The Call Nobody Trained You For — Jim Schmidt on Domestic Violence Recognition

The Call Nobody Trained You For — Jim Schmidt on Domestic Violence Recognition

Author: Ross Orpet, Paramedic turned EMS Physician April 22, 2026 Duration: 1:12:07
Most medics walk onto a domestic violence scene armed with instinct and not much else. Jim Schmidt thought 20 years in the fire service had prepared him for anything — until he had to identify his stepdaughter Gabby Petito's body in 2021. In the months and years after he realized how little EMS is prepared to recognize and treat domestic violence victims. What he's learned since has rewritten what first responders should be doing on these calls. Jim walks us through the red flags, why strangulation may leave no external marks but signals a 750% jump in homicide risk, how to document, how to treat and talk to the patient, and what patterns we can recognize. Resources DomesticShelters.org — find local DV/SA orgs by address National DV Hotline — 1-800-799-SAFE · text START to 88788 JEMS article by Jim Schmidt on educating first responders to recognize domestic violence: https://www.jems.com/ems-training/domestic-violence-educating-first-responders/  Jim Hopper, PHD on the neurobiology of trauma and sexual assault: https://www.youtube.com/@JimHopperPhD  Want to go deeper? Book a Free Coaching Call at emspodcast.com/free-coaching-call Sign up for the weekly newsletter: emspodcast.com/newsletter  

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: 100

Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers
Podcast Episodes
Don't Miss Something Important, Your Physical Exam Matters [not-audio_url] [/not-audio_url]

Duration: 26:19
Will Berry's back on the show to chat with us about a commonly overlooked part of our care. He can't stress enough how important a good detailed physical exam can be. Are you dedicating enough attention to your physical…
Snake Bites [not-audio_url] [/not-audio_url]

Duration: 37:06
Summer's not over yet which means the snakes they are a still slithering. Come learn everything you need to know about treating North American snake bites in the field and dispel some myths along the way. Enter to Win a…
The Physiologically Difficulty Airway - Part 2: Hypotension [not-audio_url] [/not-audio_url]

Duration: 17:26
Join us for part two of our four part series looking at the physiologically difficult airway. Matt takes us through the different causes of hypotension, why these patients are so dangerous to intubate, and how to resusci…
Narrow Pulse Pressure as a Predictor of ED Thoracotomy in Trauma? [not-audio_url] [/not-audio_url]

Duration: 14:01
We discuss the following paper and its impact on our prehospital management. Prehospital narrow pulse pressure predicts need for resuscitative thoracotomy and emergent intervention after trauma Schellenberg M, Owattanapa…
The Physiologically Difficult Airway - Part 1: Hypoxia [not-audio_url] [/not-audio_url]

Duration: 14:44
Ross and Matt discuss the importance of preoxygenating hypoxic patients prior to intubating them. This is the first of a 4 part series on the physiologically difficult airways. Link to the makeshift CPAP: https://www.you…

«1...678910