Adenosine isn’t just a drug — it’s a cardiac truth serum. In this episode, we break down how it interrupts SVT circuits, exposes fake ventricular tachycardia, and helps paramedics think instead of memorize. From street-level pharmacology to real case application, learn why that momentary asystole might actually mean you saved a life

This episode dives straight into one of the sneakiest, deadliest postpartum emergencies out there: pulmonary embolism. It’s a fast-paced ride through the six-week hypercoagulable chaos zone where new moms are walking clot factories, subtle signs matter, and tachycardia is the quiet villain hiding in plain sight.

We unpack why these clots form, how to spot the red flags hiding behind clear lung sounds, and how to keep a patient alive long enough for definitive care. Think of it as a crash course in postpartum pattern recognition—equal parts physiology, field clues, and “oh wow, that makes sense now.”

It’s sharp, gritty, and exactly the episode you didn’t know you needed.

This episode opens with a seemingly routine flu call that unravels into a life-threatening respiratory crisis. Through the story of a COPD patient in distress, it explores how influenza can trigger cascading airway inflammation, gas-exchange failure, and sepsis. The script challenges medics to rethink “just the flu” as a high-stakes emergency demanding sharp assessment and timely intervention.

Despite frequent reports of severe pain, many trauma patients receive little or no analgesia from paramedics. This gap often stems from a mix of cultural and clinical factors — fear of masking injuries or altering mental status, concern about hypotension or respiratory depression, limited drug options, and restrictive protocols that demand physician approval. Some medics also hesitate due to ingrained bias, uncertainty about patient honesty, or past experiences with drug-seeking behavior. Together, these barriers create a pattern of “under-treating” pain in the field, even when timely relief could improve outcomes and patient trust.

In Running on Empty: Circulating on Fumes, The Ten Minute Medic trades sirens for subtlety—reminding us that not all emergencies come screaming. Our unlucky protagonist is a pregnant patient whose body has turned “morning sickness” into an Olympic event, leaving her so dehydrated her cardiovascular system is basically running on fumes.

This episode turns a quiet case of hyperemesis gravidarum into a masterclass on spotting shock before it strikes. It’s equal parts physiology refresher and paramedic pep talk—complete with the gentle reminder to be good humans to our patients...especially when they are making a new human!

Ever had a patient swear it’s their lungs—but the problem’s really their heart? In this episode, we dig into cardiac dyspnea, the kind of shortness of breath that starts in the left ventricle, not the bronchi. You’ll learn how pressure backs up into the pulmonary circuit, why patients can’t lie flat without gasping, and what separates heart failure breathlessness from COPD or asthma. Perfect for paramedics who want to sharpen their clinical instincts and catch the subtle signs before the monitor does.

Welcome to my classroom! Bladder infections in geriatric patients can lead to sepsis due to weakened immune systems, anatomical changes, and decreased antibody production, allowing bacteria to spread rapidly from urinary tract to bloodstream. In this short podcast, listen in on part of the reason as to why urinary tract infections can lead to sepsis in the older patient thus becoming deadly.

This series explores the importance of toxidrome recognition for paramedic students. Listeners will gain a clear understanding of how identifying toxidromes supports accurate assessments, guides treatment decisions, and improves patient outcomes in poisoning and overdose scenarios.