The World’s Okayest Medic Podcast

Mike Carunchio
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Sep 26, 2025 • 41min

The EMT's Perspective

Explore the dynamic world of EMTs and medics as guests discuss frustrations with attitudes and the impact on patient care. Discover how medic laziness can lead to incomplete assessments in critical situations. The importance of professional appearance and communication in building trust with patients is highlighted. Generational differences in feedback styles and concerns about the evolving quality of EMT training post-COVID are also examined. The need for mutual respect and collaboration in emergency services is emphasized throughout the engaging conversation.
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Sep 24, 2025 • 49min

@PulmToilet's Crusade Against SCAPE and High-Dose Nitroglycerin

Dr. Nick Ghionni, a pulmonologist known as @PulmToilet, dives into the controversial diagnosis of SCAPE, questioning its validity and origins. He clarifies that SCAPE is often a hypertensive emergency with pulmonary edema rather than a unique condition. Discussing the dangers of high-dose nitroglycerin, he highlights misconceptions and recommends safer alternatives like CPAP and sublingual nitro. Dr. Ghionni calls for better evidence in EMS protocols and shares insights on the common misidentification of conditions in prehospital care.
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Sep 21, 2025 • 27min

Sunday Coffee Talk (9/21/25)

In this engaging discussion, the hosts tackle the perils of inappropriate OB transfers and the crucial policies that protect laboring patients. They explore the risks faced during transport, including assessing labor signs and the dangers of delivering in non-hospital settings. The conversation shifts to the importance of situational awareness in emergency response, emphasizing accountability within organizations. Ultimately, they challenge listeners to uphold high standards in medical practice and maintain vigilance for patient safety.
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Sep 19, 2025 • 54min

Debriefing the New England Whole Blood Summit

Listener discretion is advised. Dr. Steve Wood and Paramedic Ryan Mueller come on to debrief the New England Whole Blood Summit and talk about all things prehospital blood (and politics.....blood politics...not world politics)...
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Sep 17, 2025 • 0sec

LIVE at Crash and Learn with the HLTH Crew

Join Mike Boone, Founder of the Crash and Learn conference and co-host of Heavy Lies the Helmet podcast, as he shares insights from a lively outdoor recording. They discuss the magic of no-PowerPoint talks, which foster real connections. The beautiful West Virginia location enhances learning, while the "Sim Till You Puke" intensity pushes crews in realistic scenarios. Mike emphasizes the importance of community, networking, and authentic presentations that truly resonate, making this gathering a unique experience for flight and EMS clinicians alike.
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Sep 13, 2025 • 32min

Saturday Morning Coffee Talk (9/13/25)

Listener discretion is advised.
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Sep 9, 2025 • 1h 12min

Community Paramedics: Sam Magill and Cody Winniford

Listener discretion is advised. @medicmagill and @ordinaryopsmedic come on to the podcast and discuss a topic I know absolutely nothing about: community paramedicine.
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Sep 6, 2025 • 29min

Saturday Morning Coffee Talk (9/6/25)

Explore the vital advantages of video laryngoscopy and its role in modern intubation practices. Discover humorous and frustrating tales of dealing with incompetent supervisors in high-stakes environments. Learn about the importance of maintaining professionalism and clear communication during stressful medical calls. Dive into the tension between technology and personal patient interactions in emergency care, emphasizing the need for human connection while navigating modern demands.
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Sep 4, 2025 • 43min

Precepting, Orientation (and More) with Kayla Katt

Kayla Katt, an experienced EMS provider with over 11 years in the field, shares her wisdom on precepting and the realities facing new EMS professionals. She discusses the evolving methods of training, advocating for empathy over authoritarianism. Pressure in emergency medicine, especially during airway management, is explored, emphasizing patient safety. Katt highlights the importance of building a supportive environment for new recruits and delves into the unique challenges of flight medicine, where adaptability is essential.
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Aug 29, 2025 • 0sec

Yes, That Wide Complex Tach is Probably VT

Delve into the complexities of diagnosing ventricular tachycardia, where misdiagnoses can have serious implications. The discussion emphasizes the need for emergency providers to confidently identify VTAC in symptomatic patients. Listeners learn about historical perspectives and current algorithms for differentiating wide complex tachycardias. It’s a deep dive into critical decision-making that can save lives, making it a must-listen for those in the medical field.

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