiate between emergent conditions, and prioritize interventions in the field. \u003c/p\u003e","summary":"In this episode, we use the G.R.O.A.N. approach to break down five critical differentials: Gastrointestinal Perforation, Reproductive Organ Torsion (Testicular/Ovarian), Occlusive Ischemic Bowel/Infarction, Abdominal Aortic Aneurysm, and Nonviable Ectopic Pregnancy.","date_published":"2025-04-13T10:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/e7a64316-a36b-47b7-aed7-89bc3fb3dfc6.mp3","mime_type":"audio/mpeg","size_in_bytes":34369344,"duration_in_seconds":1432}]},{"id":"5127085a-888c-440c-9b30-e4e47650f217","title":"Episode 6: Episode 6: 5x5 - Altered Mental Status","url":"https://smfr-ems-podcast.fireside.fm/6","content_text":"When a patient presents with an altered mental status, the differential is broad, and every second counts. In this episode, we use the 5 S’s approach to identify the most critical causes: Seizure, Sepsis, Stroke, Sugar (Hyper/Hypoglycemia), and Severe Toxicology. We’ll break down key assessment clues and how to rule in or rule out life-threatening conditions. ","content_html":"\u003cp\u003eWhen a patient presents with an altered mental status, the differential is broad, and every second counts. In this episode, we use the 5 S’s approach to identify the most critical causes: Seizure, Sepsis, Stroke, Sugar (Hyper/Hypoglycemia), and Severe Toxicology. We’ll break down key assessment clues and how to rule in or rule out life-threatening conditions. \u003c/p\u003e","summary":"In this episode, we use the 5 S’s approach to identify the most critical causes: Seizure, Sepsis, Stroke, Sugar (Hyper/Hypoglycemia), and Severe Toxicology.","date_published":"2025-04-13T09:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/5127085a-888c-440c-9b30-e4e47650f217.mp3","mime_type":"audio/mpeg","size_in_bytes":33443263,"duration_in_seconds":1390}]},{"id":"a7c19a49-9f36-4079-bf81-4d36bf317f54","title":"Episode 5: Episode 5: 5x5 - Chest Pain","url":"https://smfr-ems-podcast.fireside.fm/5","content_text":"Chest pain is one of the most high-risk complaints encountered in EMS, requiring quick thinking and decisive action. In this episode, we break down the C.H.E.S.T. approach to identifying life-threatening causes: Cardiac Tamponade, Heart Attack (MI), Embolism (Pulmonary), Simple/Tension Pneumothorax, and Thoracic Aortic Dissection. We’ll discuss key assessment findings, red flags, and field management strategies to help you differentiate between these critical conditions and provide the best care possible in those crucial moments.","content_html":"\u003cp\u003eChest pain is one of the most high-risk complaints encountered in EMS, requiring quick thinking and decisive action. In this episode, we break down the C.H.E.S.T. approach to identifying life-threatening causes: Cardiac Tamponade, Heart Attack (MI), Embolism (Pulmonary), Simple/Tension Pneumothorax, and Thoracic Aortic Dissection. We’ll discuss key assessment findings, red flags, and field management strategies to help you differentiate between these critical conditions and provide the best care possible in those crucial moments.\u003c/p\u003e","summary":"In this episode, we break down the C.H.E.S.T. approach to identifying life-threatening causes: Cardiac Tamponade, Heart Attack (MI), Embolism (Pulmonary), Simple/Tension Pneumothorax, and Thoracic Aortic Dissection.","date_published":"2025-04-13T08:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/a7c19a49-9f36-4079-bf81-4d36bf317f54.mp3","mime_type":"audio/mpeg","size_in_bytes":42872630,"duration_in_seconds":1782}]},{"id":"a566eff1-d868-4642-a0a5-8f7e29bd1aa5","title":"Episode 4: Episode 4: Tiny Breaths Part 2","url":"https://smfr-ems-podcast.fireside.fm/4","content_text":"In this episode, we explore some pediatric specialty cases within SMFR's district. We'll look at how and why custom protocols are developed for these unique kids. It becomes a team approach between family, patient's specialty doctors, the Medical Director, and the Community Health Team. ","content_html":"\u003cp\u003eIn this episode, we explore some pediatric specialty cases within SMFR\u0026#39;s district. We\u0026#39;ll look at how and why custom protocols are developed for these unique kids. It becomes a team approach between family, patient\u0026#39;s specialty doctors, the Medical Director, and the Community Health Team. \u003c/p\u003e","summary":"In this episode, we explore some pediatric specialty cases within SMFR's district. We'll look at how and why custom protocols are developed for these unique kids.","date_published":"2025-01-01T15:00:00.000-07:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/a566eff1-d868-4642-a0a5-8f7e29bd1aa5.mp3","mime_type":"audio/mpeg","size_in_bytes":40167485,"duration_in_seconds":1251}]},{"id":"872c0f5b-7d88-4a35-853f-dc8e137105b3","title":"Episode 3: Episode 3: Tiny Breaths Part 1","url":"https://smfr-ems-podcast.fireside.fm/3","content_text":"This episode covers pediatric respiratory emergencies with emphasis of early Epi. Working through respiratory emergency differentials to include anaphylaxis, asthma, choking (obstruction), poisoning, and infection.","content_html":"\u003cp\u003eThis episode covers pediatric respiratory emergencies with emphasis of early Epi. Working through respiratory emergency differentials to include anaphylaxis, asthma, choking (obstruction), poisoning, and infection.\u003c/p\u003e","summary":"This episode covers pediatric respiratory emergencies with emphasis of early Epi. Working through respiratory emergency differentials to include anaphylaxis, asthma, choking (obstruction), poisoning, and infection.","date_published":"2025-01-01T14:00:00.000-07:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/872c0f5b-7d88-4a35-853f-dc8e137105b3.mp3","mime_type":"audio/mpeg","size_in_bytes":72231315,"duration_in_seconds":2250}]},{"id":"723e2e73-bd6f-4870-ae7c-acc2035ae0e5","title":"Episode 2: Episode 2: Heart Beats of Hope Part 2","url":"https://smfr-ems-podcast.fireside.fm/2","content_text":"“Hit at the wrong place at the wrong time.” This EMS Case Review Podcast covers a 16 year old rugby player that experienced Commotio cordis. The person was saved by early CPR \u0026amp; defibrillation while on a sports field. Dusty King hosts with Paramedic Andrew Faith and Dr. Jonathan Apfelbaum as guests.","content_html":"\u003cp\u003e“Hit at the wrong place at the wrong time.” This EMS Case Review Podcast covers a 16 year old rugby player that experienced Commotio cordis. The person was saved by early CPR \u0026amp; defibrillation while on a sports field. Dusty King hosts with Paramedic Andrew Faith and Dr. Jonathan Apfelbaum as guests.\u003c/p\u003e","summary":"“Hit at the wrong place at the wrong time.” This EMS Case Review Podcast covers a 16 year old rugby player that experienced Commotio cordis. The person was saved by early CPR \u0026 defibrillation while on a sports field.","date_published":"2024-08-12T16:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/723e2e73-bd6f-4870-ae7c-acc2035ae0e5.mp3","mime_type":"audio/mpeg","size_in_bytes":49199336,"duration_in_seconds":1536}]},{"id":"22f4e1fa-4559-4418-b4e1-9fe5f285ae2c","title":"Episode 1: Episode 1: Heart Beats of Hope Part 1","url":"https://smfr-ems-podcast.fireside.fm/1","content_text":"“Having a spark problem.” This EMS Case Review Podcast covers a 40s male with 50+ recurrent VTach \u0026amp; VFib episodes requiring ECMO and AICD. This person was saved by rapid initiation of bystander CPR \u0026amp; Arapahoe Deputies early defibrillation. Dusty King hosts this episode with Paramedic Aaron Worth and Dr. Jonathan Apfelbaum as guests.","content_html":"\u003cp\u003e“Having a spark problem.” This EMS Case Review Podcast covers a 40s male with 50+ recurrent VTach \u0026amp; VFib episodes requiring ECMO and AICD. This person was saved by rapid initiation of bystander CPR \u0026amp; Arapahoe Deputies early defibrillation. Dusty King hosts this episode with Paramedic Aaron Worth and Dr. Jonathan Apfelbaum as guests.\u003c/p\u003e","summary":"“Having a spark problem.” This EMS Case Review Podcast covers a 40s male with 50+ recurrent VTach \u0026 VFib episodes requiring ECMO and AICD. This person was saved by rapid initiation of bystander CPR \u0026 Arapahoe Deputies early defibrillation.","date_published":"2024-08-12T15:00:00.000-06:00","attachments":[{"url":"https://aphid.fireside.fm/d/1437767933/1c28740f-057f-4af2-8189-4e5ec397398b/22f4e1fa-4559-4418-b4e1-9fe5f285ae2c.mp3","mime_type":"audio/mpeg","size_in_bytes":41801197,"duration_in_seconds":1305}]}]}