Pressure Matters: Oxygenation vs. Ventilation in Pre-Oxygenation with Scott Weingart

Pressure Matters: Oxygenation vs. Ventilation in Pre-Oxygenation with Scott Weingart

Author: Ross Orpet, Paramedic turned EMS Physician June 7, 2026 Duration: 30:30
Pre-Oxygenation is not just putting oxygen on the patient and hoping the sat buys you enough time. In this episode, Ross talks with Scott Weingart after his FAST26 talk on preventing peri-intubation arrest. They get into why many peri-intubation arrests are predictable and preventable, why shunt physiology requires pressure and not just FiO2, and how EMS clinicians can build a field-ready setup with a nasal cannula, BVM mask, PEEP valve, and continuous pressure. Scott also walks through low-, moderate-, and high-risk patients, why high-risk oxygenation patients may not be good RSI candidates, and what changes for asthma, aspiration risk, and morbid obesity. Book a FREE Coaching Call with Us Here Learn More About the Loud & Clear Fellowship American Burn Association ABLS Now giveaway and 10% listener discount PREOXI trial: Noninvasive Ventilation for Preoxygenation during Emergency Intubation PreVent trial: Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults EMS World Live + FAST 26 conference coverage Guest: Scott Weingart / EMCrit — https://emcrit.org/

Stepping out of the classroom and into the rig is where the real learning begins, but that transition often leaves even seasoned providers with a lingering doubt. Loud & Clear: EMS Guiding Principles addresses that gap directly, moving past the basic protocols to explore the foundational reasoning that makes for excellent prehospital care. Hosted by Ross Orpet, a paramedic who now practices as an EMS physician, this podcast digs into the "why" behind the algorithms. It’s built on the understanding that no textbook can possibly cover every unique scenario you’ll encounter on the road. Instead of just listing steps, each episode examines the core principles that guide critical decisions when the situation doesn't fit a neat checklist. You’ll hear discussions that bridge the gap between field experience and medical rationale, focusing on the adaptive thinking required for complex emergencies. This is advanced continuing education designed for paramedics, EMTs, and all prehospital providers who feel that standard training was just the beginning. The conversations in this series aim to solidify your clinical judgment, helping you build confidence through comprehension. By tuning in, you gain access to a deeper level of professional development, where the objective is to think clearer and act more decisively, no matter how many days you have on the job. This podcast serves as a vital resource for those committed to mastering their craft beyond the basics.
Author: Language: English Episodes: 50

Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers
Podcast Episodes
The Art of Managing Agitated Patients [not-audio_url] [/not-audio_url]

Duration: 1:19:24
Effective agitated patient management requires a fundamental shift from viewing these encounters as behavioral problems to recognizing them as medical emergencies with underlying pathophysiological processes. By systemat…
Upper GI Bleed: Rescue Strategies From Recognition to Stabilization [not-audio_url] [/not-audio_url]

Duration: 24:37
Let'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 transpor…
NEW NAME! The podcast gets a new name, find out what and why... [not-audio_url] [/not-audio_url]

Duration: 3:48
Hello 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 ch…