Listen "Refocusing on Fire and EMS: Lessons From a First True Structure Fire and Bridging the Gap Between Pre-Hospital and Hospital Care"
Episode Synopsis
Send us a textSparks in a storm, a deadbolted door, and a corner call that taught us more than any drill—this one marks a true shift back to Fire/EMS reality. We took a month to recalibrate, and we’re refocusing on what happens on the street and on the fireground: pump operations under pressure, size-up language that actually works, and the messy truth about decision-making when the rain is sideways and the power line is humming above your rig.We break down our first true structure fire as a crew—why the first 15 minutes decide the rest, how defining the apparatus as A-side fixes corner confusion, and what “hunt the glow” looks like when smoke eats your vision. We also talk frankly about fatigue and fuel. Cutting carbs might shred a belt size, but it can wreck your legs eight minutes into the job. If you don’t treat nutrition like PPE, the fireground will. Small departments get fewer burns, so each one becomes a high-value rep; we share practical ways to mine every scene for hard lessons and turn misses into muscle memory.On the EMS side, we walk through a hospice code with no DNR on hand and the friction that followed. Field care runs on protocol and proof, while hospitals enjoy instant MD oversight and chart certainty—those worlds collide at handoff. We don’t rant; we offer a fix: require EMS ride time during hospital onboarding so nurses see what we see—tight crews, chaotic homes, tough choices, and priorities that shift by the second. It’s not about blame; it’s about building respect that speeds care and cuts noise.If this direction hits home, subscribe, share it with your crew, and drop us a note with the next fire or EMS topic you want us to tackle. Your feedback steers the show—what should we break down next?
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