Transistor (https://transistor.fm) https://feeds.transistor.fm/shreds-of-evidence Diving deep into the evidence, policies, and politics that shape California EMS. Each episode breaks down the clinical topics, operational challenges, and system-level forces influencing how EMS is delivered across the state. Designed for EMS professionals, healthcare leaders, and policy thinkers who want to understand what’s driving change—and what’s holding it back. 2025 California Paramedic Foundation and Stanford Emergency Medicine c5f8fcf0-a6e1-58c9-8eaf-23a3910b9aeb no en Tue, 04 Nov 2025 19:47:30 -0800 Tue, 02 Dec 2025 22:39:16 -0800 http://caparamedic.org https://img.transistor.fm/naIImGbjDbxmflgIadpMEsau3MhgD3cAIZF8sjdeFOI/rs:fill:0:0:1/w:1400/h:1400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS8wYmEy/ZTJlYmIxODY5Y2Iw/ZWQzOGFlYjQ0OGI2/Mjc1ZS5wbmc.jpg http://caparamedic.org episodic Marc Gautreau, John Ehrhart, Eli Carillo Diving deep into the evidence, policies, and politics that shape California EMS. Each episode breaks down the clinical topics, operational challenges, and system-level forces influencing how EMS is delivered across the state. Designed for EMS professionals, healthcare leaders, and policy thinkers who want to understand what’s driving change—and what’s holding it back. Diving deep into the evidence, policies, and politics that shape California EMS. EMS, EMT, paramedic, firefighter, emergency services California Paramedic Foundation No No 4 4 Case Highlight: Blood Products in a Pediatric Traumatic Arrest full b2e10bd5-c6d3-4b65-ac22-649ca933c75e https://share.transistor.fm/s/8483ded7 A pediatric traumatic arrest pushes an EMS team to the edge of possibility. In this case review, we discuss how rapid action, coordinated care, and the availability of prehospital blood products led to a miraculous outcome—and what it means for the future of trauma response in the field.

]]> A pediatric traumatic arrest pushes an EMS team to the edge of possibility. In this case review, we discuss how rapid action, coordinated care, and the availability of prehospital blood products led to a miraculous outcome—and what it means for the future of trauma response in the field.

]]> Tue, 04 Nov 2025 19:43:32 -0800 Marc Gautreau, John Ehrhart, Eli Carillo Marc Gautreau, John Ehrhart, Eli Carillo 2764 A pediatric traumatic arrest pushes an EMS team to the edge of possibility. In this case review, we discuss how rapid action, coordinated care, and the availability of prehospital blood products led to a miraculous outcome—and what it means for the future of trauma response in the field.

]]> EMS, EMT, paramedic, firefighter, emergency services No 3 3 Ambulance Offload Delays full 615b9143-9b3f-4b24-8a3f-583fb15fab7a https://share.transistor.fm/s/2664adeb Ambulance offload delays remain a major challenge across California. Dr. Marc Gautreau discusses how Stanford is improving ED flow to support faster offloads—and, as an EMS medical director, shares how new state laws are reshaping accountability, data reporting, and coordination between hospitals and EMS systems.

]]> Ambulance offload delays remain a major challenge across California. Dr. Marc Gautreau discusses how Stanford is improving ED flow to support faster offloads—and, as an EMS medical director, shares how new state laws are reshaping accountability, data reporting, and coordination between hospitals and EMS systems.

]]> Tue, 04 Nov 2025 19:41:56 -0800 Marc Gautreau, John Ehrhart, Eli Carillo Marc Gautreau, John Ehrhart, Eli Carillo 2515 Ambulance offload delays remain a major challenge across California. Dr. Marc Gautreau discusses how Stanford is improving ED flow to support faster offloads—and, as an EMS medical director, shares how new state laws are reshaping accountability, data reporting, and coordination between hospitals and EMS systems.

]]> EMS, EMT, paramedic, firefighter, emergency services No 2 2 Surgical Cricothyrotomy full 9020c51f-3f5e-495f-9696-fe89633b12f2 https://share.transistor.fm/s/3512711c A last-resort lifesaving procedure with high stakes, surgical cricothyrotomy is rarely performed—but always looms in the background of airway management. In this episode, we look at the evidence supporting cric in the field, discuss the training and policy debates around it, and reflect on what it means for EMS clinicians to carry such a heavy clinical responsibility.

]]> A last-resort lifesaving procedure with high stakes, surgical cricothyrotomy is rarely performed—but always looms in the background of airway management. In this episode, we look at the evidence supporting cric in the field, discuss the training and policy debates around it, and reflect on what it means for EMS clinicians to carry such a heavy clinical responsibility.

]]> Sat, 03 May 2025 00:08:43 -0700 Marc Gautreau, John Ehrhart, Eli Carillo Marc Gautreau, John Ehrhart, Eli Carillo 1652 A last-resort lifesaving procedure with high stakes, surgical cricothyrotomy is rarely performed—but always looms in the background of airway management. In this episode, we look at the evidence supporting cric in the field, discuss the training and policy debates around it, and reflect on what it means for EMS clinicians to carry such a heavy clinical responsibility.

]]> EMS, EMT, paramedic, firefighter, emergency services No 1 1 Tranexamic Acid (EMS) full aa354300-6229-4001-8ac8-ed5bbc042c55 https://share.transistor.fm/s/c453a8d8 We examine the evidence behind TXA use in prehospital care and explore how protocol adoption varies across California EMS systems. What does the data say about its effectiveness in trauma? Why do some agencies use it while others hesitate? This episode unpacks the science, the operational considerations, and the policy landscape shaping TXA’s role in the field.

]]> We examine the evidence behind TXA use in prehospital care and explore how protocol adoption varies across California EMS systems. What does the data say about its effectiveness in trauma? Why do some agencies use it while others hesitate? This episode unpacks the science, the operational considerations, and the policy landscape shaping TXA’s role in the field.

]]> Fri, 02 May 2025 23:49:51 -0700 Marc Gautreau, John Ehrhart, Eli Carillo Marc Gautreau, John Ehrhart, Eli Carillo 1287 We examine the evidence behind TXA use in prehospital care and explore how protocol adoption varies across California EMS systems. What does the data say about its effectiveness in trauma? Why do some agencies use it while others hesitate? This episode unpacks the science, the operational considerations, and the policy landscape shaping TXA’s role in the field.

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