Podcast Library

A short EMT-level episode from Munden Interactive on diabetic ketoacidosis. It uses Forrest Munden's freeway analogy to explain insulin, ketones, the deep Kussmaul breathing and fruity breath, and how DKA differs from HHS. It covers what an EMT does on scene, the AHA oral glucose rules for low blood sugar, and how to spot a bad IV site when ALS pushes D50 or D10. Education, not medical direction; follow your local protocols.

A fast heart rate isn't the emergency by itself — instability is. This episode walks BLS providers through spotting the AHA instability signs (low blood pressure, altered mental status, signs of shock, chest pain, and acute heart failure) with basic tools, calling ALS early, and trending the patient while you wait. It also covers the pivot to arrest care — a pulse check of no more than 10 seconds, CPR and the AED, rescue breathing at one breath every 6 seconds, and why gasping is not normal breathing — all based on the 2025 AHA guidelines.

A paramedic-level episode from Munden Interactive on prehospital seizure care for the National Registry exam: generalized versus focal seizures and the 2025 ILAE terms, auras, the postictal phase and Todd's paresis, and the modern 5-minute status epilepticus definition. It covers AHA scene care (nothing in the mouth, no bite sticks, no restraint, recovery position afterward), the nasal airway, glucose, and benzodiazepine doses from the National Model EMS Clinical Guidelines and the American Epilepsy Society, plus why the RAMPART trial favors IM midazolam over waiting for an IV. It also covers pseudoseizures (PNES), febrile seizures, eclampsia and magnesium, and when to transport, keeping AHA guidance separate from local protocol. Education, not medical direction; follow your local protocols.

A paramedic-level episode from Munden Interactive covering the 2025 AHA/AAP Pediatric Advanced Life Support basics you need before the PALS pre-course self-assessment and exam: the systematic approach, respiratory distress versus failure, compensated versus hypotensive shock, and the pediatric cardiac arrest, bradycardia, and tachycardia algorithms with the AHA's per-kilogram doses and energies. It also covers post-arrest care, what changed from 2020, and common exam traps, and keeps AHA guidance separate from local protocol. Education, not medical direction; follow your local protocols.

A paramedic-level episode from Munden Interactive on the 2025 AHA adult tachycardia algorithm. It covers deciding whether a fast rhythm is causing instability and needs synchronized cardioversion, vagal maneuvers and adenosine for regular narrow-complex tachycardia, rate control for atrial fibrillation, and amiodarone, procainamide, and sotalol for stable wide-complex tachycardia, including the drugs to avoid with WPW and heart failure. Doses the AHA doesn't print are called out as local protocol. Education, not medical direction; follow your local protocols.

A paramedic-level episode from Munden Interactive on the 2025 AHA adult bradycardia algorithm. It covers deciding whether a slow heart rate is actually causing harm, supporting oxygenation and ventilation first, the AHA atropine dose and why atropine can fail, and when to move to transcutaneous pacing or an epinephrine or dopamine infusion, keeping AHA guidance separate from local protocol. Education, not medical direction; follow your local protocols.

A paramedic-level episode from Munden Interactive on reading the 12-lead by wall: septal, anterior, lateral, and inferior. It covers why an inferior STEMI calls for right-sided leads like V4R, how a right ventricular infarct makes the patient preload dependent, and what that means for nitroglycerin, aspirin, morphine or fentanyl, fluids, oxygen, and pacing for symptomatic bradycardia. It follows the 2025 ACC/AHA acute coronary syndromes guideline and the 2025 AHA resuscitation guidelines. Education, not medical direction; follow your local protocols.

Same box, same pads, two very different jobs. This paramedic-level episode from Munden Interactive covers when to synchronize and when to defibrillate under the 2025 AHA guidelines. It explains why the shock has to stay off the vulnerable T wave, why polymorphic VT gets an unsynchronized shock, monophasic versus biphasic, adult versus pediatric pad placement and when pads can be swapped, medication patches and implanted devices, and where shocks fall relative to epinephrine and antiarrhythmics. Education, not medical direction; follow your local protocols.

A paramedic-level episode from Munden Interactive that goes deeper into DKA. It covers ketogenesis and the acid-base picture, why Kussmaul breathing is the patient's own compensation and the danger of taking over the airway, the potassium trap, DKA versus HHS, safe IV dextrose and extravasation awareness, and the 2025 AHA guidance when DKA turns into a hyperkalemic arrest. It's told through Forrest Munden's freeway analogy. Education, not medical direction; follow your local protocols.

Who gets synchronized cardioversion, who doesn't, and how to do it right, based on the 2025 AHA adult ALS guidelines and the 2025 tachycardia and electrical cardioversion algorithms. We cover the instability criteria and why sinus tach never gets shocked, why pulseless VT, VF, and polymorphic VT get unsynchronized shocks, the new 2025 starting energies (200 J for AF and flutter, 100 J for narrow-complex tachycardia and monomorphic VT), sedation and airway readiness, and pad placement. We finish with the step-by-step shock sequence, re-syncing after every shock, and post-cardioversion care, including the 48-hour clot risk in AF and flutter.

A concise, street-level review of acid-base disturbances (respiratory & metabolic acidosis/alkalosis) tailored for paramedic students preparing for the NREMT exam. Covers causes, symptoms, ABG interpretation, compensation, vicious cycles, and prehospital interventions.

OB and Peds for the EMT covers all the hot topics for the NREMT exam. Listen to this podcast while you workout, drrive, or just want to study and it will help you prepare for the NREMT exam. Thank you! Forrest Munden

Understanding the difference between right sided and left sided heart failure

A deep dive into left sided heart failure with Paramedic Forrest Munden

How a panic attack works and it's pathology. "What you need to know"