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The World’s Okayest Medic Podcast: Daily Summaries Delivered
by Mike Carunchio
The World’s Okayest Medic Podcast is a podcast for all EMS providers. Whether you’re an EMT, paramedic, nurse; work in a 911 response setting or critical care transport; and are a novice or experienced clinician, this podcast is for you.
Latest Episodes
The most recent episodes — sign up to get AI-powered summaries of each one.
- 6 days ago58 min
Saturday Coffee Talk (5/30/26)
Listener discretion is advised! References: Buttner & Arlanger. (May 3, 2022). ST depression does not localise. Available: https://litfl.com/st-depression-does-not-localise/ Cannon, J. W., Khan, M. A., Raja, A. S., et al. (2017). Damage control resuscitation in patients with severe traumatic hemorrhage. Journal of Trauma and Acute Care Surgery, 82, 605-617. Kabra, R., Acharya, S., Kamat, S., & Kumar, S. (2022). ST-Segment Elevation in Lead aVR With Global ST-Segment Depression: Never Neglect Left Main Coronary Artery (LMCA) Occlusion. Cureus. Lee, G.-K., Hsieh, Y.-P., Hsu, S.-W., Lan, S.-J., & Soni, K. (2019). Value of ST‐segment change in lead aVR in diagnosing left main disease in Non‐ST‐elevation acute coronary syndrome—A meta‐analysis. Annals of Noninvasive Electrocardiology, 24. Morrison, C. A., Carrick, M. M., Norman, M. A., et al. (2011). Hypotensive Resuscitation Strategy Reduces Transfusion Requirements and Severe Postoperative Coagulopathy in Trauma Patients With Hemorrhagic Shock: Preliminary Results of a Randomized Controlled Trial. Journal of Trauma: Injury, Infection & Critical Care, 70, 652-663. Rossaint, R., Afshari, A., Bouillon, B., et al. (2023). The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition. Critical Care, 27. Tamura, A. (2014). Significance of lead aVR in acute coronary syndrome. World Journal of Cardiology, 6(7), 630. Uthamalingam, S., Zheng, H., Leavitt, M., Pomerantsev, E., Ahmado, I., Gurm, G. S., & Gewirtz, H. (2011). Exercise-Induced ST-Segment Elevation in ECG Lead aVR Is a Useful Indicator of Significant Left Main or Ostial LAD Coronary Artery Stenosis. JACC: Cardiovascular Imaging, 4, 176–186. Weymouth, W., Long, B., Koyfman, A., & Winckler, C. (2019). Whole Blood in Trauma: A Review for Emergency Clinicians. The Journal of Emergency Medicine, 56, 491-498. Wang, A., Singh, V., Duan, Y., Su, X., Su, H., Zhang, M., & Cao, Y. (2020). Prognostic implications of ST‐segment elevation in lead aVR in patients with acute coronary syndrome: A meta‐analysis. Annals of Noninvasive Electrocardiology, 26.
- 1 weeks ago53 min
(Late) Sunday Coffee Talk (5/24/26)
LISTENER DISCRETION IS ADVISED!!!!! References: Hair Tourniquet: PMID: 29092968 ACEP. (2025). A Worthy Investment: What Every EM Resident Needs to Know About Reimbursement in 2025. Available: https://www.acep.org/administration/reimbursement/what-every-graduating-resident-needs-to-know-about-reimbursement Dan Magdziarz. (Jan 5, 2021). High-Yield RVU Generation in Emergency Medicine. Emergency Physicians Monthly. Available: https://epmonthly.com/article/high-yield-rvu-generation-in-emergency-medicine/ John Proctor. Gauging Emergency Physician Productivity: Are RVUs the Answer? Available: https://www.acep.org/imports/clinical-and-practice-management/resources/reimbursement-imported/gauging-emergency-physician-productivity-are-rvus-the-answerEmer
- 2 weeks ago32 min
LATE Saturday Evening Coffee Talk (5/16/26)
Listener discretion is advised! References: ACEP. (2025). A Worthy Investment: What Every EM Resident Needs to Know About Reimbursement in 2025. Available: https://www.acep.org/administration/reimbursement/what-every-graduating-resident-needs-to-know-about-reimbursement Dan Magdziarz. (Jan 5, 2021). High-Yield RVU Generation in Emergency Medicine. Emergency Physicians Monthly. Available: https://epmonthly.com/article/high-yield-rvu-generation-in-emergency-medicine/ John Proctor. Gauging Emergency Physician Productivity: Are RVUs the Answer? Available: https://www.acep.org/imports/clinical-and-practice-management/resources/reimbursement-imported/gauging-emergency-physician-productivity-are-rvus-the-answerEmer
- 3 weeks ago49 min
Dr. Mario Rugna & Kirk Smith, RT: Using the Vent on 911 Calls Should be Standard
Listener discretion is advised. Dr. Rugna's Article: https://assets-che.mkt.dynamics.com/82359f7e-b7af-4cc1-a9fe-c8a35b467194/digitalassets/standaloneforms/7a39198e-7127-f011-8c4d-0022480cd54d#div_id
- 4 weeks ago39 min
Friday (Early) Coffee Talk (5/8/26)
Listener discretion is advised. Language. Adult themes. References: Anand Swaminathan, "Clinical Conundrum: Should We Always Treat Fever in Patients with Sepsis?", REBEL EM blog, December 17, 2024. Available at: https://rebelem.com/clinical-conundrum-should-we-always-treat-fever-in-patients-with-sepsis/. Jibril F, Sharaby S, Mohamed A, Wilby KJ. Intravenous versus Oral Acetaminophen for Pain: Systematic Review of Current Evidence to Support Clinical Decision-Making. Can J Hosp Pharm. 2015 May-Jun;68(3) Scott Weingart, MD FCCM. EMCrit 132 – MoTR – Toughness Part I with Michael Lauria. EMCrit Blog. Published on September 6, 2014. Accessed on May 8th 2026. Available at [https://emcrit.org/emcrit/toughness-michael-lauria-i/ ].
- May 5, 202648 min
Rick Maricle: Leadership at a New Agency
Listener discretion is advised.
- May 1, 202646 min
Saturday Coffee Talk (5/1/26)
Listener discretion is advised: language, adult themes Reference: Boland, Hokanson, et. al. (2016). Prehospital lactate measurement by EMS in patients meeting sepsis criteria. Western J. EM (17)5.
- Apr 27, 202656 min
Dan Rauh: Lactate, Troponin, I-Stat, Sepsis, and More
Listener discretion is advised.
About The World’s Okayest Medic Podcast
The World’s Okayest Medic Podcast is a podcast for all EMS providers. Whether you’re an EMT, paramedic, nurse; work in a 911 response setting or critical care transport; and are a novice or experienced clinician, this podcast is for you.
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Frequently Asked Questions
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The World’s Okayest Medic Podcast covers topics including Medicine, Health & Fitness. Our AI identifies the specific themes in each episode and highlights what matters most to you.
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