The EMS Lighthouse Project

1:55

Tragic News

The EMS Lighthouse Project ·

2026/09/30

Tragic news from Houston about a friend, mentor, and colleague, Dr David Persse.

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8:11

An update on the state of the podcast, and it's future

The EMS Lighthouse Project ·

2026/09/14

Jeff gives a brief update on the podcast. Where it's been what is changing, and what the future holds. Web site: emslighthouseproject.orgInformation: jeff@emslighthouseproject.org or mike@emslighthouseproject.orgYouTube: YouTube.com/@emslighthouseproject

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57:08

Ep113 - AI Use in Research

The EMS Lighthouse Project ·

2026/07/12

AI is everywhere in popular culture right now. Most of us are confronted with it daily and most of us are either excited or horrified. Is it helpful or harmful? If we are going to use it, how should we? What is the ethical and pragmatic use of AI in research?Drs Remle Crowe and Henry Wang join us to discuss what I think everyone would agree is a rapidly changing technology. Citations:1. Lee S, Davis J, Milne K, Shenvi C, Beattie LK, Wegman M, et al. Where Evidence‐Based Medicine Meets AI:

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45:53

Ep112 - TOWAR with Dr Frank Guyette, Part 2

The EMS Lighthouse Project ·

2026/06/08

Whole blood is the current bright, shiny thing in EMS medicine. It works in the hospital and is what our patients are bleeding out onto the road so it just seems to make sense that we should put back what they’re loosing. But… is it any better than blood components? That’s the question the authors of TOWAR tried to answer. One of those authors, Dr Frank Guyette, joins us for a two episode interview about this trial and about trials in general. Dr Guyette is an EM and EMS physician, medical

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38:30

Ep 111 - The TOWAR Trial w Dr Frank Guyette, Part I

The EMS Lighthouse Project ·

2026/05/26

Whole blood is the current bright, shiny thing in EMS medicine. It works in the hospital and is what our patients are bleeding out onto the road so it just seems to make sense that we should put back what they’re loosing. But… is it any better than blood components? That’s the question the authors of TOWAR tried to answer. One of those authors, Dr Frank Guyette, joins us for a two episode interview about this trial and about trials in general. Dr Guyette is an EM and EMS physician, medical

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51:03

Ep110 - Smida Defends Resuscitation, Part II

The EMS Lighthouse Project ·

2026/05/03

Join Dr. Jeff Jarvis for part II of his interview with podcase friend and frequent contributor, now-Dr Tanner Smida where we discuss his defense of his PhD. Dr Smida discusses four papers that inform cardiac arrest resuscitation, as well as lessons he learned about conducting well-designed observational studies. Although his dissertation was built around only 4 papers, here is Dr Smida’s entire bibliography:1. Smida T, Willson C, Salerno J, Weiss L, Salcido DD. Can you get there from

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58:39

Ep109 - Smida Defends Resuscitation, Part I

The EMS Lighthouse Project ·

2026/04/12

Join Dr. Jeff Jarvis as he interviews podcase friend and frequent contributor, now-Dr Tanner Smida for the first of a two-part interview where we discuss his defense of his PhD. Dr Smida discusses four papers that inform cardiac arrest resuscitation, as well as lessons he learned about conducting well-designed observational studies. Although his dissertation was built around only 4 papers, here is Dr Smida’s entire bibliography:1. Smida T, Willson C, Salerno J, Weiss L, Salcido DD

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51:08

Ep108 - 3 Pods In 1

The EMS Lighthouse Project ·

2026/03/18

This is a special version of the EMS Lighthouse, live from Ashland, OR. We are joined by Mike Verkest and Dr Ritu Sahni from The EMS Show, and Jimmy Apple from The EMS Avenger at the State of Jefferson Conference in Southern Oregon. We had a blast and covered a to of ground. I hope y'all enjoy!

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57:05

Ep107 - 3 Papers With Dr Crowe

The EMS Lighthouse Project ·

2026/02/15

Dr Remle Crowe returns to the podcast to discuss three new papers with Dr Jarvis: Two papers on epinephrine in cardiact arrest (including one on trauma!) and one on pulse oximetry in hypoxemic patients with darker skin. We might nerd out a bit on methodology, tacos, and have a few book recommendations.Citations: Martin DS, Doidge JC, Gould D, et al.: The impact of skin tone on performance of pulse oximeters used by NHS England COVID Oximetry @home scheme: measurement and diagnostic accuracy

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30:02

Ep 106 - Succ vs Roc in Hyperkalemia

The EMS Lighthouse Project ·

2026/01/27

We were all taught succinylcholine is contraindicated in hyperkalemia because it can cause potassium release, exacerbating the problem. But does it? Does it really?Dr. Jarvis discusses a recent paper that seems to compare mortality within 24 hours of RSI in hyperkalemic patients between those intubated with succ or rocuronium. And then we discuss methods.. including the Table 1 Fallacy. Citations:1. Simmer PE, Perza M, Cho YD, et al.: Hyperkalemic emergency department patients intubated

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40:12

Ep 105 - The RSI Trial

The EMS Lighthouse Project ·

2025/12/14

You've read about how this groundbreaking trial on ketamine vs etomidate for RSI "Changes Everything!" on the socials. Or perhaps "it's horribly biased and unnecessary... we're already knew all this!". Why? Well.. social media. Listen in as Dr Jarvis discusses not just this trial, but what the evidence landscape was before it was released. Why was it done, how was it done, what does it show, and how can we integrate it into our practice?Citations:1. Casey JD, Seitz KP, Driver BE, et al

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26:29

Ep 104 - The IV vs IO Trials

The EMS Lighthouse Project ·

2025/11/04

Right on the heels of the release of the 2025 AHA guidelines, including one on preferentially using IVs over IOs, comes two RCTs in the same edition of NEJM that compare intial attempts with IVs to IOs in out of hospital cardiac arrest. Dr Jarvis discusses these two papers while answer a listeners question, and tries to put this, and early epinephrine, into context. And he might throw in some commentary about the AHA's recommendations on mCPR and Heads Up CPR.Citations:1. Couper K, Ji C,

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49:48

Ep 103 - Preeclampsia, Eclampsia, and Postpartum...

The EMS Lighthouse Project ·

2025/10/02

ACOG, the American College of Obstetricians and Gynecologists, recently published EMS guidelines for treatment of hypertension in pregnancy/pre-eclampsia, eclampsia, and postpartum hemorrhage. Drs. Jenna White and Christopher Zahn join Dr Jarvis to discuss the science behind these recommendations as well as how to implement them into our practice. Citations:1. https://www.acog.org/programs/obstetric-emergencies-in-nonobstetric-settings2. Vuncannon, D. M.; Platner, M. H.; Boulet, S. L

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40:10

Ep 102 - Ketamine for Agitation with Dr Crowe

The EMS Lighthouse Project ·

2025/08/30

You use ketamine. I use ketamine. We all use ketamine. But… how safe it is, really? A new study out of Toronto suggests 30% of patients who receive ketamine have adverse events, a rate higher than seen in the ED. What are we to make of this? I bring Dr Remle Crowe on to discuss…Citations:1. Kwong JL, Verbeek PR, Leong YC, Turner L, Huiskamp M, Drennan IR, Francom S, Ropp S, Cheskes S: Paramedic use of ketamine for severe agitation and violence. Can J Emerg Med. doi:

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34:55

Ep 101 - PreOxygenation and Why Words Matter

The EMS Lighthouse Project ·

2025/08/18

We've covered pre-oxygenation strategies and intubation alot on this podcast, mayber more than anyting else. We covered the definition of FPS in E74, the DEVICE trial on DL vs VL in E75, and the PREOXI trial of NIV vs Mask Pre-oxygenation in E86. Now we have another Preoxygenation paper, this one that reports no difference between preoxygenation with BVM and face mask. WTAF? Better listen, because it turns out words matter, definitions are... definitional, and we absolutely MUST read more

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42:49

Ep 100 - Amio v Lido in OHCA w Tanner Smida

The EMS Lighthouse Project ·

2025/07/21

The 2017 NEJM study, ALPS, compared amiodarone, lidocaine, and placebo for refractory shockable rhythms in adults with out of hospital cardiac arrest. They found no significant difference in survival to hospital discharge or functional survival between any of the arms. If that study has left you confused, you’re not alone. And you’re in luck. Tanner Smida joins us again to discuss his latest paper using something called target trial emulation to assess the difference in ROSC and survival to

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34:27

Ep 99 - Adenosine or Diltiazem for SVT?

The EMS Lighthouse Project ·

2025/07/08

We just got a new paper that compares initial treatment with adenosine compared with diltiazem for the treatment of adults with SVT in the ED. Wouldn’t it be great if it turned out that diltiazem was just as effective, if not more effective, as adenosine without the crappy feeling? Yeah, that’d be great, but what do we do with statistically insignificant results. Is there, perhaps, a way to save this “insignificant” paper? Fear not, Bayes is here! Yes, that’s right, Dr. Jarvis is grabbing

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33:42

Ep 98 - Does the Sequence of RSI Medications Matter

The EMS Lighthouse Project ·

2025/06/15

Train the Best. Change EMS.Howdy, y'all, I'm Dr Jeff Jarvis, and I'm the host of the EMS lighthouse project podcast, but I'm also the medical director for the new EMS system we're building in Fort Worth Texas. We are looking for an experienced critical care paramedic who is an effective and inspiring educator to lead the initial and continuing training and credentialing of a new team of Critical Care Paramedics who will be responding to our highest acuity calls. The salary is negotiable but

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39:27

E97 - Bayes and Calcium Before Diltiazem in Atrial...

The EMS Lighthouse Project ·

2025/05/30

We covered a paper in episode 81 that suggested treating atrial fibrillation with rapid ventricular response in the field could lower mortality. But it also drops BP a bit. Could pretreating these patients with calcium lower the risk of hypotension? Dr Jarvis puts on his nerd hat and uses Bayesian analysis to assess a new randomized, placebo-controlled study that looked at just this thing. Why is he going off on this Bayes thing? Because he’s been reading a couple of book on it and wanted

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33:49

E96 - MCD Wrap Up

The EMS Lighthouse Project ·

2025/03/31

Wrapping up a series of 5 episodes, Dr Jarvis finishes his discussion of mechanical CPR devices (MCDs) talking about papers from Utah, Vienna, Anchorage, and Cincinnati and then gives his take on how to interpret the literature and put it into practice.Papers discussed:1) Youngquist ST, Ockerse P, Hartsell S, Stratford C, Taillac P: Mechanical chest compression devices are associated with poor neurological survival in a statewide registry: A propensity score analysis. Resuscitation

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