You may have noticed a new trend lately. Everyone is loud and proud about their mental health struggles (and thank goodness)! For practitioners, this movement is as exciting as it is frustrating. As each mental health taboo falls by the wayside as it enters the cultural zeitgeist, a new aspect of our specialty thus emerges. One we just don’t have enough hours in the day to keep track of, let alone engage with. From better understanding our patients’ (and our own) relationships with their con ...
…
continue reading

1
Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers
Ross Orpet, Paramedic turned EMS Physician
Paramedic training is over, you’re in the front seat now. Whether day 1 or day 1,000 you can’t shake the fear you’re underprepared. You were taught to systematically decide if A... do B. But what if “A” wasn’t in the book? The truth is each emergency call is too unique to teach the right response to every situation. We need to go beyond algorithmic thinking and understand deeper principles, the WHY behind the algorithm. When every decision counts you want to rely on a framework that will gui ...
…
continue reading

1
THRIVING MINDS PODCAST
Professor Selena Bartlett, Neuroscientist, Brain Health is Everyone's Business
Do you want to learn how to build resilience, boost your cognitive performance, and achieve mental agility? Then it's time to discover the exciting world of brain health and fitness with Thriving Minds. Hosted by renowned neuroscientist Professor Selena Bartlett, Thriving Minds is a podcast dedicated to exploring the latest advances in brain science education. With decades of experience studying addiction, stress, and mental health, Professor Bartlett is a true expert in her field. And she's ...
…
continue reading
If you came here expecting just another FOAMed-type of podcast, you have come to the wrong place. If you remember back to the show "Seinfeld," you will recall that George and Jerry pitched a new pilot show to NBC. Their idea? A show about nothing. That's right. Nothing. And...that's exactly why that show was so popular. It was a show about nothing. They discussed the nitty gritty aspects of life that you just couldn't get on other shows. We have modeled the Wildcast EM podcast after Seinfeld ...
…
continue reading

1
Couples and Sex Therapy: Myths and Truths (Part 2)
58:19
58:19
Play later
Play later
Lists
Like
Liked
58:19In Part 2 of our conversation with Dr. Nikki Haddad, we went from couples therapy theory to Simpsons cosplay, and yes—it was as chaotic and illuminating as it sounds. Margaret and I roleplay Homer and Marge in a fictional session while Nikki breaks down what’s actually happening between us (emotionally, not just cartoonishly). Along the way, we tal…
…
continue reading

1
Couples and Sex Therapy: Myths and Truths (Part 1)
1:03:26
1:03:26
Play later
Play later
Lists
Like
Liked
1:03:26In this episode, we sat down with Dr. Nikki Haddad—Margaret's residency best friend, couples and sex therapist, and one of the most thoughtful psychiatrists I know—to break down what makes romantic relationships so damn hard. We get into myths we’ve carried (and tried to shake), how sexual issues are rarely just about sex, and why our training in m…
…
continue reading
We opened up the inbox and wow… y’all really came through. In this first-ever Q&A episode, Margaret and I answer your questions about coping during med school, surviving feedback, dealing with emotional exhaustion in residency, and why outpatient goodbyes feel like actual breakups. I also overshare about marathon training (again), Margaret brings t…
…
continue reading

1
Upper GI Bleed: Rescue Strategies From Recognition to Stabilization
24:37
24:37
Play later
Play later
Lists
Like
Liked
24:37Let's delve into the critical steps required to manage an upper GI bleed in the field. This episode breaks down the recognition of risk factors, vital airway and circulation interventions, and best practices for transporting and notifying the hospital. We discuss important historical clues and provide insights on airway handling and circulatory sup…
…
continue reading
This week, I learned I have a pelvic floor. And yes, I realize I’m a doctor and should’ve known that already. Margaret and I talk with pelvic floor physical therapist and viral educator Dr. Alicia Jeffrey-Thomas, who somehow made me breathe through my butt on mic. We cover everything from incontinence and pelvic pain to TikTok fame, trauma-informed…
…
continue reading
In the last episode, Preston demonstrated to Margaret how to properly conduct a mindfulness meditation session. Due to popular demand, the sage spiritual guide is back. Takeaways: Preston can’t lead a meditation Margaret shouldn’t let him try — Watch on YouTube: @itspresro Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc. — Produced by D…
…
continue reading

1
Our Favorite Coping Skills for Working in Stressful Times
1:17:31
1:17:31
Play later
Play later
Lists
Like
Liked
1:17:31In Episode 16, Preston and Margaret dive into the chaos of overnight residency, the reality of sleep deprivation, and how mindfulness can backfire when your brain just won’t sit still. From ruined meditations to hot girl walks through hospital hallways, they unpack what real-world coping actually looks like—before, during, and after the hardest mom…
…
continue reading

1
These Conversations Aren't Black and White: DNR, Advanced Directives, and the Intersection with EMS
56:03
56:03
Play later
Play later
Lists
Like
Liked
56:03These challenging scenarios represent opportunities to provide truly patient-centered care at life's most vulnerable moments. By combining your medical expertise with thoughtful communication, you can help ensure patients' wishes are honored while supporting families through difficult transitions. In this episode we dive into the complex ethical an…
…
continue reading

1
Alcohol: Examining Alcohol culture, history, and use disorder
1:34:00
1:34:00
Play later
Play later
Lists
Like
Liked
1:34:00In Episode 15, Preston and Margaret open a bottle—of questions, stories, and science—about alcohol use disorder. What do we get wrong about “moderate” drinking? Why is detox more dangerous than most people realize? And how does alcohol quietly reshape identity, relationships, and the brain itself? With their signature blend of honesty and humor, th…
…
continue reading

1
Social Anxiety & the Loneliness Epidemic
1:23:57
1:23:57
Play later
Play later
Lists
Like
Liked
1:23:57In Episode 14, Preston and Margaret dive into social anxiety disorder and the loneliness epidemic. From embarrassing childhood memories to awkward club encounters, they explore how social anxiety shows up in everyday life and how it differs from normal nerves. They also discuss the surgeon general’s definition of loneliness, the role of social medi…
…
continue reading

1
Episode #196. Making of SEEN the film, Hailey Bartholomew, Film Director | Writer |TEDx speaker
41:11
41:11
Play later
Play later
Lists
Like
Liked
41:11SEEN is a groundbreaking feature-length documentary—and now a powerful podcast companion—that explores the untold story of how healing our own childhood wounds can transform the way we parent. At the heart of this series lies a bold and hopeful message: when parents confront and rewire their own coping mechanisms, it doesn't just change their lives…
…
continue reading

1
Episode #195. Adolescence & Authority: What the Netflix Series Gets Right About Our Kids, Nicole Runyon, Psychotherapist, parent coach, Author Free to Fly.
1:00:49
1:00:49
Play later
Play later
Lists
Like
Liked
1:00:49📌 Key Insight: Modern parenting often prioritises convenience and safety over challenge and growth. But kids need opportunities to struggle, try, fail, and try again to build the emotional muscles they’ll need for life. “We’re putting 3-year-olds on iPads but not letting them zip up their coats.” – Nicole Runyon Let’s flip the script—and raise a ge…
…
continue reading

1
Episode #194. Unlocking Childhood: How One School Is Leading the Safe Tech Revolution, Anthony England, Pymble Ladies' College – Watch us change the world
34:16
34:16
Play later
Play later
Lists
Like
Liked
34:16Anthony England, Director of Innovation at Pymble Ladies’ College, discusses a bold grassroots initiative to reclaim childhood from the grip of digital addiction. With screen time skyrocketing and mental health declining, Anthony and his team took action—rolling out over 800 custom-managed smartphones designed to grow with students, limit harmful c…
…
continue reading
In this episode, Preston and Margaret take a deep dive into the science of running, exercise culture, and its impact on mental health. They explore the history of running, how it went from an obscure activity to a cultural phenomenon, and the physiological and psychological mechanisms that make it such a powerful mental health tool. They also unpac…
…
continue reading

1
Episode #193 Off limits, Body Safety Rules, Prevention Team, Feather Berkower, Parenting Safe Children Expert
41:38
41:38
Play later
Play later
Lists
Like
Liked
41:38‘Parents who are so worried about offending others by setting boundaries for their kids make it so easy for me to offend” : Relayed from repeat offender to Feather Berkower, expert in parenting safe children. In an era where information is at our fingertips, one of the most critical skills for parents and educators in 2024 is empowering our childre…
…
continue reading

1
BONUS: Wise Guys from FAST24- Allen Wolfe and Michael Frakes On Where We Were, Where We're Going, and How We Get There.
31:26
31:26
Play later
Play later
Lists
Like
Liked
31:26Get 10% off FAST25 with promo code- loud&clear. In this special episode of Loud & Clear: EMS Guiding Principles, we learn from the wisdom of 2 industry leaders with nearly 70 years worth of combined experience, Allen Wolfe and Michael Frakes. This episode explores the evolution of EMS education, effective training strategies, and the importance of …
…
continue reading

1
Episode #192. Free to Learn: How Embracing Play Makes Children Happier, Self-Reliant, and Lifelong Learners. Professor Peter Gray, Boston College
1:23:56
1:23:56
Play later
Play later
Lists
Like
Liked
1:23:56In this episode, we dive into the revolutionary ideas of developmental psychologist Peter Gray, author of Free to Learn: Why Unleashing the Instinct to Play Will Make Our Children Happier, More Self-Reliant, and Better Students for Life. Gray challenges conventional education by making a bold case for self-directed, play-based learning – or "unscho…
…
continue reading

1
Episode #191 Stop Stuffing the Duck, Unlocking Childhood, Why Educators Need Support, ACES too High and More, Mary Hewitt, CEO of Unlocking Childhood.
48:20
48:20
Play later
Play later
Lists
Like
Liked
48:20Stop Stuffing the Duck with Mary Hewitt In this insightful episode of Unlocking Childhood, Mary Hewitt unpacks the idea of "Stop Stuffing the Duck"—a powerful metaphor for how we often overload children with expectations, information, and stress. Mary explores how society's approach to childhood can inadvertently suffocate natural curiosity and res…
…
continue reading

1
Parasocial Relationships, Social Media, & How Art Can Help Mental Health
1:31:01
1:31:01
Play later
Play later
Lists
Like
Liked
1:31:01In this episode Margaret takes the lead as she welcomes art therapist, psychotherapist, and author Amelia Knott to discuss the ethics of being online, parasocial relationships, and the impact of social media on mental health. We explore the blurred lines between personal and professional identities in digital spaces, the therapeutic power of art, a…
…
continue reading

1
Episode #190 Wired for Good. The Intersection of Neuroscience, Connection and Success. Shand Taylor Lawyers Ladies Function for IWD 2025
37:29
37:29
Play later
Play later
Lists
Like
Liked
37:29“Wired for Good: The Intersection of Neuroscience, Connection, and Success” 🎙️ Live from the Shand Taylor Lawyers Ladies Function for IWD 2025 This special International Women’s Day episode explores the fascinating intersection of neuroscience, connection, and success—how our brains are wired for good and what that means for leadership, resilience,…
…
continue reading

1
ADHD, Misinformation, and the Chaos of Online Mental Health
1:24:27
1:24:27
Play later
Play later
Lists
Like
Liked
1:24:27In this episode we are joined by Priyanka Patel, a pharmacist, content creator, and soon-to-be author, to discuss mental health misinformation, ADHD, and the challenges of navigating online discourse about mental health. Priyanka shares her personal journey with ADHD, the barriers she faced in getting a diagnosis, and how social media both helps an…
…
continue reading

1
Unlocking Practice Changing Insights: A Paramedics Guide to Reviewing the Medical Literature
41:02
41:02
Play later
Play later
Lists
Like
Liked
41:02Let's discuss the intricacies of evidence-based medicine (EBM) with Dr. Ben Li. The conversation dives deep into understanding different types of medical studies, their hierarchies, and how EMS providers can apply them to their practice. The episode covers evaluating research, the importance of study design, confounders, sample size, and how to dis…
…
continue reading

1
Genetic Counseling (How to Approach the Unknown)
1:08:00
1:08:00
Play later
Play later
Lists
Like
Liked
1:08:00In this episode we sit down with genetic counselor Julia Castro to demystify the world of genetic testing and counseling. They explore how genetic information can help (or sometimes confuse) patients, why more testing isn't always better, and the ethical dilemmas of knowing too much about your future health. Takeaways: Genetic Counseling is More Th…
…
continue reading

1
Episode #189. Celebrating Early Educators on IWD: Empower, Nurture, Flourish – ECLD Conference 2025 Hosted by Child Australia, Perth.
46:14
46:14
Play later
Play later
Lists
Like
Liked
46:14Empower, Nurture, Flourish – ECLD 2025 Keynote Standing on the stage at Optus Stadium, in Perth looking out at 700 passionate educators, leaders, and changemakers, there was an undeniable energy in the room, with a shared commitment to shaping the minds and hearts of future generations. This was more than a conference; it was a movement. Delivering…
…
continue reading

1
Cannabis and Coping: A Mixed Relationship
1:11:29
1:11:29
Play later
Play later
Lists
Like
Liked
1:11:29In this episode Preston and Margaret explore the endocannabinoid system, cannabis, and its impact on mental health. They break down the science behind CB1 and CB2 receptors, explain why marijuana affects people so differently, and discuss the complex relationship between THC, CBD, and dopamine. Along the way, they tackle myths about cannabis use, a…
…
continue reading

1
Why Your EMS Bag Could Be Failing You: Essential Design Tips You Need
45:41
45:41
Play later
Play later
Lists
Like
Liked
45:41We discuss the importance of equipment design in EMS with Adam LaChapelle, founder of The Resus Tailor. Together we delve into the impact that effective design has on performance and patient outcomes, exploring principles such as reducing friction and visual checklists. Adam shares compelling stories and practical tips on organizing your equipment …
…
continue reading
In this episode Preston and Margaret are joined by Dr. David Roberts to explore the fascinating world of motivational interviewing (MI)—a counseling technique designed to help patients navigate ambivalence and commit to meaningful change. Dr. Roberts shares insights from his years of experience training psychiatrists and therapists, breaking down M…
…
continue reading

1
NEW NAME! The podcast gets a new name, find out what and why...
3:48
3:48
Play later
Play later
Lists
Like
Liked
3:48Hello everyone, we have an exciting announcement. Today we are announcing our brand new name: Loud & Clear: EMS Guiding Principles. My name is Ross, and alongside my co-host, Will, we're thrilled to present this fresh chapter in our podcast journey. Let's start with why we're rebranding and renaming. For close to five years now, we've been bringing…
…
continue reading

1
Episode #188. The courage to be seen as your TRUE self. Welcome, Rudi Landman! Tech expert, fashion model, and life coach
1:33:56
1:33:56
Play later
Play later
Lists
Like
Liked
1:33:56In a world that often asks us to conform, it takes immense courage to show up as our true selves. Rudi Landmann embodies bravery, stepping forward with authenticity, heart, and a commitment to being seen. As part of the 2025 Why People Are Good Inside movement, we welcome Rudi into our bubble of love and support—where kindness, understanding, and c…
…
continue reading

1
Treating Back Pain and Trending on Tik Tok
1:34:52
1:34:52
Play later
Play later
Lists
Like
Liked
1:34:52In this episode Preston and Margaret welcome their first guest, neurosurgeon and content creator Dr. Betsy Grunch (aka Lady Spine Doc), for a deep dive into pain—how we treat it, how we misunderstand it, and how the system often fails those who experience it. Takeaways: Pain Is Not Just Physical: Chronic pain isn’t just about physical damage—it inv…
…
continue reading

1
Episode #187. Why are People Good Inside, A reflection for 2025.
10:56
10:56
Play later
Play later
Lists
Like
Liked
10:56Why Are People Good Inside? A Valentine’s Week Reflection Have you ever sat back and wondered why everything functions despite the avalanche of news suggesting it is falling apart? I’ve watched everyday people helping others—lifting grocery bags for a stranger, steadying an elderly person’s walker on a staircase, retrieving a lost toy that slipped …
…
continue reading

1
Unlocking Syncope: A Harbinger of Hidden Perils, Differentiating Benign from Life-Threatening Causes
59:01
59:01
Play later
Play later
Lists
Like
Liked
59:01Syncope is a symptom, not a diagnosis. Often it's a symptom of a benign etiology but it can indicate a life-threatening condition. So how do we distinguish between the two? We dive into the complex topic of syncope with guest Matt Mendes. We discuss the importance of recognizing syncope, differentiating it from seizures, and identifying who are the…
…
continue reading

1
Exercise, Nutrition and Mental Health
1:19:18
1:19:18
Play later
Play later
Lists
Like
Liked
1:19:18In this episode Preston and Margaret take a deep dive into the complex relationship between exercise and mental health. They discuss the science behind how movement impacts the brain, debunk common myths about fitness, and explore the psychological barriers that prevent people from incorporating exercise into their lives. Takeaways: Exercise Impact…
…
continue reading

1
Episode #186 Sugar and Mental Health – Our Most Downloaded Episode Ever! with Guy MacGillivray
48:29
48:29
Play later
Play later
Lists
Like
Liked
48:29Guy MacGillivray on Sugar and Mental Health – Our Most Downloaded Episode Ever! This episode is a game-changer! Our conversation with Guy MacGillivray has become the top episode of all time—and for good reason. Guy is a psychologist and social worker in Port Lincoln, a devoted father of three, and a passionate advocate for people with disabilities.…
…
continue reading
In this episode Preston and Margaret tackle one of the most talked-about topics in mental health today—ADHD. From the historical roots of the diagnosis to the impact of modern social media trends, they explore how our understanding of ADHD has evolved over time. They discuss the challenges of diagnosing ADHD in both children and adults, the role of…
…
continue reading

1
Invisible Scars: The Battle for Mental Health in EMS - PATH4EMS
37:04
37:04
Play later
Play later
Lists
Like
Liked
37:04Let's discuss the pressing issue of mental health among first responders, particularly within the EMS community. Will gets vulnerable and shares a personal story of trauma on the job to highlight the urgent need for mental health resources and support. Unfortunately, his story is not unique, we will all experience some level of emotional trauma whi…
…
continue reading

1
Episode #185 Women & Investing: Breaking the Stereotype and your Path to Financial Independence with David Hobart, Performance Coach for Founders and Fund Managers
1:57:04
1:57:04
Play later
Play later
Lists
Like
Liked
1:57:04Who shaped your understanding of financial independence? Let’s continue the conversation in the comments. When my sister and I were about 10 years old, my mum, June Hocart, often said, "My job is to make you financially independent." At the time, we didn’t fully grasp what she meant. But as we grew older, we saw how she lived those words—studying b…
…
continue reading
In this episode Preston and Margaret explore the complex concept of rapport in healthcare. They reflect on the challenges of building meaningful connections with patients and the impact these relationships have on medical outcomes. From awkward early encounters in medical school to techniques they've developed as psychiatry residents, this episode …
…
continue reading

1
Making it Through Winter: Seasonal Affective Disorder and Winter Mental Health Tips
1:11:28
1:11:28
Play later
Play later
Lists
Like
Liked
1:11:28In this episode Preston and Margaret embrace the season with a deep dive into Seasonal Affective Disorder (SAD). From the science behind melatonin and serotonin to the cultural and emotional frameworks that shape how we experience winter, this episode covers the biopsychosocial dynamics of seasonal depression. Along the way, they share personal ane…
…
continue reading

1
Episode #184. Parenting Neurodiverse and Twice-Exceptional Children Yush Sztalkoper
1:02:45
1:02:45
Play later
Play later
Lists
Like
Liked
1:02:45In this episode, Yush Sztalkoper shares her transformative journey as a parent raising neurodiverse and twice-exceptional children—kids who are both gifted and experience challenges such as ADHD or dysregulated behaviours. By replacing screen time with enriching activities like reading, outdoor play, and family board games. Within two weeks, her ch…
…
continue reading

1
Wide Complex Tachycardia: Get Comfortable With Uncertainty
1:00:02
1:00:02
Play later
Play later
Lists
Like
Liked
1:00:02Learn a systematic approach to management of wide complex tachycardia that doesn't rely on exact rhythm identification or scoring systems with guest Dr. Kevin Butler. By understanding the physiology rather than memorizing a score or algorithm you can use Kevin's approach and ABCD mnemonic to help differentiate between ventricular tachycardia, SVT w…
…
continue reading

1
Attachment Theory, just hanging in there
1:12:12
1:12:12
Play later
Play later
Lists
Like
Liked
1:12:12In this episode Preston and Margaret dive into the science and personal experiences surrounding attachment theory. They discuss its origins, its modern-day interpretations, and how it shows up in everyday relationships. Takeaways: Attachment is Dynamic: Attachment theory isn’t a fixed diagnosis—it’s a lens to understand how people relate to others …
…
continue reading
In this debut episode of How to Be Patient, psychiatry residents Preston Roche and Margaret Duncan open up about their personal journeys into medicine and the challenges they’ve faced in connecting with patients—and themselves. From navigating early patient interactions to grappling with their own vulnerabilities, they explore the balance between a…
…
continue reading

1
Trailer - Loud & Clear: EMS Guiding Principles
2:44
2:44
Play later
Play later
Lists
Like
Liked
2:44You’ve looked at other paramedic continuing education resources but it’s the same basic material they taught you in school. There’s more you need to know, or you might miss something, someone might get hurt, or worse someone might die. You don’t feel ready. Your goal is to control the chaos. To become an expert in the field of prehospital medicine.…
…
continue reading

1
From Novice to Navigator: Mastering the Art of EMS Field Training
1:06:34
1:06:34
Play later
Play later
Lists
Like
Liked
1:06:34Joined by Josh, Cody, and Moose from the AlertMedicOne podcast, we explore key principles of good training, leadership, and the importance of making mistakes in a safe learning environment. We discuss strategies to foster critical thinking, introspection, and continuous improvement among trainees in the EMS field. A big part of EMS is learning to b…
…
continue reading

1
The Difference Between Equal and Equitable Care
16:12
16:12
Play later
Play later
Lists
Like
Liked
16:12Explore the crucial distinction between providing equal care versus equitable care within emergency medical services (EMS). We give you an in-depth discussion with Ritu Sani from The EMS Show podcast, highlighting the importance of focusing on outcome-driven quality improvement projects and addressing disparities in care. Learn how different demogr…
…
continue reading

1
Life Over Limb: Field Amputation, Preparing for the Unthinkable
15:26
15:26
Play later
Play later
Lists
Like
Liked
15:26Dr. Avery McKenzie interviews Dr. Eric Adler, regional medical director for Flight for Life, about the challenging and rare procedure of field amputations. They discuss the importance of being prepared for the unexpected, the steps involved in developing a protocol for such emergencies, and the logistical challenges faced during the process. Dr. Ad…
…
continue reading
It’s finally time to address our professional relationships with mental health treatment in a clear, calm, and professional manner. It’s time that practitioners start to better understand ourselves, our patients, and our parallel journeys to address mental health struggles in this highly unpredictable cultural climate. It’s time a podcast trailer p…
…
continue reading

1
The Untold Impact of EMS on Organ Donation: Transforming Tragedy into Hope
16:31
16:31
Play later
Play later
Lists
Like
Liked
16:31In this episode, we discuss the profound impact that one patient's organ donation can have on society. Even when not every patient gets to go home, the ability to donate organs can positively affect up to 80 people, multiplying our impact and service to the community. Guest Chris Meeks, a critical care flight paramedic and organ recovery coordinato…
…
continue reading

1
Values-Driven Leadership Within A Just Culture- Chris Pfingsten from EMS 20/20
17:36
17:36
Play later
Play later
Lists
Like
Liked
17:36Creating lasting behavioral changes in the workplace by moving beyond consequence-based policies. Chris discusses the importance of aligning personal and company values, highlighting 'just culture' in EMS and its role in understanding motivations and systemic issues. The conversation covers leadership in EMS, focusing on the significance of fosteri…
…
continue reading