RideAlong: EMT School

RideAlong: EMT School

di Mike Fiore | Max Lizana | Jonathon Aldridge
Stagione 1
Re-Education Through Labor (What's Next?)
Re-Education Through Labor (What's Next?) It’s the end of Season 1! After 53 episodes of following Mike and Max through EMT school, certification, volunteering, and eventually getting hired in EMS, the crew takes a look back at just how much has changed since the journey began — and how much there still is left to learn. Mike, Max, and Jonathan revisit some of the biggest skills and lessons from EMT school, from CPR, airway management, bleeding control, splinting, medications, and patient assessment to the less tangible lessons of finding a community in EMS and realizing just how rewarding the profession can be. Jonathan also reflects on how watching two brand-new EMTs experience EMS for the first time helped reinvigorate his own passion for the field. Then it’s time to look forward. The crew explores what lies beyond the BLS scope, including IV and IO access, cardiac monitoring, pharmacology, advanced airway management, chest decompression, and other ALS skills. Finally, everyone shares what comes next personally — fire and special operations for Max, critical care and flight medicine for Jonathan, and a potential trip to paramedic school for Mike — before looking ahead to Season 2 of RideAlong. -------------------------------------- VISIT OUR SPONSOR: https://www.SAMmedical.com -------------------------------------- Episode Breakdown 00:00 – Intro 00:30 – Welcome to the Season 1 finale 02:20 – Looking back at how much we learned 07:11 – Thanking our listeners 08:43 – Thanking the sponsors who supported Season 1 13:30 – The upcoming RideAlong giveaway 18:40 – Re-Education Through Labor: What comes next? 21:19 – Looking back at the BLS skills we learned 37:01 – CPAP, medications, and patient assessment 42:08 – The biggest lessons we took away from EMT school 47:07 – What did Jonathan learn from the journey? 57:50 – What comes after BLS? 01:01:24 – IV and IO access 01:09:12 – Cardiac monitoring and advanced cardiac care 01:12:34 – ALS pharmacology 01:19:14 – Advanced airway management 01:25:17 – Chest decompression and advanced trauma skills 01:29:18 – What’s next for Max? 01:33:05 – What’s next for Jonathan? 01:38:24 – What’s next for Mike? 01:43:48 – What’s next for the RideAlong podcast? 01:46:04 – Wrapping up Season 1 -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links https://www.RideAlongEMTSchool.com
The Final Countdown (Psychomotor Scenarios)
The final countdown is here. With the EMT curriculum behind them, Mike and Max revisit one of the final—and most intimidating—steps in the certification process: the psychomotor exam. The crew explains what psychomotor testing evaluates, how practical exams differ between programs and states, and why verbalizing every assessment, decision, and intervention is essential. They break the patient assessment process into manageable phases, review common critical failures, and share strategies for staying organized when the pressure is on. Then Jonathan puts Mike and Max back in the hot seat with two full patient scenarios: a 55-year-old experiencing chest pain after mowing the lawn and a 10-year-old in severe respiratory distress on a school playground. Can they still perform a textbook assessment after months of working in the field—or will real-world habits derail the process? -------------------------------------- Check out PocketPrep! www.RideAlongEMTSchool.com/PocketPrep -------------------------------------- Episode Breakdown 00:00 – Welcome to the Final Countdown 05:33 – Pocket Prep and Season 2 Updates 19:59 – Medical Term of the Week: Psychomotor Exam 46:39 – Preparing for the Psychomotor Exam 55:49 – The Optimal Patient Assessment Flow 1:21:57 – Top 10 Psychomotor Exam Pitfalls 1:33:32 – Scenario 1: The Pastrami Problem 2:05:42 – Scenario 2: Pediatric Respiratory Distress 2:37:23 – NREMT Test Prep Questions 2:51:12 – The Importance of Repetition -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links https://www.RideAlongEMTSchool.com
NREMT Test Prep (with Brian Santora)
This week on RideAlong: EMT School, Mike and Jonathan are joined by longtime EMT, EMS educator, hockey goalie, and lifelong friend Brian Santora for a conversation about mentorship, EMS education, and preparing for the NREMT exam. Brian shares how a desire to work in the air-conditioned health lodge at a remote Scout camp unexpectedly launched his EMS career, why teaching and mentoring new providers became a calling, and what students should expect as they move from textbook medicine into real-world patient care. Then the crew breaks down NREMT test preparation, including how to approach scenario-based questions, why students must separate local protocols and street experience from textbook answers, which subjects commonly cause trouble, when to take mock exams, and how tools like Pocket Prep can identify weaknesses before test day. The episode wraps up with five practice questions that prove even experienced providers can get tripped up—and why getting a question wrong should become a learning opportunity instead of quicksand. -------------------------------------- NREMT TEST PREP WITH POCKET PREP Practice NREMT-style questions, review detailed answer explanations, and track your performance across the exam categories. https://www.RideAlongEMTSchool.com/PocketPrep -------------------------------------- Episode Breakdown 00:00 – Intro and Pocket Prep 01:30 – Welcome and introducing Brian Santora 04:43 – Treasure Island, Scouting, and the beginning of a lifelong friendship 10:01 – How an air-conditioned health lodge led Brian into EMS 17:20 – The Sprite story 24:44 – Brian’s EMS career and passion for mentorship 35:20 – Becoming an EMS educator 41:04 – IFT versus 911 experience and building clinical skills 50:17 – Welcoming and mentoring new EMTs 54:06 – NREMT test preparation 58:42 – Textbook answers versus street medicine 1:02:21 – Test anxiety and understanding how you learn 1:06:28 – How to read and break down NREMT questions 1:10:20 – Pediatric vitals and commonly missed material 1:14:08 – Reading what the question actually asks 1:23:51 – The most difficult NREMT subject areas 1:38:12 – When to take NREMT mock exams 1:44:21 – Using Pocket Prep and modern study tools 1:49:27 – NREMT practice questions 2:15:09 – Learning from missed questions 2:17:27 – Avoiding test-day quicksand 2:23:36 – Brian’s advice: listen twice as much as you talk 2:26:19 – Wrap-up -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links https://www.RideAlongEMTSchool.com
Carter Rowe - Our Lieutenant (RideAlong Interview)
Esplicito
In this special interview episode, Mike and Max sit down with one of the most influential people in their EMS journey: Carter Rowe, EMT, firefighter, EMS lieutenant, and leader of the volunteer program at Chalfont Regional EMS. Carter shares how he entered EMS as a teenager, progressed from interfacility transport and critical care work into busy 911 systems, and eventually found himself leading and developing new providers. The conversation explores the value of starting in IFT, the differences between Pennsylvania and New Jersey EMS systems, leading paramedics as a BLS provider, and what students should look for when choosing an agency. They also discuss EMS culture, work ethic, mentorship, mental health, maintaining a life outside emergency services, and why credentials alone do not equal competency. Along the way, Mike and Max finally reveal the identity of the lieutenant they have referenced throughout the show—and celebrate becoming employees at the organization where they began as volunteers. -------------------------------------- Check out Carter! https://www.linkedin.com/in/carter-rowe-96313334a/ https://www.instagram.com/carestartswithcharacter -------------------------------------- Episode Breakdown 00:00 – Intro and introducing Lieutenant Carter Rowe 02:54 – Mike and Max reveal their EMS service and employment news 05:09 – Leadership, mentorship, and Carter’s surprisingly young age 08:34 – Care Starts with Character 10:07 – Carter’s path into fire and EMS 14:05 – Starting young and learning through interfacility transport 19:04 – Fire versus EMS as a career 20:09 – Working in Trenton and the New Jersey EMS model 25:53 – Moving from provider to EMS leadership 27:50 – Building and managing a volunteer program 34:11 – Leading paramedics as a BLS provider 38:27 – Carter’s future education and career goals 40:06 – What new EMTs should look for in an agency 43:21 – Red flags, equipment, and organizations that invest in their people 48:26 – How students can stand out during clinical time 51:00 – Communication, patient interaction, and work ethic 55:31 – Finding purpose as an EMS provider and leader 58:08 – Motorcycles, risk, and living beyond the job 1:03:02 – Mental health and the cumulative effects of EMS 1:09:27 – Burnout, balance, friendships, and management 1:15:05 – The Great Uncrustables Debate 1:18:25 – Closing advice: Credentials do not equal competency -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links https://www.RideAlongEMTSchool.com
The Day That Never Comes (Terrorist Operations)
This week on RideAlong: EMT School, we’re talking terrorism, active threats, and what EMTs need to understand when an emergency scene may still be dangerous. Mike, Max, and Jonathan walk through domestic and international terrorism, CBRNE incidents, warning signs, responder safety, secondary devices, mass-casualty considerations, decontamination, and the EMT’s role during some of the most complex incidents imaginable. We also talk through recent experiences on the ambulance, why motivation matters less than the hazards facing responders, how terrorism overlaps with HazMat and MCI operations, and why tactical medicine and additional training can help providers prepare for low-frequency, high-consequence events. -------------------------------------- Check out our Sponsor, Iron Forge Consulting Group https://www.facebook.com/IronForgeCG/ -------------------------------------- Episode Breakdown 00:00 – Intro and EMS story time 23:50 – Medical Term of the Week: Terrorism 39:41 – CBRNE incidents and types of terrorist attacks 1:15:08 – Recognizing warning signs with OTTO 1:29:02 – TRACEM-P harms 1:39:03 – Time, distance, and shielding 1:48:06 – EMS strategy, tactics, and responder safety 2:05:30 – Emerging threats and tactical medicine 2:10:47 – Tools of the Trade: Ballistic Protection 2:28:46 – Test Prep: DKA, airway sounds, and anaphylaxis -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links https://www.RideAlongEMTSchool.com
Vanquished Foes of the Metal (Highway Ops and Extrication)
This week on Ride Along: EMT School, we’re talking highway operations, vehicle extrication, and what EMTs need to understand when patient care moves into the wreckage. Mike, Max, and Jonathan walk through disentanglement, scene safety, highway blocking, vehicle hazards, patient access, PPE, electrical dangers, vehicle stabilization, and the EMT’s role while rescue crews work to free a trapped patient. We also talk through real-world ambulance navigation mistakes, fair standby EMS, the difference between extrication and disentanglement, and why this is one of those topics where hands-on training matters. -------------------------------------- Episode Breakdown 00:00 – Intro and EMS story time 33:28 – Medical Term of the Week: Disentanglement 49:17 – Highway operations and roadway scene safety 58:49 – EMS role at vehicle crashes and extrication scenes 1:22:46 – PPE, patient protection, and hazards during extrication 1:28:22 – Scene hazards: traffic, bystanders, and electrical dangers 1:48:23 – Vehicle hazards: airbags, fire, fuel, batteries, and alternative fuel vehicles 2:05:36 – Vehicle stabilization: wheels, side-resting vehicles, and rollovers 2:17:05 – Tools of the Trade: KED Board 2:28:22 – Test Prep: refusals, diastolic BP, body systems, and epistaxis -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links https://www.RideAlongEMTSchool.com
You're a Catastrophe Part 2 (MCI & ICS)
You're a Catastrophe Part 2 (MCI & ICS) In this episode of RideAlong: EMT School, we continue our discussion on mass casualty incidents and the Incident Command System. After covering primary triage in Part 1, we dig into what defines an MCI, how disaster plans are built, and why ICS exists to bring order to chaotic scenes. We break down single versus unified command, the role of the incident commander, span of control, EMS branch responsibilities, secondary triage, treatment areas, transportation, hospital notifications, and the importance of keeping ambulances moving during a large-scale incident. For Tools of the Trade, we look at triage tags and how they help responders prioritize, document, and track patients during an MCI. -------------------------------------- Episode Breakdown 00:00 Intro 05:11 What is a mass casualty incident? 07:43 Disaster plans and tabletop exercises 15:08 Examples of MCIs 19:37 Psychological stress during MCIs 30:00 Incident Command System 34:02 Command, operations, planning, logistics, and finance 39:24 Incident command 43:51 Span of control 46:14 Single command versus unified command 48:21 Section chiefs and branch directors 51:11 Incident commander responsibilities 01:02:50 Chain of command and freelancing 01:08:46 EMS roles within ICS 01:15:11 Triage supervisors and secondary triage 01:25:04 Treatment supervisors 01:31:27 Transportation and hospital distribution 01:39:12 Hospital notifications 01:54:25 Tools of the Trade: Triage tags 02:08:00 Test prep 02:21:40 Closing thoughts -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links https://www.RideAlongEMTSchool.com
Youre a Catastrophe Part 1 (Primary Triage)
In this episode, Mike, Max, and Jonathan kick off the first half of their MCI and ICS discussion, focusing on primary triage. After a brief note about technical difficulties that cut the episode short, the crew explores what makes a mass-casualty incident so overwhelming, how incident command helps organize chaos, and why triage is one of the most important skills EMS providers need when resources are limited. The Medical Term of the Week is primary triage, including how patients are sorted during an MCI, what the red/yellow/green/black categories mean, and the difference between START and SALT triage. The episode also touches on scene organization, casualty collection points, lifesaving interventions, and how different systems may use different triage methods depending on local protocol. -------------------------------------- Check out our Sponsor! www.SAMmedical.com -------------------------------------- Episode Breakdown 00:00 – Intro 00:30 – A note from Mike about the shortened episode 01:18 – Welcome to Episode 46: You’re a Catastrophe 02:37 – MCI and ICS overview 05:26 – SAM Medical shoutout 07:49 – EMS updates and staying sharp 11:34 – EMS 20/20, mental rehearsal, and avoiding burnout 17:28 – Getting into incident command and MCI 18:20 – Why MCI and ICS are linked 20:43 – The origins and scalability of ICS 24:38 – Medical Term of the Week: Primary Triage 25:19 – What triage means and why it matters 27:21 – Triage priority categories: red, yellow, green, and black 30:23 – Triage tags and reassessment 33:37 – START triage explained 36:32 – RPM: respirations, perfusion, mental status 41:10 – SALT triage explained 45:28 – Lifesaving interventions during triage 48:00 – START vs. SALT in practice 49:36 – MARCH assessments and active threat considerations 52:29 – Closing note and preview of Part 2 -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links https://www.RideAlongEMTSchool.com
Spill Em All (Hazmat)
This week on RideAlong: EMT School, Mike, Max, and Jonathan dive into HazMat — hazardous materials, scene safety, and why the best first move is often staying far away from whatever is leaking, burning, spilling, or glowing. The Medical Term of the Week is zones, covering the hot zone, warm zone, and cold zone, and how those operational areas help protect responders, patients, and everyone else on scene. Then the crew gets into what actually counts as a hazardous materials incident, how EMTs fit into the response, training levels, DOT hazard classes, placards, the NFPA 704 diamond, decontamination, and the importance of identifying substances from a safe distance. For Tools of the Trade, Max walks through the Emergency Response Guidebook, or ERG, and why it is one of the key references for HazMat awareness. The episode wraps up with HazMat-focused test prep and the reminder that EMTs do not need to be heroes in the hot zone — they need to recognize the hazard, isolate the area, call the right resources, and stay safe. -------------------------------------- VISIT OUR SPONSOR: https://www.MicroDotCS.com -------------------------------------- Episode Breakdown 00:00 — Intro 06:54 — Welcome to “Spill Em All” 07:56 — RideAlong updates 18:03 — Sponsor: MicroDot Glucose Monitor Kit 19:30 — Medical Term of the Week: Zones 30:18 — Main Topic: What is HazMat? 39:26 — HazMat training levels and HAZWOPER 49:49 — Scene safety and keeping the public out 59:52 — Identifying hazardous materials safely 01:01:48 — Placards and the NFPA 704 diamond 01:16:09 — DOT hazard classes 01:21:53 — Introducing the Emergency Response Guidebook 01:24:27 — Decontamination and patient care 01:46:28 — Tool of the Trade: ERG 01:59:59 — Student Test Prep 02:11:29 — Wrap-up -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links https://www.RideAlongEMTSchool.com
Close The Doors and I am Gone (EMS Operations - Patient Transport)
Close The Doors and I am Gone (EMS Operations - Patient Transport) In this episode, we close the doors and hit the road for the final part of our EMS Operations series: patient transport. Mike, Max, and Jonathan break down what happens after the patient is loaded into the ambulance, including packaging, stretcher safety, provider safety in the patient compartment, reassessment, hospital notification, verbal reports, transfer of care, documentation, cleaning, restocking, and getting the unit ready for the next call. We also talk through the importance of continuity of care, avoiding patient abandonment, and why the little things, like linens, sheets, and blankets, matter on every single transport. -------------------------------------- Episode Breakdown 00:00 – Intro 08:02 – Medical Term of the Week: Transfer of Care 29:20 – EMS Operations: Getting the Patient Into the Ambulance 52:34 – Provider Safety in the Patient Compartment 1:00:13 – Continuing Care During Transport 1:18:08 – Talking With the Patient During Transport 1:34:14 – Hospital Notifications and Radio Reports 1:48:51 – Pediatric Transport Considerations 1:55:32 – Arriving at the Hospital 2:04:49 – Verbal Report, Signatures, and Transfer of Care 2:10:26 – Terminating the Call and Getting Back in Service 2:30:55 – Tools of the Trade: Linens, Sheets, and Blankets 2:40:12 – Student Test Prep 2:57:17 – Wrap-Up -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links https://www.RideAlongEMTSchool.com
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