Outside the Box: A Fire & EMS Podcast

Outside the Box: A Fire & EMS Podcast

Welcome to Outside the Box, a podcast that has evolved from its roots in EMS clinical excellence to a broader exploration of the topics, trends, and challenges surrounding the EMS industry today. Initially launched as a platform for driving clinical performance within emergency medical services, our journey has expanded to encompass a broader array of subjects that touch the lives and work of EMS professionals and beyond. We now delves into the intersections of healthcare, personal development, industry innovation, and the myriad professional experiences of the EMS world. Our conversations aim to enlighten, inspire, and empower our listeners by covering everything from the critical importance of first impressions in professional settings to leadership, mental health, technological advancements, and the cultural shifts within the EMS landscape. For our new clinically focused podcast, tune in to Sirens & Stethoscopes. New episodes will be released bi-weekly Apple Podcasts: https://tinyurl.com/3nreds6y Spotify: https://tinyurl.com/ybj6hs2m Amazon Music: https://tinyurl.com/2ndzraar iHeart Radio: https://tinyurl.com/424j8s2r

Episodes

September 30, 2025 38 mins

In this episode of Outside the Box, we dig into the art and the struggle of giving and receiving feedback. Leaders in fire and EMS know it is uncomfortable, but it is also essential for fostering growth, building trust, and cultivating a strong culture. From “you should know better” frustrations to timely, specific coaching, we unpack how feedback can build people up instead of breaking them down. We also flip the mirror on leaders...

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In this episode of Outside the Box, host Kevin sits down with Ret. Chief Ken Prillaman, a veteran fire service leader with nearly five decades of experience, to discuss something every leader needs to master: seizing opportunities.

From career growth to training, mentorship, and seizing the right moment to step up, this conversation explores why saying “yes” matters and how leaders can model opportunity-taking for their te...

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July 1, 2025 37 mins

In this episode of Outside the Box, we explore how Fire and EMS Leaders can intentionally shape workplace culture. Whether you lead a station, a shift, or a department, culture is happening whether you design it or not.

Our host, Kevin, sits down with returning guest and school principal Kathy, whose leadership in education mirrors many of the same challenges faced in fire and EMS, including limited resources, high turnover, and the...

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Welcome to this essential episode of "Outside the Box," where host Kevin and guest Ashley Stakes, a licensed professional counselor and former paramedic, explore the psychological impacts of traumatic stress experienced by first responders. Discover how traumatic events can overwhelm the coping capacities of those in emergency services, leading to conditions such as PTSD.

In this informative discussion, Ashley cl...

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October 23, 2024 30 mins

In this episode of "Outside the Box," join host Kevin and guest Ashley Stakes, a licensed professional counselor and former paramedic, as they discuss the critical issue of burnout among first responders. 

Ashley brings her dual expertise to illuminate the psychological and physiological impacts of stress and burnout in high-stress professions, particularly those in emergency services.

The discussion del...

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July 21, 2024 37 mins

In this episode of Outside the Box, Kevin is joined again by Mary to discuss the power of resilience and facing life's toughest challenges. Mary shares her journey from overcoming cancer twice and a difficult childhood to becoming a successful businesswoman. Despite her introverted nature and anxiety, she transitioned from a technical oil and gas role to a thriving real estate career.

Mary emphasizes the importance of seizing o...

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May 8, 2024 35 mins

In this episode of "Outside the Box," Kevin and guest Kathie Leverence explore the essential critical thinking and problem-solving skills in educational and emergency service contexts. With her rich experience in public education, Kathie discusses the parallels between teaching strategies for children and adults, highlighting the importance of developing these skills for functional decision-making.

Key topics inc...

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March 18, 2024 30 mins

In this episode of "Outside the Box," Kevin and his guest, Mary, reflect on the universal significance of first impressions and how they matter across vastly different industries. The conversation reveals the undeniable impact of presenting oneself with intention and professionalism, regardless of the field.

We explore the parallels between selling homes and providing emergency services, focusing on the critical ...

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February 5, 2024 33 mins

Welcome to another episode of "Outside the Box," the EMS podcast dedicated to enhancing clinical performance and more in Sugar Land and beyond. This week, we delve into a critical skill set every EMS provider and leader must master: making decisions. Not just any decisions, but the right ones, swiftly and confidently, even when the stakes are high and the information is limited.

Battalion Chief Dutch Schultz join...

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December 21, 2023 58 mins

In this episode of 'Outside the Box,' we go into the critical topics of setting standards, expectations, and embracing failure. Joining us is Adriel Ramirez, a former Marine and a local CrossFit gym owner, who shares his valuable perspectives and experiences.

Throughout the conversation, we explore the importance of establishing clear standards and their role in personal and professional development. Drawing from...

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December 6, 2023 71 mins

Welcome to another episode of the Outside the Box - EMS podcast, where we delve into the fascinating intersection of journalism and the Fire/EMS industry, bringing unique insights from the world of news reporting. Our special guest, Keith Garvin, an experienced local television news anchor and reporter, shares his journey from behind the camera to the frontline of news reporting. Dive into a discussion that uncovers the similaritie...

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November 21, 2023 31 mins

Welcome back to "Outside the Box," the podcast that sharpens your clinical judgment. In this episode, our host, Kevin, delves into the crucial topic of the Shock Index with special guest Dr. Amanda Humphreys, the Sugar Land Fire Department Medical Director. With her rich ground and air EMS background, Amanda brings an insightful perspective on this pivotal tool in patient assessment.

Tune in as we decode the Shoc...

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November 10, 2023 37 mins

In this episode of "Outside the Box," we sit down with Firefighter/ Paramedic Michael Dimitri to discuss the MARCH acronym — a critical approach for trauma patient assessment. Michael guides us through the life-saving techniques for handling massive bleeding, airway management, respiratory support, circulation, and hypothermia, along with the crucial identification of head injuries.

Listen as we delve into the nu...

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October 18, 2023 46 mins

In the latest episode of "Outside the Box," join Chief Kevin Leverence and Firefighter/ Paramedic Sean Lackey as they cover the complexities of asthma and other reactive airway diseases. They discuss the efficacy and application of treatments like Albuterol, Magnesium, and the emerging use of Ketamine in respiratory emergencies. Through the conversation, they shed light on some common questions and concerns faced by Param...

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September 25, 2023 57 mins

In this episode of "Outside the Box," Kevin dives into the world of effective education and training methodologies. Joined by education expert Jennifer Perry, they explore the intricacies of group instruction, the transformation to more personalized teaching approaches, and the pivotal role of instructional coaches. From her 22 years of teaching experience, Perry emphasizes the importance of vertical alignment across grad...

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September 12, 2023 56 mins

Welcome to another episode of "Outside the Box", where we delve into vital skills that can enhance clinical performance in the EMS sector. Join our host as he engages with Marcello Perez, a veteran in customer service with over 20 years in the insurance industry, in a candid discussion on the art of effective communication.

In this episode, Marcello shares wisdom from his career, drawing parallels between the EMS...

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September 1, 2023 74 mins

Welcome to another episode of "Outside the Box," our EMS podcast designed to elevate clinical performance within Sugarland. Chief Atripaldi, an accomplished combat medic, paramedic, firefighter, and educator, joins us as our distinguished guest in this installment. He places the spotlight on a fundamental yet often underestimated subject: ventilation. 
  
We explore the world of patient ventilation, where bag valv...

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August 14, 2023 53 mins

Welcome to the latest installment of Outside the Box! In today's episode, we're venturing beyond the clinical horizon into the dynamic realm of coaching, cuing, and feedback. Come along as we delve into proven techniques aimed at enriching our communication and bolstering support, not just within training and education but also on a personal level. Whether you're an experienced field training officer, a seasoned Para...

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August 1, 2023 33 mins

In this episode of "Outside the Box," we dive into the crucial topic of hemorrhage control, exploring various life-saving techniques, including the drug Tranexamic Acid (TXA).

Join us as we examine various hemorrhage control strategies utilized by pre-hospital teams. From tourniquets and hemostatic agents to quick-thinking interventions, we uncover the essential tools that can make all the difference in saving li...

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July 20, 2023 47 mins

In this episode of "Outside the Box," we delve into the EMS Education and Training world. Returning to our studio is the esteemed Jay Barrera, a passionate advocate for continuous learning, teaching, and mentoring. Jay shares his invaluable insights and embracing a "crawl, walk, run, sprint" approach. He highlights his ever-evolving teaching philosophy, dedicated to nurturing the cognitive, psychomotor, and affe...

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