Practical EMS
By Practical EMS
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Category: Education
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Subscribers: 2
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Episodes: 138
Description
My mission is to use the stories we all have in emergency medicine to encourage and uplift you where you are. EMT, Paramedic, nurse, PA, NP or physician. Emergency medicine is a very difficult specialty with unique challenges, and it calls us all to be better than the average person in order to stay healthy for our patients, our families and own mental wellness. I want to connect with EMS crews, fire crews, ER RN's, ER techs and new ER advanced practice providers to better understand their current struggles. I also want to bridge the gap between prehospital medicine and the emergency department and to encourage those seeking to become an advanced practice provider. Disclaimer: All Practical EMS content is opinion only. It is unaffiliated with any company or organization and does not represent any company or organization that Aaron currently works for or has worked for in the past. No content should be taken as medical advice.
| Episode | Date |
|---|---|
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133 | Dr. Julie | The Golden Rule in the ER | Skills, Humility, and Not Letting Others Break You
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Dec 21, 2025 |
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132 | Surviving the ER Without Losing Yourself — Dr. Julie on Burnout, Purpose and How we interact with EMS
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Dec 14, 2025 |
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131 | Women in the ER: Dr. Julie on Career Longevity and Burnout
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Dec 07, 2025 |
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130 | Dr. Brian | Faith at Work: Healing, Dying, and Being on the Other Side of the Hospital Bed
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Nov 30, 2025 |
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129 | Dr. Brian | The Metric of Mercy: Seeing Jesus in Every Patient
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Nov 23, 2025 |
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128 | Dr. Brian | When the Dopamine Fades: Staying Driven in Emergency Medicine
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Nov 16, 2025 |
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127 | ER Dr. Adam | Embrace the hard stuff | Being mentally present | Moving forward after a hard shift
|
Nov 09, 2025 |
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126 | ER Dr. Adam | Faith and burnout | Choosing hard things | The reward in striving
|
Nov 02, 2025 |
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125 | ER Dr. Adam | Former paramedic | Refocusing on your purpose | Faith in emergency medicine
|
Oct 26, 2025 |
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124 | Josh with Crisis Prevention | The situations that burn out staff and make them leave the ER | Seek to understand, not win | Avoiding cynicism
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Oct 19, 2025 |
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123 | Josh with Crisis Prevention | Code Grey | Safety in the ER | The unmet want or need
|
Oct 12, 2025 |
|
122 | ER Dr. Lucas | Is it still worth becoming a physician? | Honor to being there on someone’s worst day | Don’t just do something, stand there
|
Oct 05, 2025 |
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121 | ER Dr. Lucas | Longevity | Advice for the new ER physician | The lone wolf dies so stop putting off focus on community
|
Sep 28, 2025 |
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120 | ER Dr. Lucas | Inevitable burnout | Gratitude | Being intentional about the positive
|
Sep 21, 2025 |
|
119 | Emergency Standards | Leave work at work | Take care of yourself before you take care of others
|
Sep 14, 2025 |
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118 | Emergency Standards | Introduction | Do not seek to diagnosis
|
Sep 07, 2025 |
|
117 | Unique ER roles | Advice for newbies | Ways to get introduced to the world of medicine
|
Aug 31, 2025 |
|
116 | Unique roles in the ER | EKG tech and scribe | How to avoid burnout
|
Aug 24, 2025 |
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115 | EKG tech and scribe role in the ED | Communication and teamwork
|
Aug 17, 2025 |
|
114 | Dr. David Berry | From homeless and addicted to chief of staff | Brain nerve connection and addiction | How to rewire the brain | Addiction stigma | Meth abuse
|
Aug 10, 2025 |
|
113 | Dr. David Berry | The ER doctor who overcame opiate addiction | How to care for the addicted and psychiatric patient with empathy
|
Aug 03, 2025 |
|
112 | Dr. David Berry | The ER doctor who lost everything | Overcoming alcohol and opiate addiction | Helping our patients recover
|
Jul 27, 2025 |
|
111 | Michelle Niemeyer | Moving away from practicing law | Work life balance is bulls**t | Building community | Avoiding burnout | Getting clarity
|
Jul 20, 2025 |
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110 | Michelle Niemeyer | The art of bending time | Learning to be in the moment | Burnout | What is keeping you from being fulfilled?
|
Jul 13, 2025 |
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109 | Dr. Emma Jones | The Phoenix Blueprint and burnout | Emotional boundaries with patients | Quickly developing rapport | Unconditional positive regard | When you should be advocating for change
|
Jul 06, 2025 |
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108 | Dr. Emma Jones | The Phoenix Blueprint and burnout | Emerging Stronger from the Blaze of Healthcare | Core values | Questioning your thoughts | Circle of control vs circle of concern
|
Jun 29, 2025 |
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107 | Bryan Jepson MD, CFP | Good debt and bad debt | Debt pay down methods | The 4% rule | Is whole life insurance a good idea?
|
Jun 22, 2025 |
|
106 | Bryan Jepson | EM physician and financial planner | Living rich vs living wealthy | Attributes for financial success
|
Jun 15, 2025 |
|
105 | Sick vs not sick | Should we trust our gestalt | Bias affecting care | Advice for the newbie RN, EMT, paramedic, PA | Running 3 gunshot wounds in one night
|
Jun 08, 2025 |
|
104 | Conflict in the ED | Covid times | Long careers without burning out | Using what you do to define your identity | Limits to empathy |How do we solve interpersonal conflict in the ED?
|
Jun 01, 2025 |
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103 | Sensitive hand-off reports | Paramedic role in the ED | Conflict on scenes | Remembering why you got into medicine in the first place
|
May 25, 2025 |
|
102 | Giving report to the ED | RN workload vs paramedic workload | Why won’t the ED use your IV’s?
|
May 18, 2025 |
|
101| Arriving first on scene | Big personalities taking over calls | Respect for the ambulance as our office | Fire crews riding in the ambulance | Transporting after reversing hypoglycemia or opiate OD
|
May 11, 2025 |
|
100 | Fire vs ambulance on scenes | How can we get along | Trauma bonding | How to work in EMS long-term | PTSD in EMS | Burnout vs moral injury | Covid affects on EMS
|
May 04, 2025 |
|
99 | Giving a good ER hand-off report | Unexpected retirement from the fire department | “What is the worst thing you have ever seen?” | Dealing with tragedy in the ER vs the field
|
Apr 27, 2025 |
|
98 | Fire paramedics and medical director panel | Assessing capacity | Suicidal patients | Involving medical control
|
Apr 20, 2025 |
|
97 | Drs. Sean and Adam | Difficult admissions | What admissions do and do not accomplish | Group culture | Obs vs in-patient status | How we can help the hospitalist from the ED
|
Apr 13, 2025 |
|
96 | Drs. Sean and Adam | EM vs IM | Admitting the weak elderly patient | Workflow as a hospitalist | Consulting a hospitalist
|
Apr 06, 2025 |
|
95 | Drs. Sean and Adam | Emergency medicine vs Internal Medicine | Mindset differences | Good storytelling | Advice on admission requests
|
Mar 30, 2025 |
|
94 | Eddie opens up about his deepest struggles in EMS | Retiring from EMS | Lossing partners | Advice for newbies
|
Mar 23, 2025 |
|
93 | Old school paramedics Casey and Eddie | I’m not doing it for the pay | The Privilege we have | Working in the ED as a paramedic
|
Mar 16, 2025 |
|
92 | Eddie and Casey | Good EMT partners | Calls that damage you | Remembering the bad calls over the good | Effects of a career in EMS
|
Mar 09, 2025 |
|
91 | Old school paramedics Eddie and Casey | Is EMS just a steppingstone | For some it’s a job, for some it’s a life
|
Mar 02, 2025 |
|
90 | Doing difficult things makes you stronger | Pain of getting well is sometimes greater than the pain of staying stuck | Is emergency medicine your purpose
|
Feb 23, 2025 |
|
89 | Death and dying | Pastor Daniel Grothe | Non-anxious presence | Emotional whiplash | Habits to hit the reset button
|
Feb 16, 2025 |
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88 | Death and Dying in emergency medicine | Pastor Daniel Grothe | New panel | Burnout comradery
|
Feb 09, 2025 |
|
87 | Kevin Hazzard | American Sirens | The great story of Freedom House and EMS origins | The good Samaritan | Early emphasis on intubation
|
Feb 02, 2025 |
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86 | Kevin Hazzard | Missing EMS | American Sirens | Chaotic scenes | Early paramedic John goes from cleaning hospital rooms to intubating critical patients
|
Jan 26, 2025 |
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85 | Kevin Hazzard | Being an EMT tourist | Paragod phase | Moving on from EMS | A Thousand Naked Strangers
|
Jan 19, 2025 |
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84 | Kevin Hazzard | A Thousand Naked Strangers | Writing for film/TV | EMT school process
|
Jan 12, 2025 |
|
83 | Is medicine your entire personality? | Get off on time | Burnout | Compassion fatigue | A physicians personal experience with the ER
|
Jan 05, 2025 |
|
82 | Getting comfortable saying “I don’t know” | Advice for newbies | Learning from those lower than you on the perceived hierarchy
|
Dec 29, 2024 |
|
81 | New panel | Charge RN advice | Physician efficiency tips | Developing Confidence
|
Dec 22, 2024 |
|
80 | Lori Hodges Part 2 | Author | Paramedic | Emergency Manager
|
Dec 15, 2024 |
|
79 | Lori Hodges Part 1 | Author | Paramedic | Emergency Manager
|
Dec 08, 2024 |
|
78 | Kelly Grayson Part 2 | Author | Blogger | Paramedic
|
Dec 01, 2024 |
|
77 | Kelly Grayson Part 1 | Author | Blogger | Paramedic
|
Nov 24, 2024 |
|
76 | Difficult intubation | Advice for newbies | Don’t blame patients | Your happiness is up to you | Event horizons on calls
|
Nov 17, 2024 |
|
75 | We can’t choose what affects us | Teamwork on scenes | Recognizing you need help | Responding with anger
|
Nov 10, 2024 |
|
74 | Burning out on EMS | Sleep deprivation | Raging at dispatch | Daily micro-traumas
|
Nov 03, 2024 |
|
73 | New panel! | EMS to law enforcement | The lesson from the spine board
|
Oct 27, 2024 |
|
72 | Nate’s off-duty call | That human connection | Moral injury vs burnout | Newbie advice
|
Oct 20, 2024 |
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71 | Rapid sequence intubation changes | How crews can make or break an EMT student’s experience | How those hard calls affect us | Casey talks about the impression he made on a family
|
Oct 13, 2024 |
|
70 | Why the big scope differences across state lines | Case review purpose | Teaching the newbies
|
Oct 06, 2024 |
|
69 | New panel! Why emergency medicine | Don’t just do something, stand there | Being proud of what you do
|
Sep 29, 2024 |
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#68 - Over-reliance on technology, standards for students, don't listen to naysayers, advice for newbies
|
Sep 22, 2024 |
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#67 - Burnout avoidance, decision fatigue, driving lights and sirens, Where is God in emergency medicine?
|
Sep 15, 2024 |
|
#66 - Paramedics getting offended, first code as a medical student, making a human connection and measuring success in EMS
|
Sep 08, 2024 |
|
New panel, power in detaching, controlled drowning, overwhelm as a new provider
|
Sep 01, 2024 |
|
Overcoming burnout, having purpose, showing grace for patients while also having healthy boundaries
|
Aug 25, 2024 |
|
The Dunning-Kruger effect, building confidence, the importance of knowing the "why", when to do nothing
|
Aug 18, 2024 |
|
Stress exposure in school, zero to hero, advocating for patients
|
Aug 11, 2024 |
|
Only medical provider on a plane, swatting flies in the back of an ambulance, paramedic program changes
|
Aug 04, 2024 |
|
Foley buddies and no no zones
|
Jul 28, 2024 |
|
Nate's overdose and recovery
|
Jul 21, 2024 |
|
Caring for a gunshot victim when trying to get coffee
|
Jul 14, 2024 |
|
Resilient Response: Self-Care Strategies for Emergency Medicine Part 2
|
Jul 07, 2024 |
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Resilient Response: Self-Care Strategies for Emergency Medicine Part 1
|
Jun 30, 2024 |
|
Are paramedics well equipped to go to PA school?
|
Jun 23, 2024 |
|
Finding mentors, being ready to teach, PA school difficulties
|
Jun 16, 2024 |
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The transition from paramedic to PA
|
Jun 09, 2024 |
|
The medical hierarchy, identity outside of the profession and creating healthy rituals
|
Jun 02, 2024 |
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The price we pay
|
May 26, 2024 |
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How to heal and move past the difficult things
|
May 19, 2024 |
|
Micaela's Black Cloud, The Power of Touch, Running Mass Shootings
|
May 12, 2024 |
|
Moving from ER RN to ER NP and critical field procedures
|
May 05, 2024 |
|
Emergent Standards
|
Apr 28, 2024 |
|
Conflict on scene
|
Apr 21, 2024 |
|
Accidents while driving lights and sirens
|
Apr 14, 2024 |
|
Minutes between grandma cardiac arrest to delivery of baby girl
|
Apr 07, 2024 |
|
What makes a great EMT?
|
Mar 31, 2024 |
|
We are there for a lot of people’s last moments
|
Mar 24, 2024 |
|
Feeling burned out? Bring your patient a coke.
|
Mar 17, 2024 |
|
Don’t miss the privilege that we all have
|
Mar 10, 2024 |
|
She sat up, yelling “What happened!”
|
Mar 03, 2024 |
|
Take care of yourself BEFORE you take care of patients.
|
Feb 25, 2024 |
|
He was dead for an hour, then sat up, talking.
|
Feb 18, 2024 |
|
Jan Panel - Got stabbed by a dildo?
|
Feb 11, 2024 |
|
Jan Panel - That heart wrenching scream. Never being “Just an EMT”.
|
Feb 04, 2024 |
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January Panel - Real Stories - Don't allow vices to control you. Develop mental toughness.
|
Jan 28, 2024 |
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January Panel - Real Stories - Oops, patient is in V-tach. Admit your mistakes.
|
Jan 21, 2024 |
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January Panel - Real Stories - Failed to diagnose PE, Gave the wrong medicine
|
Jan 14, 2024 |
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December Panel - Real Stories Part 5 - Where is God in emergency medicine?
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Jan 07, 2024 |
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December Panel - Real Stories Part 4 - Overlooking the simple and advocating for a patient
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Dec 31, 2023 |
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December Panel - Real Stories Part 3 - Shocking a patient back to life and finding a dead body in a car
|
Dec 24, 2023 |
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December Panel - Real Stories Part 2 - Healing From Tragedy, Impactful Patients
|
Dec 17, 2023 |
|
December Panel - Real Stories Part 1 - V-tach Arrest Save
|
Dec 10, 2023 |
|
Teaser for the Burned-Out Paramedic
|
Dec 03, 2023 |
|
Story for the Burned Out ER Nurse
|
Nov 26, 2023 |
|
Getting Lost on Scene as a New EMT?
|
Nov 21, 2023 |
|
Story for the Burned out EMT
|
Nov 19, 2023 |
|
Real Stories in Emergency Medicine
|
Nov 01, 2023 |
|
The Single Most Important Skill in Medicine
|
Sep 20, 2023 |
|
The Gap and The Gain
|
Sep 07, 2023 |
|
What does Colorado SB 83 Mean for PA’s?
|
Aug 27, 2023 |
|
Efficiency in the ED
|
Aug 17, 2023 |
|
Phoenix Fitness on Fitness in EMS
|
Jun 21, 2023 |
|
My Journey to the Boulder Half Ironman
|
Jun 17, 2023 |
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Emergency Nursing Perspective Part 2
|
Jun 04, 2023 |
|
ER Nursing Perspective Part 1
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May 22, 2023 |
|
Professionalism in EMS Part 2
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May 08, 2023 |
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Professionalism in EMS Part 1
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Apr 24, 2023 |
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How to Survive the ED as a New APP – Interview with Dr. Adam Bariteau – Part 2 of 2
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Mar 30, 2023 |
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How to Survive the ED as a New APP – Interview with Dr. Adam Bariteau - Part 1 of 2
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Mar 18, 2023 |
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How to Survive the ED as a new APP Coming Soon!
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Mar 12, 2023 |
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Scene Etiquette Part 3 Preview
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Mar 08, 2023 |
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Scene Etiquette Part 2
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Mar 02, 2023 |
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Scene Etiquette Highlight
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Feb 22, 2023 |
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Scene Etiquette Part 1
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Feb 18, 2023 |
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How to Think Like an Emergency Physician Part 4
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Jan 27, 2023 |
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How to Think Like an Emergency Physician Part 3
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Jan 13, 2023 |
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How to Think Like an Emergency Physician Part 2
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Dec 30, 2022 |
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Being a Paramedic in PA School (Interview with Brian Sanfilippo)
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Dec 22, 2022 |
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5 Biggest Misconceptions About the PA Profession
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Dec 22, 2022 |
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Channel Introduction
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Dec 22, 2022 |
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10 Biggest Mistakes Paramedics and EMT's Make in Hand-Off Reports
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Dec 22, 2022 |
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How to Think Like an Emergency Physician Part 1
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Dec 21, 2022 |
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Burnout in EMS (Interview with Casey Shifflet)
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Dec 21, 2022 |