Prehospital Paradigm Podcast

The crew, and Dr. Garlisi, wind up the discussion regarding assessment of and treatment of patients with symptoms of sepsis.  Part of the assessment is... REALLY counting the respirations... not guestimating!

The crew furthers the discussion of what a "sepsis alert" is.  From the prehospital perspective as well as what occurs within the ED when an alert is activated…such as radiology, the pharmacy and the blood draw teams. Fluid boluses and epinephrine become the tools for the EMS crew to combat the signs of sepsis. Also, what is a basic-level provider to do for a patient with suspected sepsis.

Dr Andrew Garlisi joins the team to go deep on the topic of sepsis. His "why" as to his interest into patients with sepsis is personal.  He starts off with the basics at the metabolic and cellular level to help bring a general understanding.  Does he see administering antibiotic agents prior to hospital arrival and "sepsis alerts?"

We're doing something unique for the Extra Monday Episodes of 2026.  Thanks to Wes' suggestion, we're going to overview with what all the EMS Institute is involved.  EMSI is not just a medical control system.  To start, the team discuses the various geography, hospitals and their specialties and the various work flow processes that have been implemented overall including the new OneDose technology.

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.