The World’s Okayest Medic Podcast

Saturday Coffee Talk (1/3/26)

Jan 3, 2026
Mike reflects on the podcast's six-year journey and the post-holiday return to routine. He shares his New Year's resolutions, including protecting PTO and avoiding workplace drama. A believer in prehospital ultrasound, he debunks myths about spinal immobilization and the need for proximity over prehospital blood products. Celebrating the shift towards prehospital blood use, he critiques the 2025 AHA updates and advises on handling toxic work cultures. Tune in for practical tips and insights into the complexities of EMS!
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ADVICE

Ignore Administrative Drama

  • Avoid getting pulled into administrative drama and focus on doing your job well.
  • Do not let petty command-staff conflicts steal your energy or mental health.
INSIGHT

Ultrasound Transforms Prehospital Care

  • Ultrasound in the field changes clinical decisions and destinations.
  • Mike argues ultrasound is more useful than even some advanced interventions in certain systems.
ADVICE

Stop Routinely Applying C-Collars

  • Follow your selective spinal immobilization protocols instead of reflexively applying C-collars.
  • Do not practice medicine based on fear of criticism; document protocol-based decisions.
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