EMS Clinical Brief
EMS Clinical Brief is a focused, evidence-driven podcast that translates the science of emergency medicine into practical decision-making for prehospital clinicians. The series explores how evidence, clinical expertise, patient values, and system design intersect in real-world EMS care. Episodes emphasize patient-centered approaches, clinical judgment, and quality improvement—moving beyond protocols to examine how and why we make decisions in the field, and how those decisions shape outcomes.
Episodes
What does it really take to administer pediatric medications safely in EMS—and what can go wrong even when clinicians use cognitive aids? Host Maia Dorsett interviews Bryan Harmer, a paramedic researcher and expert in pediatric medication safety who has used simulation to directly observe and characterize medication errors. Together, they unpack the often-overlooked microskills involved in pediatric medication administration,...
Hospital pre-notification can directly influence how quickly patients receive time-sensitive care. In this episode of the EMS Clinical Brief, host Maia Dorsett is joined by Tyler LeMay and Jennifer McLymond to explore pre-notification as a clinical intervention, focusing on patients whose next critical treatment requires resources beyond the ambulance—including those with suspected occlusion myocardial infarction, stroke, and...
In this episode of the EMS Clinical Brief, host Maia Dorsett interviews Amelia Breyre, an emergency physician, EMS physician, and EMS Medical Director for the City and County of San Francisco who is nationally recognized for her expertise in prehospital palliative care and advance care planning. Together they explore how EMS clinicians can provide goal-concordant care by understanding advance care planning documents, including adva...
Dispatch systems are designed to get the right resources to the scene based on limited information, but the dispatch determinant is only the beginning of the patient assessment. Because dispatch decisions must be made before EMS arrives, some patients receive ALS resources that ultimately are not needed, while others may require a higher level of care than initially recognized. As a result, determining the appropriate level of tran...
What happens when we fail to treat pain early in older adults? What unique considerations arise when managing pain in geriatric patients in the prehospital setting? In this episode of EMS Clinical Brief, Dr. Maia Dorsett is joined by Dr. Tony Rosen, Dr. Aaron Farney, and paramedic Kevin Gustina for a thoughtful conversation about prehospital pain management in older adults, particularly after falls and hip fractures. The discussion...
In the inaugural episode of EMS Clinical Brief, Maia Dorsett and Shane O'Donnell are joined by Jeff Jarvis for a candid, high-level conversation on patient-centered airway management. Framed by lessons from the NEMSQA Airway Collaborative, the discussion challenges long-held assumptions about airway success—moving beyond “getting the tube” to asking what actually improves patient outcomes. Through real-world examp...
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