Show overview
Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers has been publishing since 2020, and across the 6 years since has built a catalogue of 137 episodes, alongside 7 trailers or bonus episodes. That works out to roughly 85 hours of audio in total. Releases follow a monthly cadence.
Episodes typically run twenty to thirty-five minutes — most land between 21 min and 52 min — though episode length varies meaningfully from one episode to the next. The publisher flags most episodes as explicit, so expect adult themes or strong language throughout. It is catalogued as a EN-language Education show.
The show is actively publishing — the most recent episode landed yesterday, with 25 episodes already out so far this year. The busiest year was 2025, with 28 episodes published. Published by Ross Orpet, Paramedic turned EMS Physician.
From the publisher
Paramedic training is over, you’re in the front seat now. Whether day 1 or day 1,000 you can’t shake the fear you’re underprepared. You were taught to systematically decide if A... do B. But what if “A” wasn’t in the book? The truth is each emergency call is too unique to teach the right response to every situation. We need to go beyond algorithmic thinking and understand deeper principles, the WHY behind the algorithm. When every decision counts you want to rely on a framework that will guide you when things don’t make sense. Loud & Clear: EMS Guiding Principles is your resource to build that framework. Through discussions with experts, review of evidence-based best practices, and real-world case studies we teach you one step past what you learned in paramedic school. But all of this advanced education is connected back to the guiding principles that answer the question- “at the end of the day, what actually matters to the patient I have in front of me?” Our mission is to elevate your practice and help you improve patient outcomes in every emergency situation. You may not feel ready, you may not feel like you know enough, but by understanding the guiding principles of emergency medicine you can become an expert EMS clinician. Because what you do matters.Loud & Clear: EMS Guiding Principles is an EMS Cast LLC production
Latest Episodes
View all 137 episodesFrom Tractor Rollovers to Grain Entrapment: A Field Guide to Farm Emergencies
The First 60 Seconds After ROSC: How To Prevent Re-Arrest
Post-ROSC Care and Pacing: Prove the Perfusion
Burn Care in EMS: What Actually Matters in the First 15 Minutes
Readiness Beyond the Medicine: Neurodivergence, Pediatrics, and Better Communication
Heat Stroke: Recognition, Cooling, and Transport Decisions
The Pursuit of Mastery: Preparation, Mentorship, and Learning From Mistakes
Mass Casualty Readiness, Burn Decisions, and the Fundamentals That Save Lives
What the Evidence Really Says About Cervical Collars with Dr. Jeff Jarvis and Dr. Ben Abo
The Three Building Blocks of Trust in EMS
The Skill Is Not The Hard Part
Treat Mom First: Amniotic Fluid Embolus and Other Peri-partum Emergencies
Pressure Matters: Oxygenation vs. Ventilation in Pre-Oxygenation with Scott Weingart
Your Checklist Is Making You Worse: Why Pilots Use Checklists and Paramedics Don't
Pediatric Sepsis with Dr. Peter Antevy
How to Build Procedural Skills - That Actually Stick
How to Fail Better in EMS: A Framework for Growth
The Call Nobody Trained You For — Jim Schmidt on Domestic Violence Recognition
Great Mentors Shape Better Clinicians
Ep 113Frozen Fingers, Time Is Tissue: The Prehospital Approach to Frostbite
EFrostbite is more dangerous than it looks and easier to make worse than you think. In this episode, Ross and Will sit down with Dr. Greg Doctor, a wilderness medicine specialist and emergency physician practicing in the Colorado Rockies, to break down frostbite from the prehospital perspective. Greg walks through field assessment, when to rewarm vs. when to leave it alone, pain management, and when to bypass your local ED for a tertiary care center. Whether you’re running urban calls or wilderness rescues, you may see this and this episode will help inform how you approach cold injury. Want more? Subscribe to The Confidence Dispatch, our free weekly newsletter for paramedics who want to get 1% better every shift: → https://loudandclear.kit.com/d45b012fae Want to go even further? The Paramedic Confidence Builder is a year-long course and coaching community for new medics who want to close the gap between what school taught them and what the job actually demands. Not a lecture series. Not another CE you'll forget by your next shift. Real frameworks for clinical reasoning and mental performance. The stuff nobody teaches you in school. If that sounds like what you've been looking for, book a free 30-minute coaching call and we'll talk about whether it's the right fit. Even if it’s not we’ll give you actionable advice on the call so that you still walk away with something valuable: → calendly.com/d/cq38-87r-fkk/paramedic-confidence-builder