Podcast
Join Erik & Matt on the Axene CE Podcast
Real stories, expert insights, and continuing education made for today's providers. Listen free on YouTube – or earn CAPCE-accredited CE credits through our courses.
72 Episodes
13 CE Credits Available
Listen Free on YouTube
Every episode is a real conversation between Erik and Matt about EMS topics that matter — not boring lectures.
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Episodes
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Every episode is free to listen on YouTube. Ready for CE credit? Enroll in the matching course.
Showing 72 of 72 episodes

Understanding Addiction: Causes, Effects, and Recovery
A compassionate and comprehensive look at addiction — what it is, how it develops, and evidence-based strategies for breaking free from substance dependence.
What You'll Learn

Prison Patients: Treating Incarcerated Individuals as First Responders
A candid look at EMS care for incarcerated patients — the clinical considerations, challenges, and rewarding moments of providing care in correctional settings.
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Recognizing Child Abuse: Critical Steps for EMS and First Responders
How EMS providers can recognize and report child abuse: physical exam patterns, the "Ten Four Faces P" mnemonic, and reporting responsibilities.
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Human Trafficking: Awareness, Identification, and Intervention
A focused course on human trafficking, covering essential EMS operations and safety concepts for field-ready providers.
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Pediatric Cardiac Emergencies in EMS
Tackle pediatric cardiac emergencies in EMS with confidence — vital signs, shock types, congenital anomalies, and critical transport decisions explained.
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Mass Casualty: Responding to Critical Incidents
A look at mass casualty response in EMS — the strategies, challenges, and emotional impact of managing the worst calls first responders ever face.
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Mass Casualty Incidents and Trauma Response
MCI response principles for EMS: triage, hemorrhage control, scene coordination. Lessons from the New Orleans attack with Dr. Axene and Matt Ball.
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Whole Blood in EMS: Life-Saving Science, Challenges & Implementation
EMS medical directors discuss whole blood transfusion programs: the science, logistics, real-world outcomes, and implementation challenges for agencies.
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Hemorrhage Control: Stopping the Bleed in EMS & Trauma
Life-saving hemorrhage control techniques for EMS and civilians: tourniquets, wound packing, and stopping the bleed in trauma emergencies.
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Toxidromes in EMS
Learn to recognize and manage common toxidromes in the prehospital setting — a practical EMS guide to poisoning and overdose presentations.
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High Risk OB Emergencies in EMS (Part 2)
Part 2 of high-risk OB emergencies: preeclampsia, eclampsia, placental emergencies, neonatal resuscitation & postpartum hemorrhage for EMS.
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High Risk OB Emergencies in EMS (Part 1)
Part 1 of high-risk OB emergencies in EMS — real cases, trauma in pregnancy, sepsis, and expert tips for prehospital providers.
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Emergence of ECMO in EMS Rescue
A look at ECMO in EMS — the benefits, challenges, and future possibilities of bringing extracorporeal life support into the prehospital setting.
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OMI vs STEMI: Understanding Critical EKG Patterns in EMS (Part 2)
Part 2 of OMI vs STEMI: new EKG patterns EMS providers must know to avoid missing up to 25% of heart attacks in the prehospital setting.
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OMI vs STEMI: Understanding Critical EKG Patterns in EMS (Part 1)
Part 1: Why OMI is replacing STEMI in emergency medicine — essential EKG pattern recognition for EMS providers treating suspected heart attack patients.
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Understanding Ketamine: Uses, Origins, and Side Effects
A deep dive into ketamine for EMS — origins, proper use in emergency settings, side effects, and what every paramedic should know about this powerful medication.
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High Risk Errors in EMS
Learn the most common high-risk errors EMS providers make — medication mistakes, communication failures, and how to prevent them in the field.
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Spinal Motion Restriction: Rethinking C-Collars in EMS
New research challenges cervical collar use in EMS, Dr. Axene & Matt Ball break down the 2025 data and what it means for prehospital spine care.
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Navigating Patient Refusals in EMS
A practical breakdown of patient refusals in EMS — liability risks, documentation strategies, and how to manage uncooperative patients in the field.
What You'll Learn
EMS Stroke Assessment and Management
Master prehospital stroke assessment with Cincinnati, LAMS & FAST — including LVO recognition and subtle presentations every EMS provider must know.
GI Bleeds in EMS
Identify and manage upper vs. lower GI bleeds in the field — including TXA updates, shock index, and when blood transfusion is appropriate.
Code 3 Creator Patrick Pianezza on EMS Burnout, Culture, and the Experiences that Shaped the Film
Patrick Pianezza, co-creator of the film "Code 3," joins to discuss EMS burnout, culture, low pay, and the real stories behind the movie.

Pediatric Patients in EMS
Essential pediatric EMS skills, practical tips, real-world scenarios, and expert guidance for caring for children in the prehospital setting.
Obesity in EMS Patients
Caring for obese patients in EMS: medication dosing, treatment complexities, and provider safety considerations for prehospital providers.
Caring for Special Needs Patients in EMS
Practical EMS strategies for caring for patients with special needs from autism to mobility challenges, vision, and hearing impairments.
Load and Go or Stay and Play?
The EMS "load and go vs. stay and play" debate explained. A medical director and FTO's perspectives on one of prehospital medicine's toughest decisions.
A Health and Wellness Framework for First Responders
Dr. Axene introduces 6 evidence-based pillars of health and wellness specifically designed for first responders, a practical framework for long-term well-being.
Submersion Injuries in EMS
Drowning, near-drowning, and cold water immersion in EMS. The physiology, prehospital management, and secondary complication considerations explained.
Recognizing and Treating Hyperthermia
Heat stroke vs. heat exhaustion in EMS teaching rapid cooling techniques, thermoregulation, rhabdomyolysis, and prehospital heat emergency management.
Trust-Centered Leadership in EMS: Chief Reardon on Trauma, Culture, and Leading Through Crisis
Fire Chief Robert Reardon shares powerful leadership lessons on navigating trauma, bridging admin and operations, and building trust within EMS agencies.
Airway Management in EMS: Indications, Technique, and Real-World Lessons
Advanced EMS airway management: when to intubate, first-pass success, and challenges with pediatric, geriatric, trauma & obese patients explained.
Sepsis in EMS: Early Identification, Treatment, and the Role of Prehospital Providers
Sepsis kills more than cardiac arrest. Learn prehospital recognition, EMS treatment strategies, and how AI & ETCO₂ are improving early detection.
What EMS in the Fire Service Really Looks Like
The reality of EMS in the fire service: clinical complacency, cultural gaps, and why staying medically sharp matters in a fire-based EMS system.
Why STEMI Isn't Enough Anymore: The EMS OMI Criteria Update
The latest EMS OMI criteria reveal STEMI misses up to 34% of heart attacks. Learn the EKG patterns every prehospital provider must know in 2025.
The EMS World Record Attempt for the Longest Ambulance Transport (Part 2)
The conclusion of the 3,200-mile EMS world record ambulance journey. Chaos, comedy, Guinness certification, and mobile CE education on the road.
The EMS World Record Attempt for the Longest Ambulance Transport (Part 1)
How Dr. Axene & Matt Ball planned a Guinness World Record-breaking 3,200-mile ambulance journey while creating EMS education content along the way.
EMS Providers Being Charged Criminally
A paramedic faces manslaughter charges for an honest medication error. What EMS providers need to know about growing criminal liability in the field.
Paramedic to Nurse or Doctor? What to Expect in Nursing and Medical School
Should paramedics go to nursing or medical school? Erik and Matt compare pathways, share personal journeys, and offer candid advice for EMS providers.
Exercise: The Sixth Pillar of THRIVE for Health and Wellness
The final THRIVE pillar: how first responders can build consistent exercise habits, break through fitness plateaus, and use community for accountability.
Vitality: The Fifth Pillar of THRIVE for Health and Wellness
Mental health, resilience, and vitality for EMS professionals. Personal stories, community support strategies, and psychological well-being for first responders.
Working the Holidays as First Responders
What it's really like to work Christmas, Thanksgiving & Super Bowl as an EMS provider the challenges, sacrifices, and unexpected joys of holiday shifts.
Intake: The Fourth Pillar of THRIVE of Health and Wellness
Nutrition and mental stimuli as the fourth THRIVE pillar — how food choices, whole foods, and processed food awareness impact first responder health.
Rest: The Third Pillar of THRIVE for Health and Wellness
Sleep science, sleep apnea management, and restorative practices for EMS shift workers: the third THRIVE pillar for first responder well-being.
Health: The Second Pillar of THRIVE for Health and Wellness
The second THRIVE pillar for first responders: weight management, blood pressure monitoring, cancer screenings, and cholesterol for long-term EMS health.
Team: The First Pillar of THRIVE for Health and Wellness
Building strong EMS teams for better wellness: the first THRIVE pillar explores how community, camaraderie, and accountability improve well-being.
THRIVE: The Six Pillars of Health and Wellness for EMS Professionals
Introducing the THRIVE framework: six pillars of health and wellness designed specifically for EMS professionals and first responders.
Mega Code Paramedic Training: Insights from Medical Directors and FTOs
How to pass your paramedic mega code evaluation: insights from a medical director and seasoned FTO on preparation, common failures, and strategy.
Erik's Experience as an Airway Management Physician for the Dallas Cowboys
Dr. Axene shares what it's like to be an NFL Airway Management Physician for the Dallas Cowboys. Roles, responsibilities, and emergency response at game day.
Tattoos: The Pros, Cons, and Medical Insights
A fun, informative take on tattoos from an EMS physician and a firefighter/paramedic. Medical insights, personal stories, and what the science says.
EMS Education: Philosophy and Unique Approaches
How should EMS be taught? Dr. Axene (educator & physician) and Matt Ball share their educational philosophy and unique approaches to training EMS providers.
9/11: Remembering the Heroes and Civilians Lost
On the 23rd anniversary of 9/11, Dr. Axene and Matt Ball reflect on where they were and pay tribute to the heroes and civilians lost on September 11, 2001.
Test Prep: Strategies for National Registry, NCLEX, and MCAT Exams
Proven exam strategies for National Registry, NCLEX & MCAT success — Dr. Axene and Matt Ball share tips from years of teaching and personal experience.
Embarrassing Stories: Laughing Through the Lessons
The 2024 edition of embarrassing EMS stories — Dr. Axene and Matt Ball share career blunders, humorous mishaps, and the human side of prehospital medicine.
EMS Burnout: Causes, Challenges, and Solutions
EMS burnout is a growing crisis post-COVID — causes, warning signs, and practical solutions for preventing and recovering from first responder burnout.
48/96 Shift Schedule Update: Insights and Experiences
A real-world update on the 48/96 EMS shift schedule — Matt Ball shares 6+ months of personal experience on the pros, cons, health, and family impacts.
Should EMS Providers Wear Body Cameras?
Body cameras for EMS providers — the growing debate, privacy concerns, patient care implications, and the pros and cons of wearable cameras in the field.
Scary Stories: Unforgettable Moments from the Front Lines
An honest look at the calls and cases that tested two emergency medicine veterans. Proving no ER physician or firefighter is immune to fear.
5 Things We Would Never Do: Insights from EMS Professionals
Five things an ER physician and a firefighter/paramedic refuse to do — career-saving advice, personal philosophies, and stories from the field.
EMS Show Update: Meet Erik & Matt and What's Next for the Podcast
An introduction to Dr. Erik Axene and Matt Ball — their backgrounds, professional journeys, and what's ahead for the show.
Healthy Habits and Heart Health: Personal Journeys and EMS Insights
A personal and clinical look at heart health for first responders — diagnostic tips, management techniques, and the unique cardiac risks of EMS and fire careers.
The Evolution of Emergency Rooms and Pre-Hospital Medicine
The evolution of the modern emergency room — from humble beginnings to today's lifelines, and the transformative future of prehospital care.
Resilience and Recovery in Firefighter Trauma
An honest conversation about firefighter trauma — the emotional and psychological toll of the job, coping strategies, and why peer support matters.
The Challenges and Rewards of Fire Department Life
A real look at life in the fire service — the demands, the rewards, and the highs and lows of a career most outsiders never see.
From Aspirations to Alarms: Becoming a Firefighter
A complete guide to becoming a firefighter — academy training, volunteer programs, fire science degrees, EMT certification, and the physical and aptitude tests.
Fighting Flames and Fatigue: The 48/96 Schedule Dilemma
A breakdown of the 48/96 firefighter schedule debate — fatigue, performance, work-life balance, staffing, and the health implications shaping the conversation.
Leadership Part II: Advanced Insights on EMS Leadership and Teamwork
Part 2 of the leadership conversation with Jerry Wells — advanced strategies, practical tactics, and the team dynamics that drive performance in EMS and fire.
Leadership Part I: Insights on EMS Leadership and Teamwork
A foundational conversation on leadership and teamwork in EMS with guest Jerry Wells — strategies, insights, and what separates good teams from great ones.
Matt Travels to Ukraine: A Journey of Service and Insight
Firsthand stories from Matt Ball's trip to Ukraine — the experiences, challenges, and lessons from time spent on the ground in a war zone.
Prehospital Heroes or Zeroes? Examining Controversies in Emergency Services
A close look at the prehospital controversies putting first responders under scrutiny — courtroom cases, policy debates, and what they mean for EMS.
Damar Hamlin: Analyzing the On-Field Injury and Sideline Medical Response
Inside the Damar Hamlin on-field response — Dr. Erik Axene's perspective as an NFL sideline physician on the medical response, athlete safety, and emergency protocols.
How We Got Started: Erik and Matt's Journeys into EMS
The personal journeys of an ER physician and a firefighter/paramedic — the motivations, backgrounds, and experiences that shaped two emergency medicine careers.
R.E.S.T.: Addressing the Unseen Pressures of Life as a First Responder
A candid look at the unseen pressures of first responder life — diet, exercise, mental health, home-life strain, and strategies for staying balanced.
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