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PODCAST

Prehospital Paradigm Podcast

University Hospitals of Cleveland

This is a weekly podcast with our group talking about local, regional and national EMS issues. Physicians, nurses, advanced and basic EMS providers will gain professional knowledge from this podcast.

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All Episodes

01:06:44

Cleveland EMS - The Live Episode -

Prehospital Paradigm Podcast ·

2026/03/26

In this episode of the Pre-Hospital Paradigm Podcast, Caleb Ferroni is in the host seat with co-host Dr. John Hill. They sit down with Kim Florczyk and Sharon Kozel from Cleveland EMS to discuss the history, clinical operations, and challenges they face as such a large agency. This episode was recorded live from Cleveland EMS Headquarters.

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22:20

Prehospital Paradigm Podcast – City of Cleveland EMS...

Prehospital Paradigm Podcast ·

2026/03/16

As this episode, and in-depth look into the City of Cleveland's EMS system, the crew talks about their handling of the opioid issues within the city and the handling of Narcan. They also discuss the challenges faced by the agency which includes fleet maintenance, road conditions of the city and internal training challenges for such a large, high-volume service. In the future, they hope to have initiatives that handle the frequent callers that may not need an ambulance but still need a clinical

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27:58

Prehospital Paradigm Podcast – City of Cleveland EMS...

Prehospital Paradigm Podcast ·

2026/03/09

The crew continues their discussion about the City of Cleveland's EMS agency. From blood administration in the prehospital setting to CPAP and BiPAP to multiple way to secure airways and oxygenation... the ladies discuss the clinical operation which includes Paramedics and Basic EMTs.

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24:29

Behind the Scenes of City of Cleveland EMS - Part 1

Prehospital Paradigm Podcast ·

2026/03/02

Caleb is subbing in for Scott this episode as Dr. Hill and Caleb welcome representatives of Cleveland EMS. In this first episode, we get some history on Cleveland EMS. The agency is a 3rd service and just celebrated 50 years of service. The agency runs over 70,000 calls per year with 25 units during daylight hours.

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57:57

Expanding Prehospital Addiction Care – Live (From...

Prehospital Paradigm Podcast ·

2026/02/24

The final episode regarding addiction care wraps up the convo. We were live at Amherst Fire Department. If you missed the last 3 episodes, we definitely suggest going back in the timeline. This episode may challenge your "veteran thoughts" on addiction care.

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17:46

Expanding Prehospital Addiction Care – Part 3

Prehospital Paradigm Podcast ·

2026/02/16

As the crew starts to wind up this topic, the discussion of the process of opioid withdrawal continues including inducing a more intense, or higher, level of withdrawal to help the patient's recovery progression. The guys discuss the Clinical Opiate Withdrawal Scale (COWS) score, its use and the interpretation of. KEEPER NOTE: What words should we NOT be using to define these patients with "opiate disease disorder."

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19:30

Expanding Prehospital Addiction Care – Part 2

Prehospital Paradigm Podcast ·

2026/02/09

Dr. Singer continues to talk to the PPP crew regarding Project DAWN (Deaths Avoided With Naloxone), an Ohio-based network of opioid overdose education and naloxone distribution programs (OENDP) coordinated by the Ohio Department of Health. Should EMS squads add Buprenorphine to the drug box in the long term? KEEPER NOTE: The Narcan administration is just the beginning of the patient's opportunity to enter a recovery process.

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16:02

Expanding Prehospital Addiction Care – Part 1

Prehospital Paradigm Podcast ·

2026/02/02

A.J. and Dr. Hill join Scott this month, to chat with Dr. Jordan Singer from the UH EMS Institute. What is long-term addiction care? It's more than just showing up, treating the patient's symptoms, i.e., Narcan, and ending the patient's care once they are resuscitated. The crew digs into the norms and what the future might be including, leaving Narcan behind with family members or the patients. KEEPER NOTE: If a 20-year-old overdoses once, there is a 1 in 10-20 chance that they will be dead in 1

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24:44

New Ohio Expanded Scope of Practice Reviewed - Part 3

Prehospital Paradigm Podcast ·

2026/01/19

As the team winds up its discussion of the new Ohio EMS advanced scope of practice regulations, the discussion of oral Zofran for younger patients, ultrasound use for IV assistance and the place of urinary catheters within the scop of a 911 type of call are part of the discussion.

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27:42

New Ohio Expanded Scope of Practice Reviewed - Part 2

Prehospital Paradigm Podcast ·

2026/01/12

The team starts to discuss specifics of the expanded scope of practice. First up, the epinephrine auto-injector initiated by EMTs. EMTs are now able to give epinephrine via I.M. and broncho-dilators. Reconstituting Glucagon and administering it via IM is also part of the new EMT expanded scope of practice. Needle chest decompression and blood product administrations for advanced providers are also discussed.

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27:45

Ohio New EMS Scope of Practice Reviewed - Part 1

Prehospital Paradigm Podcast ·

2026/01/05

Ray Pace has taken a back seat to the pod so that he can focus on his fire chief duties. Welcome back to A.J. Joseph as one of our rotating co-hosts for 2026. The State Board of Emergency Medical, Fire, and Transportation Services (EMFTS Board) expanded the Ohio EMS Scope of Practice on December 17, 2025. First thing the gang discusses is what is and is not the scope of practice. How do we define it? What can Medical Directors write into protocols? Key point to take away... just because something

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01:15:57

Cardiocast – 4 (Extra Monday Pod)

Prehospital Paradigm Podcast ·

2025/12/29

The crew welcomes back Dr. Greg Stefano and Geoff Patty, RN from the interventional cardiology department. If you're listening to this episode, head over to our YouTube channel to see the visuals of actual cases. An interesting discussion ensues about human and computer interpretations of various EKG strips.

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35:51

Intro to the National Collegiate EMS Foundation - Part 3

Prehospital Paradigm Podcast ·

2025/12/15

As the panel discussion continues, the discussion of medical direction arises as well as how to handle the potential rotating staff and continuity of responder training including incident command training. If interested in starting or growing your campus-based EMS system, feel free to get in touch with the National Collegiate EMS Foundation.

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32:03

Intro to the National Collegiate EMS Foundation...

Prehospital Paradigm Podcast ·

2025/12/08

The group continues to take questions from the audience regarding how to start a campus-based EMS system, funding, and how to impress upon the university/college administration members the importance of such a in-house response system at any level,

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43:21

Intro to the National Collegiate EMS Foundation

Prehospital Paradigm Podcast ·

2025/12/01

This episode was recorded at the National Collegiate EMS Foundation annual conference. NCEMSF is a group of campus-based EMS agencies that a part of the student organizations. Some have vehicles. Some respond on foot and mainly are volunteering their time to do this during their college careers. Let's learn more! Joining the group is Eric Pohl and Zack Matuzsan.

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58:48

Explosive Ordnance Disposal Operations for EMS - Part...

Prehospital Paradigm Podcast ·

2025/11/25

The crew gathered at Madison Fire to finish up their discussion of explosive ordnance disposal operations with Detective Brian Yenkevich of the Lake County Bomb Squad. Thanks to the MFD for hosting us.

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27:22

Explosive Ordnance Disposal Operations for EMS - Part 3

Prehospital Paradigm Podcast ·

2025/11/17

In part 3 of our discussion of explosive ordnance disposal operations with Detective Brian Yenkevich of the Lake County Bomb Squad. Oddly enough shooting water and water pellets is one of the main tools and constant research is part of how the team refines their methods between all bomb squads across the country. Finally, they discuss signs of what might be a questionable item on a scene that may be helpful to EMS and fire responders.

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28:20

Explosive Ordnance Disposal Operations for EMS - Part 2

Prehospital Paradigm Podcast ·

2025/11/10

The conversation with Lake County Bomb Squad team member, Brian Yenkevich continues. Part of the discussion reviews weapons of mass destruction including radiological and biological weapons and detection equipment. We also discuss the types of old artillery and suspicious package types of calls and types of responses.

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23:35

Explosive Ordnance Disposal Operations for EMS - Part 1

Prehospital Paradigm Podcast ·

2025/11/03

Lake County Bomb Squad team member, Brian Yenkevich joins Dr. Hill, Caleb and Scott for a different kind of discussion. Explosive Ordnance Disposal Operations. In Part 1, Detective Yenkevich outlines how the team trains, operates and defines its mission.

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58:37

In Flight Emergencies on Commercial Airline Flights -...

Prehospital Paradigm Podcast ·

2025/10/29

In this engaging and surprisingly eye-opening episode, the crew sits down with Dr. Jordan Singer, an emergency medicine physician with unique experience providing in-flight medical command. Together, they explore the complexities of managing medical emergencies in one of the most austere environments imaginable—an airplane at cruising altitude. From physiology at altitude and cabin pressurization to legal protections and what's actually in those onboard emergency kits, this episode offers critical

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