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    • Cardiocast Series
      • CARDIOcast Part 1- The Basics
      • CARDIOcast Part 2 - The Narrows
    • Ep 42 - Harm Reduction for Substance Use Disorder
    • Ep 41 - EMS Grab bag
    • Ep 40 - CARDIOcast Part 2 - The Narrows
    • Ep 39 - EMS Education
    • Ep 38 - Adult Trauma
    • Ep 37 - Blood and Transfusion Medicine
    • Ep 36 - CARDIOcast for the EMT
    • Ep 35 - Mental Health in First Responders
    • Ep 33 - More Neonates
    • Ep 32 - Pharmacy
    • EMS Airways Series
      • Volume 1 - BLS Airway Management
      • Volume 2 - The Supraglottics
      • Volume 3 - Laryngoscopy
      • Volume 4 - The Surgical Airway
      • Volume 5 - Vents and Trachs
    • Ep 31 - EMS Airways - Vents and Trachs
    • Ep 30 - The Call Backs
    • Ep 29 - ECPR
    • Ep 28 - The New MCI
    • Ep 27 - EMS Airways - Surgical Airway
    • Ep 26 - Capnography
    • Ep 25 - Event Medicine
    • Ep 24 - EMS Airways - Laryngoscopy
    • Ep 23 - Neonatal Resuscitation
    • Ep 22 - Air Medical Care
    • Ep 21 - Field Termination and DOA
    • Ep 20 - EMS Airways - The Supraglottics
    • Ep 19 - Sexual Assault & Intimate Partner Violence
    • Ep 18 - Psych Emergencies
    • Ep 17 - STEMI and Interventional Cardiology
    • Ep 16 - EMS Airways - BLS Airway Management
    • Ep 15 - Cardiac Arrest Care
    • Ep 14 - Questions and Answers
    • Ep 13 - Shock
    • Ep 12 - Drugs in the Box
    • Ep 11 - Pediatrics
    • Ep 10 - EMS Documentation and Communication
    • Ep 9 - Sports Medicine
    • Ep 8 - Steroids and Dextrose
    • Ep 7 - Innovations in Resuscitation
    • Ep 6 - Tactical Medicine
    • Ep 5 - Stroke
    • Ep 4 - Toxicology
    • Ep 3 - Saving Our Own
    • Ep 2 - Ketamine / Operational Pharmacology
    • Ep 1 - CPAP
    • Roadshow
    • Ask A Podcast Question
    • The Studio
    • The Outtakes
  • Meet The Team
  • EMS Students
  • Mental Health
  • Great Cases
    • Status Epilepticus
    • GSW to Face
    • SVT
    • High Risk Refusal
    • Refusal with no English
    • Evolving Ischemia, The Sequel
    • Trauma with STEMI
    • Unstable SVT
    • Trismus in Cardiac Arrest
    • Quick Shock
    • Wellens Waves
    • Evolving Ischemia
    • CPR Induced Awareness
    • Cannot Save Everyone
    • Awesome Arrest Care
    • Great Anaphylaxis Care
    • Rockstar RSI
    • Confusing Code Status
    • Patient Refusal
    • AF with RVR sequel
    • STEMI Care
    • Peds Seizure
    • Agitation from Respiratory Failure
    • DKA
    • Major Trauma
    • Hypothermic Cardiac Arrest
    • Hypoglycemic Stroke
    • Great STEMI Care
    • Electrical Storm
    • GSW to the Head
    • Artifact
    • Slow V-Tach
    • Angioedema
    • Ketamine Induced SVT?
    • Patient Advocacy
    • Intentional Beta Blocker OD
    • Shock Care
    • Cardiogenic Shock Case
    • Repeat EKG's
    • Hypoxia Despite Ventilation
    • Treated But No Transport
    • Recurrent SVT
    • Anaphylactic Shock
    • Incomplete DNR Form
    • Central Line Access
    • Severe Respiratory Distress
    • Stab to the Face
    • A Pink Slip With Capacity?
    • Cardiac Arrest Save
    • Motorcycle vs. Car
    • Opioid Withdraw After Resuscitation
    • An Acute Stroke
    • Opioid Overdose
    • V-Tach
    • Unsteady Refusal - SDH
    • MVA - Trapped and Agitated
    • A-Fib w / RVR
    • STEMI Arrest
    • The Welfare Check
    • A Difficult Refusal
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  • Pharmacy
    • Alpha and Beta Receptors
    • Adenosine
    • Aerosol Administrations
    • Albuterol and Ipratropium
    • Amiodarone
    • Aspirin
    • Atropine
    • Atropine and Pralidoxime
    • Benzalkonium Chloride
    • Calcium Chloride
    • Calcium Gluconate
    • Cefazolin
    • CertaDose
    • Ciprofloxacin
    • Clopidogrel
    • Common Medications
    • Dextrose
    • Diazepam
    • Diphenhydramine
    • ED Pharmacists
    • Effects of Hurricane Helene and Milton
    • Empathy (Compassion)
    • Epinephrine 0.1mg/ml
    • Epinephrine 1mg/ml
    • Etomidate
    • Fentanyl
    • Glucagon
    • Haloperidol
    • Hemostatic Agents
    • Heparin
    • Hydromorphone
    • Hydroxocobalamin
    • Intramuscular Route
    • Intraosseous Route
    • Intravenous Route
    • Isopropyl Alcohol
    • Ketamine
    • Ketorolac
    • Kit Check
    • Labetalol
    • Lidocaine
    • Lorazepam
    • Magnesium Sulfate
    • Medication Errors
    • Medication Storage
    • Medications in Pregnancy
    • Methylprednisolone
    • Metoclopramide
    • Metoprolol
    • Midazolam
    • Morphine
    • Naloxone
    • Nitroglycerine
    • Nitrous Oxide
    • Normal Saline
    • Olanzapine
    • Ondansetron
    • Oral Glucose
    • Oxygen
    • Oxytocin
    • Pharmacokinetics and Pharmacodynamics
    • Protocol
    • Racemic Epinephrine
    • Rocuronium
    • Sodium Bicarbonate
    • Succinylcholine
    • Tetracaine
    • Ticagrelor
    • The "Six Rights"
    • Thiamine
    • Tranexamic Acid
    • Medication Routes
    • Push Dose Epinephrine
  • Historic CE
  • Equipment
    • Integration Videos
  • Protocol Education
  • EMS Documentation
  • UH TacMed
  • UH EMS
  • UH AIRMED
  • Firstnet
  • PPP Store
 
  • Home
    • Survey
    • Blood Drives
  • Earn Free CE
  • Podcast
    • Cardiocast Series
      • CARDIOcast Part 1- The Basics
      • CARDIOcast Part 2 - The Narrows
    • Ep 42 - Harm Reduction for Substance Use Disorder
    • Ep 41 - EMS Grab bag
    • Ep 40 - CARDIOcast Part 2 - The Narrows
    • Ep 39 - EMS Education
    • Ep 38 - Adult Trauma
    • Ep 37 - Blood and Transfusion Medicine
    • Ep 36 - CARDIOcast for the EMT
    • Ep 35 - Mental Health in First Responders
    • Ep 33 - More Neonates
    • Ep 32 - Pharmacy
    • EMS Airways Series
      • Volume 1 - BLS Airway Management
      • Volume 2 - The Supraglottics
      • Volume 3 - Laryngoscopy
      • Volume 4 - The Surgical Airway
      • Volume 5 - Vents and Trachs
    • Ep 31 - EMS Airways - Vents and Trachs
    • Ep 30 - The Call Backs
    • Ep 29 - ECPR
    • Ep 28 - The New MCI
    • Ep 27 - EMS Airways - Surgical Airway
    • Ep 26 - Capnography
    • Ep 25 - Event Medicine
    • Ep 24 - EMS Airways - Laryngoscopy
    • Ep 23 - Neonatal Resuscitation
    • Ep 22 - Air Medical Care
    • Ep 21 - Field Termination and DOA
    • Ep 20 - EMS Airways - The Supraglottics
    • Ep 19 - Sexual Assault & Intimate Partner Violence
    • Ep 18 - Psych Emergencies
    • Ep 17 - STEMI and Interventional Cardiology
    • Ep 16 - EMS Airways - BLS Airway Management
    • Ep 15 - Cardiac Arrest Care
    • Ep 14 - Questions and Answers
    • Ep 13 - Shock
    • Ep 12 - Drugs in the Box
    • Ep 11 - Pediatrics
    • Ep 10 - EMS Documentation and Communication
    • Ep 9 - Sports Medicine
    • Ep 8 - Steroids and Dextrose
    • Ep 7 - Innovations in Resuscitation
    • Ep 6 - Tactical Medicine
    • Ep 5 - Stroke
    • Ep 4 - Toxicology
    • Ep 3 - Saving Our Own
    • Ep 2 - Ketamine / Operational Pharmacology
    • Ep 1 - CPAP
    • Roadshow
    • Ask A Podcast Question
    • The Studio
    • The Outtakes
  • Meet The Team
  • EMS Students
  • Mental Health
  • Great Cases
    • Status Epilepticus
    • GSW to Face
    • SVT
    • High Risk Refusal
    • Refusal with no English
    • Evolving Ischemia, The Sequel
    • Trauma with STEMI
    • Unstable SVT
    • Trismus in Cardiac Arrest
    • Quick Shock
    • Wellens Waves
    • Evolving Ischemia
    • CPR Induced Awareness
    • Cannot Save Everyone
    • Awesome Arrest Care
    • Great Anaphylaxis Care
    • Rockstar RSI
    • Confusing Code Status
    • Patient Refusal
    • AF with RVR sequel
    • STEMI Care
    • Peds Seizure
    • Agitation from Respiratory Failure
    • DKA
    • Major Trauma
    • Hypothermic Cardiac Arrest
    • Hypoglycemic Stroke
    • Great STEMI Care
    • Electrical Storm
    • GSW to the Head
    • Artifact
    • Slow V-Tach
    • Angioedema
    • Ketamine Induced SVT?
    • Patient Advocacy
    • Intentional Beta Blocker OD
    • Shock Care
    • Cardiogenic Shock Case
    • Repeat EKG's
    • Hypoxia Despite Ventilation
    • Treated But No Transport
    • Recurrent SVT
    • Anaphylactic Shock
    • Incomplete DNR Form
    • Central Line Access
    • Severe Respiratory Distress
    • Stab to the Face
    • A Pink Slip With Capacity?
    • Cardiac Arrest Save
    • Motorcycle vs. Car
    • Opioid Withdraw After Resuscitation
    • An Acute Stroke
    • Opioid Overdose
    • V-Tach
    • Unsteady Refusal - SDH
    • MVA - Trapped and Agitated
    • A-Fib w / RVR
    • STEMI Arrest
    • The Welfare Check
    • A Difficult Refusal
  • Med Directors
    • Stroke Letter
    • August 2025
    • July 2025
    • June 2025
    • May 2025
    • April 2025
    • March 2025
    • February 2025
    • January 2025
    • December 2024
    • November 2024
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    • September 2021
    • August 2021
    • July 2021
    • June 2021
    • May 2021
    • April 2021
    • March 2021
    • February 2021
    • January 2021
  • Pharmacy
    • Alpha and Beta Receptors
    • Adenosine
    • Aerosol Administrations
    • Albuterol and Ipratropium
    • Amiodarone
    • Aspirin
    • Atropine
    • Atropine and Pralidoxime
    • Benzalkonium Chloride
    • Calcium Chloride
    • Calcium Gluconate
    • Cefazolin
    • CertaDose
    • Ciprofloxacin
    • Clopidogrel
    • Common Medications
    • Dextrose
    • Diazepam
    • Diphenhydramine
    • ED Pharmacists
    • Effects of Hurricane Helene and Milton
    • Empathy (Compassion)
    • Epinephrine 0.1mg/ml
    • Epinephrine 1mg/ml
    • Etomidate
    • Fentanyl
    • Glucagon
    • Haloperidol
    • Hemostatic Agents
    • Heparin
    • Hydromorphone
    • Hydroxocobalamin
    • Intramuscular Route
    • Intraosseous Route
    • Intravenous Route
    • Isopropyl Alcohol
    • Ketamine
    • Ketorolac
    • Kit Check
    • Labetalol
    • Lidocaine
    • Lorazepam
    • Magnesium Sulfate
    • Medication Errors
    • Medication Storage
    • Medications in Pregnancy
    • Methylprednisolone
    • Metoclopramide
    • Metoprolol
    • Midazolam
    • Morphine
    • Naloxone
    • Nitroglycerine
    • Nitrous Oxide
    • Normal Saline
    • Olanzapine
    • Ondansetron
    • Oral Glucose
    • Oxygen
    • Oxytocin
    • Pharmacokinetics and Pharmacodynamics
    • Protocol
    • Racemic Epinephrine
    • Rocuronium
    • Sodium Bicarbonate
    • Succinylcholine
    • Tetracaine
    • Ticagrelor
    • The "Six Rights"
    • Thiamine
    • Tranexamic Acid
    • Medication Routes
    • Push Dose Epinephrine
  • Historic CE
  • Equipment
    • Integration Videos
  • Protocol Education
  • EMS Documentation
  • UH TacMed
  • UH EMS
  • UH AIRMED
  • Firstnet
  • PPP Store
  • More
    • Home
      • Survey
      • Blood Drives
    • Earn Free CE
    • Podcast
      • Cardiocast Series
        • CARDIOcast Part 1- The Basics
        • CARDIOcast Part 2 - The Narrows
      • Ep 42 - Harm Reduction for Substance Use Disorder
      • Ep 41 - EMS Grab bag
      • Ep 40 - CARDIOcast Part 2 - The Narrows
      • Ep 39 - EMS Education
      • Ep 38 - Adult Trauma
      • Ep 37 - Blood and Transfusion Medicine
      • Ep 36 - CARDIOcast for the EMT
      • Ep 35 - Mental Health in First Responders
      • Ep 33 - More Neonates
      • Ep 32 - Pharmacy
      • EMS Airways Series
        • Volume 1 - BLS Airway Management
        • Volume 2 - The Supraglottics
        • Volume 3 - Laryngoscopy
        • Volume 4 - The Surgical Airway
        • Volume 5 - Vents and Trachs
      • Ep 31 - EMS Airways - Vents and Trachs
      • Ep 30 - The Call Backs
      • Ep 29 - ECPR
      • Ep 28 - The New MCI
      • Ep 27 - EMS Airways - Surgical Airway
      • Ep 26 - Capnography
      • Ep 25 - Event Medicine
      • Ep 24 - EMS Airways - Laryngoscopy
      • Ep 23 - Neonatal Resuscitation
      • Ep 22 - Air Medical Care
      • Ep 21 - Field Termination and DOA
      • Ep 20 - EMS Airways - The Supraglottics
      • Ep 19 - Sexual Assault & Intimate Partner Violence
      • Ep 18 - Psych Emergencies
      • Ep 17 - STEMI and Interventional Cardiology
      • Ep 16 - EMS Airways - BLS Airway Management
      • Ep 15 - Cardiac Arrest Care
      • Ep 14 - Questions and Answers
      • Ep 13 - Shock
      • Ep 12 - Drugs in the Box
      • Ep 11 - Pediatrics
      • Ep 10 - EMS Documentation and Communication
      • Ep 9 - Sports Medicine
      • Ep 8 - Steroids and Dextrose
      • Ep 7 - Innovations in Resuscitation
      • Ep 6 - Tactical Medicine
      • Ep 5 - Stroke
      • Ep 4 - Toxicology
      • Ep 3 - Saving Our Own
      • Ep 2 - Ketamine / Operational Pharmacology
      • Ep 1 - CPAP
      • Roadshow
      • Ask A Podcast Question
      • The Studio
      • The Outtakes
    • Meet The Team
    • EMS Students
    • Mental Health
    • Great Cases
      • Status Epilepticus
      • GSW to Face
      • SVT
      • High Risk Refusal
      • Refusal with no English
      • Evolving Ischemia, The Sequel
      • Trauma with STEMI
      • Unstable SVT
      • Trismus in Cardiac Arrest
      • Quick Shock
      • Wellens Waves
      • Evolving Ischemia
      • CPR Induced Awareness
      • Cannot Save Everyone
      • Awesome Arrest Care
      • Great Anaphylaxis Care
      • Rockstar RSI
      • Confusing Code Status
      • Patient Refusal
      • AF with RVR sequel
      • STEMI Care
      • Peds Seizure
      • Agitation from Respiratory Failure
      • DKA
      • Major Trauma
      • Hypothermic Cardiac Arrest
      • Hypoglycemic Stroke
      • Great STEMI Care
      • Electrical Storm
      • GSW to the Head
      • Artifact
      • Slow V-Tach
      • Angioedema
      • Ketamine Induced SVT?
      • Patient Advocacy
      • Intentional Beta Blocker OD
      • Shock Care
      • Cardiogenic Shock Case
      • Repeat EKG's
      • Hypoxia Despite Ventilation
      • Treated But No Transport
      • Recurrent SVT
      • Anaphylactic Shock
      • Incomplete DNR Form
      • Central Line Access
      • Severe Respiratory Distress
      • Stab to the Face
      • A Pink Slip With Capacity?
      • Cardiac Arrest Save
      • Motorcycle vs. Car
      • Opioid Withdraw After Resuscitation
      • An Acute Stroke
      • Opioid Overdose
      • V-Tach
      • Unsteady Refusal - SDH
      • MVA - Trapped and Agitated
      • A-Fib w / RVR
      • STEMI Arrest
      • The Welfare Check
      • A Difficult Refusal
    • Med Directors
      • Stroke Letter
      • August 2025
      • July 2025
      • June 2025
      • May 2025
      • April 2025
      • March 2025
      • February 2025
      • January 2025
      • December 2024
      • November 2024
      • October 2024
      • September 2024
      • August 2024
      • July 2024
      • June 2024
      • May 2024
      • April 2024
      • March 2024
      • February 2024
      • January 2024
      • December 2023
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      • October 2023
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      • August 2023
      • July 2023
      • June 2023
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      • January 2023
      • December 2022
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      • October 2022
      • September 2022
      • August 2022
      • July 2022
      • June 2022
      • May 2022
      • April 2022
      • March 2022
      • February 2022
      • January 2022
      • December 2021
      • November 2021
      • October 2021
      • September 2021
      • August 2021
      • July 2021
      • June 2021
      • May 2021
      • April 2021
      • March 2021
      • February 2021
      • January 2021
    • Pharmacy
      • Alpha and Beta Receptors
      • Adenosine
      • Aerosol Administrations
      • Albuterol and Ipratropium
      • Amiodarone
      • Aspirin
      • Atropine
      • Atropine and Pralidoxime
      • Benzalkonium Chloride
      • Calcium Chloride
      • Calcium Gluconate
      • Cefazolin
      • CertaDose
      • Ciprofloxacin
      • Clopidogrel
      • Common Medications
      • Dextrose
      • Diazepam
      • Diphenhydramine
      • ED Pharmacists
      • Effects of Hurricane Helene and Milton
      • Empathy (Compassion)
      • Epinephrine 0.1mg/ml
      • Epinephrine 1mg/ml
      • Etomidate
      • Fentanyl
      • Glucagon
      • Haloperidol
      • Hemostatic Agents
      • Heparin
      • Hydromorphone
      • Hydroxocobalamin
      • Intramuscular Route
      • Intraosseous Route
      • Intravenous Route
      • Isopropyl Alcohol
      • Ketamine
      • Ketorolac
      • Kit Check
      • Labetalol
      • Lidocaine
      • Lorazepam
      • Magnesium Sulfate
      • Medication Errors
      • Medication Storage
      • Medications in Pregnancy
      • Methylprednisolone
      • Metoclopramide
      • Metoprolol
      • Midazolam
      • Morphine
      • Naloxone
      • Nitroglycerine
      • Nitrous Oxide
      • Normal Saline
      • Olanzapine
      • Ondansetron
      • Oral Glucose
      • Oxygen
      • Oxytocin
      • Pharmacokinetics and Pharmacodynamics
      • Protocol
      • Racemic Epinephrine
      • Rocuronium
      • Sodium Bicarbonate
      • Succinylcholine
      • Tetracaine
      • Ticagrelor
      • The "Six Rights"
      • Thiamine
      • Tranexamic Acid
      • Medication Routes
      • Push Dose Epinephrine
    • Historic CE
    • Equipment
      • Integration Videos
    • Protocol Education
    • EMS Documentation
    • UH TacMed
    • UH EMS
    • UH AIRMED
    • Firstnet
    • PPP Store

This Month's Podcast

Harm Reduction in Opioid Use Disorder

Thrive 4 Change Overdose Awareness Weekend August 29-31

Free Mail Order Naloxone and Fentanyl Test Strips

About Prehospital Paradigm

Prehospital Paradigm is dedicated to the education of all providers in the prehospital care of patients. This endeavor was started by John Hill, MD, Scott Wildenheim, Paramedic, Caleb Ferroni, Paramedic, and Ray Pace, Paramedic, with the release of the first podcast in 2023. The Prehospital Paradigm Podcast was the original focus of this group. We then expanded the Prehospital Paradigm to include all the various publications and trainings provided under the UH EMS umbrella, and to begin to seek out collaborators for additional content for this site. This umbrella vision will include all FOAMed produced by UH EMS.

We work with The University Hospitals EMS Training & Disaster Preparedness Institute which is dedicated to all facets of emergency services and provides unparalleled emergency care throughout our community hospitals. They support Fire Departments, Special Rescue Teams, and EMS Agencies across northern Ohio by providing initial and continuing education in all disciplines. They provide area Firefighters, EMS, and Hospital Workers with access to the finest initial training and continuing education through cutting-edge classroom courses, physician lectures, and instructor-prepared online education solutions.

GIVE BLOOD

We have partnered with Vitalant Blood Donation to increase the blood supply in Northeast Ohio, ensuring that hospitals and patients have the lifesaving resources they need. Every unit of blood can save up to three lives, making blood donation one of the most impactful ways to support those in critical need and help treat trauma patients, neonates, individuals undergoing surgery, and those with chronic illnesses like cancer and blood disorders. ​

Earn Free Ohio EMS CE for Watching or Listening

Whether you are a seasoned EMS provider or just starting your career, we have courses designed to meet your learning needs and help you stay up to date with the ever-evolving EMS education.  Sign up for free on our education platform. Watch or listen to the episode on YouTube or your favorite podcast app. Pass the episode quiz with an 80% or better and receive an Ohio EMS continuing education certificate for 1 hour.  

Have A Question You Want Answered?

If you can't tune into the live show on the fourth Monday of each month and you have a question you want answered, we have you covered. We plan to have some bonus episodes every few months where we answer all of your questions. Click here to send us your question 

Upcoming Events and Trainings

Emergency Medical Technician

EMTs have the basic knowledge and skills necessary to stabilize and transport emergent patients.  Register here.

Paramedic

This course meets State of Ohio Paramedic curriculum requirements and follows national education guidelines.  Register here.

Flight Medical Provider

This course will prepare students to pass the Flight Paramedic Certification, Critical Care Paramedic Certification , or the Certified Flight Registered Nurse exams.  Register here.

What is FOAMed

FOAMed stands for Free Open Access Medical Education and is a collection of open-access medical education resources created to augment traditionally published educational materials such as textbooks and journal articles 

UH EMS Institute

Link to University Hospitals EMS Training and Disaster Preparedness Institute, the umbrella UH EMS Medical Control.

https://uhems.org/

UH Airmed

Link to UH Airmed, University Hospitals Air and Ground transport services.

https://www.uhairmed.org/ 

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