web02.fireside.fm Mon, 25 May 2026 18:51:04 -0500 Fireside (https://fireside.fm) https://smfr-ems-podcast.fireside.fm/tags/south%20metro%20fire Wed, 01 Apr 2026 08:00:00 -0600 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. From 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. Join 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. en-us episodic Welcome to South Metro Fire Rescue's Emergency Medical Services Podcast. SMFR Communications 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. From 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. Join 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. no south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire SMFR Communications piogroup@southmetro.org https://smfr-ems-podcast.fireside.fm/26 2d77a3ad-4d4d-421a-a6ad-5fc5d55f5008 Wed, 01 Apr 2026 08:00:00 -0600 SMFR Communications full SMFR Communications In this episode, Dusty King and Medical Director Jonathan Apfelbaum break down adenosine in a practical, field-ready way. They review how the medication works at the AV node, when it is appropriate for narrow-complex regular tachycardia, and why Wolff-Parkinson-White (WPW) does not automatically rule it out. 20:40 no <p>In this episode, Dusty King and Medical Director Jonathan Apfelbaum break down adenosine in a practical, field-ready way. They review how the medication works at the AV node, when it is appropriate for narrow-complex regular tachycardia, and why Wolff-Parkinson-White (WPW) does not automatically rule it out. The conversation also highlights patient preparation, what to expect after administration, key contraindication concerns, and how to think through WPW with atrial fibrillation versus regular Supraventricular Tachycardia (SVT). </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire In this episode, Dusty King and Medical Director Jonathan Apfelbaum break down adenosine in a practical, field-ready way. They review how the medication works at the AV node, when it is appropriate for narrow-complex regular tachycardia, and why Wolff-Parkinson-White (WPW) does not automatically rule it out. The conversation also highlights patient preparation, what to expect after administration, key contraindication concerns, and how to think through WPW with atrial fibrillation versus regular Supraventricular Tachycardia (SVT).

]]> In this episode, Dusty King and Medical Director Jonathan Apfelbaum break down adenosine in a practical, field-ready way. They review how the medication works at the AV node, when it is appropriate for narrow-complex regular tachycardia, and why Wolff-Parkinson-White (WPW) does not automatically rule it out. The conversation also highlights patient preparation, what to expect after administration, key contraindication concerns, and how to think through WPW with atrial fibrillation versus regular Supraventricular Tachycardia (SVT).

]]> https://smfr-ems-podcast.fireside.fm/25 b67579c4-a6da-441d-b658-92b496cac60b Sun, 01 Mar 2026 08:00:00 -0700 SMFR Communications full SMFR Communications In this episode of the South Metro EMS Podcast, “Blood on Board,” EMS Lieutenant Dusty King sits down with EMS Battalion Chief Glenn Maxson (Med 1) and Medical Director Dr. Jonathan Apfelbaum to break down SMFR’s prehospital blood program from the street level to the system impact. 23:11 no <p>In this episode of the South Metro EMS Podcast, “Blood on Board,” EMS Lieutenant Dusty King sits down with EMS Battalion Chief Glenn Maxson (Med 1) and Medical Director Dr. Jonathan Apfelbaum to break down SMFR’s prehospital blood program from the street level to the system impact. Using a recent trauma call as the anchor, they discuss how crews identify “blood calls,” why a brief on-scene delay can be worth it to get blood started sooner, and how blood integrates seamlessly with high-performance trauma care, including airway management and RSI when needed. They also cover the why behind pairing blood with TXA and calcium, walk through the field setup (cooler, warmer, pump, pressure bag), and share early program outcomes showing improved survival and downstream resource benefits. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire In this episode of the South Metro EMS Podcast, “Blood on Board,” EMS Lieutenant Dusty King sits down with EMS Battalion Chief Glenn Maxson (Med 1) and Medical Director Dr. Jonathan Apfelbaum to break down SMFR’s prehospital blood program from the street level to the system impact. Using a recent trauma call as the anchor, they discuss how crews identify “blood calls,” why a brief on-scene delay can be worth it to get blood started sooner, and how blood integrates seamlessly with high-performance trauma care, including airway management and RSI when needed. They also cover the why behind pairing blood with TXA and calcium, walk through the field setup (cooler, warmer, pump, pressure bag), and share early program outcomes showing improved survival and downstream resource benefits.

]]> In this episode of the South Metro EMS Podcast, “Blood on Board,” EMS Lieutenant Dusty King sits down with EMS Battalion Chief Glenn Maxson (Med 1) and Medical Director Dr. Jonathan Apfelbaum to break down SMFR’s prehospital blood program from the street level to the system impact. Using a recent trauma call as the anchor, they discuss how crews identify “blood calls,” why a brief on-scene delay can be worth it to get blood started sooner, and how blood integrates seamlessly with high-performance trauma care, including airway management and RSI when needed. They also cover the why behind pairing blood with TXA and calcium, walk through the field setup (cooler, warmer, pump, pressure bag), and share early program outcomes showing improved survival and downstream resource benefits.

]]> https://smfr-ems-podcast.fireside.fm/24 ffd33844-9472-4153-9992-8b4dcf0467b5 Sun, 01 Feb 2026 07:00:00 -0700 SMFR Communications full SMFR Communications In this episode of Real Calls. Real Conversations. Real EMS., we take you into the cadaver lab at Link to Learn for a real-time look at managing difficult airways. 22:54 no <p>In this episode of Real Calls. Real Conversations. Real EMS., we take you into the cadaver lab at Link to Learn for a real-time look at managing difficult airways. We break down airway assessment, first-pass success, SALAD suction technique, bougie vs rigid stylet use, and how to adjust tools and approach based on patient anatomy, not provider comfort. The focus stays where it belongs: oxygenation, ventilation, and minimizing hypoxia while adapting in real time. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire In this episode of Real Calls. Real Conversations. Real EMS., we take you into the cadaver lab at Link to Learn for a real-time look at managing difficult airways. We break down airway assessment, first-pass success, SALAD suction technique, bougie vs rigid stylet use, and how to adjust tools and approach based on patient anatomy, not provider comfort. The focus stays where it belongs: oxygenation, ventilation, and minimizing hypoxia while adapting in real time.

]]> In this episode of Real Calls. Real Conversations. Real EMS., we take you into the cadaver lab at Link to Learn for a real-time look at managing difficult airways. We break down airway assessment, first-pass success, SALAD suction technique, bougie vs rigid stylet use, and how to adjust tools and approach based on patient anatomy, not provider comfort. The focus stays where it belongs: oxygenation, ventilation, and minimizing hypoxia while adapting in real time.

]]> https://smfr-ems-podcast.fireside.fm/23 edf5928c-c649-4313-98c2-bb75fc292078 Mon, 01 Dec 2025 08:00:00 -0700 SMFR Communications full SMFR Communications 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. 27:52 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/22 e9957240-1637-458e-aea0-2c75cd1c652e Mon, 03 Nov 2025 09:00:00 -0700 SMFR Communications full SMFR Communications This episode takes a closer look at geriatric care, why “minor” complaints aren’t always minor, and how small misses can become big problems. 24:42 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/21 37f8c91a-d60f-46ae-92ed-960c7024ddae Wed, 01 Oct 2025 04:00:00 -0600 SMFR Communications full SMFR Communications 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. 31:12 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/20 26bd6995-7d00-48fa-b8c2-aa2d50e1a3de Mon, 01 Sep 2025 03:00:00 -0600 SMFR Communications full SMFR Communications 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. 23:29 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/19 989017c6-04ad-4d2c-9fe8-235b08fcd532 Fri, 01 Aug 2025 06:00:00 -0600 SMFR Communications full SMFR Communications 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 26:23 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/18 94aeff70-d69c-44dc-b271-101bd0755462 Fri, 01 Aug 2025 05:00:00 -0600 SMFR Communications full SMFR Communications 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. 20:47 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/17 2123a510-678a-4ac6-9e31-2c9a14b392a6 Thu, 31 Jul 2025 09:00:00 -0600 SMFR Communications full SMFR Communications 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. 21:22 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/16 e583871e-5d1c-4b8f-b9c7-4a5473667471 Thu, 31 Jul 2025 08:00:00 -0600 SMFR Communications full SMFR Communications 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. 31:40 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/15 0f60de90-bfb3-4356-8282-80b2d44cec68 Thu, 12 Jun 2025 09:00:00 -0600 SMFR Communications full SMFR Communications 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. 32:09 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/14 ed526145-8c1c-4153-9123-0ce24a98ff52 Thu, 12 Jun 2025 08:00:00 -0600 SMFR Communications full SMFR Communications 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. 29:30 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/13 77a5fcd2-d5b9-416e-b24e-d1e272bf3f33 Wed, 30 Apr 2025 15:00:00 -0600 SMFR Communications full SMFR Communications 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. 22:53 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/12 7a1fab9b-343c-4a68-8d86-8205f8360396 Wed, 30 Apr 2025 15:00:00 -0600 SMFR Communications full SMFR Communications This episode will review real-life incidents where ultrasound changed the course of treatment, from routine protocol to advanced applications in critical care. 19:05 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/11 9602024b-c083-40ff-abb6-783a1ef8ac2c Sun, 13 Apr 2025 14:00:00 -0600 SMFR Communications full SMFR Communications 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. 13:25 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/10 5625a9aa-1087-4c5a-8563-e76009160d19 Sun, 13 Apr 2025 13:00:00 -0600 SMFR Communications full SMFR Communications 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. 24:35 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/9 bb5b4eec-9d1c-4bc3-ae06-f5e00cac2706 Sun, 13 Apr 2025 12:00:00 -0600 SMFR Communications full SMFR Communications 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). 20:17 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/8 d0ef378a-531a-454a-af69-15e465cc7d4e Sun, 13 Apr 2025 11:00:00 -0600 SMFR Communications full SMFR Communications 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). 21:54 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/7 e7a64316-a36b-47b7-aed7-89bc3fb3dfc6 Sun, 13 Apr 2025 10:00:00 -0600 SMFR Communications full SMFR Communications 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. 23:52 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/6 5127085a-888c-440c-9b30-e4e47650f217 Sun, 13 Apr 2025 09:00:00 -0600 SMFR Communications full SMFR Communications 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. 23:10 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/5 a7c19a49-9f36-4079-bf81-4d36bf317f54 Sun, 13 Apr 2025 08:00:00 -0600 SMFR Communications full SMFR Communications 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. 29:42 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/4 a566eff1-d868-4642-a0a5-8f7e29bd1aa5 Wed, 01 Jan 2025 15:00:00 -0700 SMFR Communications full SMFR Communications 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. 20:51 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/3 872c0f5b-7d88-4a35-853f-dc8e137105b3 Wed, 01 Jan 2025 14:00:00 -0700 SMFR Communications full SMFR Communications 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. 37:30 no <p>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. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire 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.

]]> 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.

]]> https://smfr-ems-podcast.fireside.fm/2 723e2e73-bd6f-4870-ae7c-acc2035ae0e5 Mon, 12 Aug 2024 16:00:00 -0600 SMFR Communications full SMFR Communications “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 & defibrillation while on a sports field. 25:36 no <p>“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 &amp; defibrillation while on a sports field. Dusty King hosts with Paramedic Andrew Faith and Dr. Jonathan Apfelbaum as guests. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire “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 & defibrillation while on a sports field. Dusty King hosts with Paramedic Andrew Faith and Dr. Jonathan Apfelbaum as guests.

]]> “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 & defibrillation while on a sports field. Dusty King hosts with Paramedic Andrew Faith and Dr. Jonathan Apfelbaum as guests.

]]> https://smfr-ems-podcast.fireside.fm/1 22f4e1fa-4559-4418-b4e1-9fe5f285ae2c Mon, 12 Aug 2024 15:00:00 -0600 SMFR Communications full SMFR Communications “Having a spark problem.” This EMS Case Review Podcast covers a 40s male with 50+ recurrent VTach & VFib episodes requiring ECMO and AICD. This person was saved by rapid initiation of bystander CPR & Arapahoe Deputies early defibrillation. 21:45 no <p>“Having a spark problem.” This EMS Case Review Podcast covers a 40s male with 50+ recurrent VTach &amp; VFib episodes requiring ECMO and AICD. This person was saved by rapid initiation of bystander CPR &amp; Arapahoe Deputies early defibrillation. Dusty King hosts this episode with Paramedic Aaron Worth and Dr. Jonathan Apfelbaum as guests. </p> south metro fire rescue, south metro, smfr ems, smfr ems podcast, ems, emergency medical services, fire service, south metro fire “Having a spark problem.” This EMS Case Review Podcast covers a 40s male with 50+ recurrent VTach & VFib episodes requiring ECMO and AICD. This person was saved by rapid initiation of bystander CPR & Arapahoe Deputies early defibrillation. Dusty King hosts this episode with Paramedic Aaron Worth and Dr. Jonathan Apfelbaum as guests.

]]> “Having a spark problem.” This EMS Case Review Podcast covers a 40s male with 50+ recurrent VTach & VFib episodes requiring ECMO and AICD. This person was saved by rapid initiation of bystander CPR & Arapahoe Deputies early defibrillation. Dusty King hosts this episode with Paramedic Aaron Worth and Dr. Jonathan Apfelbaum as guests.

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