Join Erik & Matt on the Axene CE Podcast

Chief Reardon opens up about navigating some of the toughest calls of his career and the emotional impact those moments had—not just on the firefighters he leads, but on himself. He shares how he worked to ensure his team had the support they needed, and how he confronted the often-overlooked mental toll of the job.

Master prison patients in this CAPCE-accredited EMS operations and safety course designed for EMRs and EMTs.

Strengthen your EMS operations and safety knowledge with recognizing child abuse — designed for all EMS certification levels.

A focused BLS course on human trafficking, covering essential EMS operations and safety concepts for field-ready providers.

Strengthen your medical emergencies knowledge with pediatric cardiac emergencies — designed for EMRs and EMTs.

Earn CE credit in trauma assessment and management with this BLS course on mass casualty incidents.

This is a complicated decision with several factors that play into it. To be a good practitioner you have to be able to make the best clinical decision for your patients. Sometimes the best thing you can do is get the patient to the hospital as quickly as possible and perform any necessary skills en route. Sometimes we need to take some time on scene to stabilize our patient and reduce their mortality.

Strengthen your trauma assessment and management knowledge with whole blood in EMS — designed for AEMTs and Paramedics.

Earn CE credit in trauma assessment and management with this BLS course on hemorrhage control.

Earn 1 CE credit in medical emergencies with this ALS/BLS course on toxidromes.

Strengthen your medical emergencies knowledge with high risk OB/GYN part II — designed for EMRs and EMTs.

Earn 1 CE credit in medical emergencies with this BLS course on high risk OB/GYN part 1.

A focused ALS course on ECMO in EMS rescue, covering essential medical emergencies concepts for field-ready providers.

Strengthen your cardiac emergencies knowledge with OMI vs STEMI part 2 — designed for AEMTs and Paramedics.

Earn CE credit in cardiac emergencies with this ALS course on OMI vs STEMI part 1.

We dive into the critical challenge of bridging the gap between administration and operations, and how trust becomes the cornerstone of effective leadership. Without it, even the best intentions can fall flat. This is a must-listen episode for anyone in public safety—and anyone who wants to understand the human side of command.

Strengthen your EMS operations and safety knowledge with high risk errors — designed for EMRs and EMTs.

Earn 1 CE credit in EMS operations and safety with this BLS course on rethinking c-collars in EMS.

A focused BLS course covering essential EMS operations and safety concepts around patient refusals for field-ready providers.

In this episode of The Erik and Matt Show (EMS), Erik and Matt tackle one of the most common and potentially deadly emergencies in prehospital medicine: gastrointestinal bleeding. They break down the differences between upper and lower GI bleeds, what coffee ground emesis, bright red hematemesis, melena, and hematochezia each tell you about the source and severity of the bleed, and how to make critical treatment decisions in the back of the ambulance. They also cover why TXA is no longer indicated for GI bleeds, when blood transfusion is appropriate using the shock index, and how simple interventions like leg elevation can buy you time when you do not carry blood on your unit.

In this special episode of The Erik and Matt Show (EMS), Dr. Erik Axene and Matt Ball are joined by Patrick Pianezza, co-writer and creator of the film Code 3.

Strengthen your medical emergencies knowledge with pediatric management — designed for EMRs and EMTs.

In this episode of the Erik and Matt Show (EMS), we dive into the unique challenges of caring for obese patients, a growing population, particularly in the U.S. We explore the complexities of treatment, proper medication dosing, and ensuring provider safety when responding to these calls. Join us as we share insights and strategies for first responders to effectively manage and support patients struggling with obesity, while keeping safety first.

In this insightful episode of the Erik and Matt Show (EMS), hosts Erik and Matt explore the complexities of providing exceptional care for patients with special needs. From overcoming barriers like hearing or vision impairments to addressing physical challenges, such as working with patients in wheelchairs, or supporting those with autism, this episode dives into practical strategies for healthcare providers. Join us as we discuss how to navigate these challenges with empathy, ensuring every patient is treated with the dignity and respect they deserve.

In this episode of the Erik and Matt Show (EMS) we discuss the age old issue of when we should stay and play or load and go. The days of "give them a dose of diesel" are fading. We need to be doing what's best for our patients.

In this episode of the Erik and Matt Show (EMS), Dr. Erik Axene and Matt Ball discuss health and wellness. There's so much misinformation out there on what it means to be "healthy." But what does it really look like to be a healthy person. It's not about having 6 pack abs or the latest diet craze. Dr. Axene has spent an extensive amount of time researching and speaking on this topic. He has personally made changes in his life that have led him to be a healthier person. Listen in as we discuss 6 pillars of health and wellness and make it simple to implement into your life.

In the episode of the Erik and Matt Show (EMS) we discuss the complex and time-critical world of submersion injuries. From drowning and near-drowning incidents to cold water immersion and secondary complications, Erik and Matt explore what really happens when the body is submerged and how to manage these patients. We'll discuss prehospital considerations, and hospital management strategies, all while breaking down the physiology behind these life-threatening events. Whether you're a healthcare provider, first responder, or just curious about the science of survival, this episode offers a deep look at one of the most urgent challenges in emergency medicine.

In this episode of The Erik and Matt Show (EMS), Dr. Erik Axene, MD and firefighter/paramedic Matt Ball tackle a seasonally critical topic: hyperthermia. With record-breaking heat across the U.S., they break down how to recognize early signs of heat illness, differentiate heat exhaustion from heat stroke, and manage these patients effectively in the prehospital setting.

In this episode of The Erik and Matt Show (EMS), we sit down with Fire Chief Robert Reardon of Duxbury, Massachusetts, for a powerful conversation on leadership through adversity. Chief Reardon opens up about navigating some of the toughest calls of his career and the emotional impact those moments had—not just on the firefighters he leads, but on himself. He shares how he worked to ensure his team had the support they needed, and how he confronted the often-overlooked mental toll of the job. We dive into the critical challenge of bridging the gap between administration and operations, and how trust becomes the cornerstone of effective leadership. Without it, even the best intentions can fall flat. This is a must-listen episode for anyone in public safety—and anyone who wants to understand the human side of command.

Airway management isn’t just about getting the tube, it’s about knowing when, why, and how to do it right. In this episode of The Erik and Matt Show (EMS), Dr. Erik Axene and firefighter/paramedic Matt Ball get real about what it takes to succeed in the field, from first-pass success to recognizing when not to intubate.

Sepsis kills more patients than trauma or cardiac arrest, yet it’s often missed in the field. In this episode of The Erik and Matt Show (EMS), Dr. Erik Axene and firefighter/paramedic Matt Ball break down everything EMS providers need to know about recognizing and managing sepsis before the ambulance bay doors.

Whole blood transfusions are gaining momentum in EMS, but how do they work in the field? In this episode of The Erik and Matt Show (EMS), Dr. Erik Axene and Matt Ball sit down with EMS medical directors Dr. Joshua Bobko, Dr. Mark Gamber, and Dr. Cynthia Simmons to break down the science, real-world applications, and the logistical challenges of whole blood programs. From trauma cases to medical emergencies, discover how prehospital transfusions are changing the game for paramedics and firefighters.

STEMI is out. OMI is in. In this episode of The Erik and Matt Show (EMS), Dr. Axene and Matt Ball unpack the newest data on occlusive myocardial infarction (OMI) criteria—and why sticking to traditional STEMI patterns could cause you to miss up to 34% of heart attacks. They break down the April 2025 literature, discuss real-world EMS implications, and challenge every provider to rethink how they read 12-leads. Whether you're a medic, medical director, or firefighter-paramedic, this one's a must-listen.

The record has been set—but it almost didn't happen. In this follow-up episode of The Erik and Matt Show (EMS), Dr. Erik Axene and Matt Ball break down the chaos, comedy, and close calls from their 3,200-mile ambulance journey. From mechanical failures and border stops to alligator wrangling and Chick-fil-A-fueled escape rooms, the duo recounts how this wild idea became a certified Guinness World Record.

What does it take to set a Guinness World Record for the longest EMS ground transport? In this episode of The Erik and Matt Show (EMS), Dr. Erik Axene and Matt Ball reveal their ambitious plan to take the oldest licensed ambulance in the U.S. on a record-breaking journey across the country.

Criminal charges against EMS providers are becoming more common, and the latest case out of Sioux City has the EMS world on edge. A paramedic is facing manslaughter charges after mistakenly administering a paralytic instead of a sedative—resulting in a tragic patient outcome.

In this episode of The Erik and Matt Show, we tackle one of the most common questions we get: Should paramedics go to nursing school or med school? Erik and Matt share their personal journeys through nursing and medical school, comparing them to their time in paramedic school. What’s different? What’s harder? What should you expect? Whether you’re looking to advance your EMS career or are simply curious about these career paths, this episode is packed with insights, advice, and a healthy dose of humor.

In this episode of The Erik and Matt Show, Dr. Erik Axene and Matt Ball emphasize the importance of consistent exercise and forming healthy habits tailored for first responders. They delve into practical strategies for breaking through fitness plateaus, building discipline, and leveraging community support to stay motivated and achieve lasting results.

In this episode of The Erik and Matt Show, Dr. Erik Axene and Matt Ball tackle the critical topic of vitality, the fifth pillar of the THRIVE series. They dive into how mental health impacts overall well-being, sharing personal stories, strategies for resilience, and the importance of community support for EMS professionals facing frequent trauma.

For first responders and medical professionals, holidays often mean more than festive celebrations—they mean sacrifices and balancing acts. In this episode of The Erik and Matt Show, Dr. Erik Axene and Matt Ball share their unique experiences working through Christmas, Thanksgiving, and even Super Bowl Sunday. From trading shifts to finding joy in unconventional holiday celebrations, this episode highlights the challenges and rewards of serving others during the most festive times of the year.

In this episode of The Erik and Matt Show, Dr. Erik Axene and Matt Ball dive into the fourth pillar of THRIVE: Intake. They explore how choices around food, drink, and even mental stimuli impact overall health and wellness. With insights into the benefits of a balanced diet, tips for choosing whole foods, and the dangers of processed foods, this discussion equips EMS professionals with practical advice for a healthier lifestyle.

In this episode of The Erik and Matt Show, Dr. Erik Axene and Matt Ball focus on the importance of Rest as the third pillar of THRIVE for health and wellness. They discuss the science behind sleep, share practical tips for managing sleep apnea, and highlight restorative practices like meditation and hobbies that EMS professionals can use to recharge. Understanding rest's role in overall health is essential for high-stress professions like EMS, where recovery impacts both performance and long-term health.

In this episode of The Erik and Matt Show, Dr. Erik Axene and Matt Ball dive into the second pillar of THRIVE—health.  Covering key points like weight tracking, blood pressure checks, cancer screenings, and cholesterol management, this episode is a must-listen for those dedicated to their health and long-term success as first responders. Stay informed, proactive, and ready for any emergency with these vital health insights.

In this episode of The Erik and Matt Show, Dr. Erik Axene and Matt Ball dive into the first pillar of THRIVE—team. They explore how building strong relationships and community among EMS professionals can improve both personal and professional well-being. From the importance of accountability to the unique camaraderie in the EMS field, this episode sheds light on how teamwork drives better health outcomes for first responders.

In this episode of the Erik & Matt Show (EMS), Dr. Erik Axene and Matt Ball discuss the critical importance of health and wellness for first responders. Erik, who has spoken across the country on this topic, emphasizes that keeping ourselves healthy is one of the best ways to serve others. He introduces the THRIVE acronym, which outlines the six pillars of health and wellness. Join us over the next several weeks as Erik and Matt dive into each pillar and explore this essential topic for EMS professionals.

In this episode of The Erik and Matt Show (EMS), Dr. Erik Axene and Matt Ball explore the crucial components of mega code paramedic training. From the perspective of a medical director and a seasoned FTO, they discuss the challenges and strategies for passing a mega code evaluation. Whether you're a new paramedic in training or an experienced first responder, this episode provides valuable insights into mastering EMS skills under pressure.

In this episode of the Erik & Matt Show (EMS), Dr. Erik Axene shares his unique experience as an Airway Management Physician (AMP) with the Dallas Cowboys. The NFL employs AMPs to be on the sidelines at every game, ready to respond to any medical emergency. Tune in to hear about Erik’s role, the responsibilities of an AMP, and the critical importance of airway management in professional sports.

n this episode of the Erik & Matt Show (EMS), Dr. Erik Axene and Matt Ball dive into the world of tattoos. Getting a tattoo is a big decision, and Matt, who has several tattoos, shares his experiences while Erik, who is considering getting one, explores the pros and cons. From designing tattoos in college to working in a tattoo removal clinic, Erik discusses the medical side of getting inked, while Matt provides insights from his extensive time under the needle. Tune in for a balanced discussion on the art and science of tattoos.

In this episode of the Erik & Matt Show (EMS), Dr. Erik Axene and Matt Ball share their philosophy on EMS education. With Dr. Axene’s extensive background as an educator—holding a master’s degree in education and experience as a physics teacher before becoming a physician—and Matt’s experience teaching EMS in college settings and providing continuing education to hundreds of firefighters, EMTs, and paramedics, they offer a unique and effective approach to teaching. If you’ve ever seen one of their online courses, you’ll recognize the impact of their innovative methods. Tune in to learn more about their approach to EMS education.

On this very special episode of the Erik & Matt Show (EMS), Dr. Erik Axene and Matt Ball reflect on where they were on September 11, 2001. As we honor the 23rd anniversary of the 9/11 attacks, we take a moment to remember the heroes and civilians who perished that day. Join us as we pause, reflect, and ensure that we never forget the sacrifices made on that tragic day.

In this episode of the Erik & Matt Show (EMS), hosts Dr. Erik Axene and Matt Ball share effective strategies for tackling major exams like the National Registry, NCLEX, and MCAT. Drawing from their extensive experience, Erik and Matt provide valuable tips and insights to help you succeed. Whether you’re an aspiring EMS professional, nurse, or medical student, this episode is packed with practical advice to boost your confidence and improve your test-taking skills.

Hosts Dr. Erik Axene and Matt Ball discuss the expanding use of ECMO (Extracorporeal Membrane Oxygenation) by EMS personnel. While still in its early stages, the integration of ECMO into emergency medical services has the potential to significantly improve survival rates and outcomes for critically ill patients by providing earlier intervention. Join Erik and Matt as they explore the benefits, challenges, and future possibilities of this advanced life-saving technique in the field of EMS.

In this episode of the Erik & Matt Show (EMS), Dr. Erik Axene and Matt Ball tackle the pressing issue of burnout in the healthcare and prehospital world. Since the COVID pandemic, burnout has become an increasingly critical problem for healthcare providers. Erik and Matt explore the causes of burnout, its impact on EMS professionals, and discuss possible solutions to help mitigate this widespread issue. Tune in for an important conversation on how to support those on the front lines.

In this episode of the Erik & Matt Show (EMS), hosts Dr. Erik Axene and Matt Ball revisit the hot topic of the 48/96 shift schedule. After initially discussing this over a year ago, Matt shares his personal experience working this schedule for over 6 months. They explore the pros and cons of the 48/96 schedule, focusing on its impact from a medical standpoint, personnel health, family relationships, and its effects on a department or community. Tune in for a comprehensive update on this controversial shift schedule.

In this episode of the Erik & Matt Show (EMS), Dr. Erik Axene and Matt Ball discuss the hot topic of EMS wearing body cameras. With the rise of EMS-related incidents where patient treatment was called into question, many of these cases have come to light due to footage captured on camera. Several agencies and departments across the country have started implementing these devices. Join Erik and Matt as they explore the pros and cons of EMS providers wearing body cams. What do you think? Should EMS providers wear body cameras?

Description: In this episode of the Erik & Matt Show (EMS), Dr. Erik Axene and Matt Ball share some of the scariest moments from their careers. From terrifying ER cases to harrowing emergency calls, they reveal the experiences that have truly tested their nerves. Despite popular belief, doctors and firefighters are not immune to fear. Tune in to hear their gripping stories and gain a deeper understanding of the human side of these courageous professions.

In this episode of the Erik & Matt Show (EMS), ER physician Erik Axene and firefighter/paramedic Matt Ball reveal five things they would never do, both in their professional lives and personal adventures. From critical EMS career tips to intriguing personal choices, this episode offers a blend of practical advice and engaging stories.

In this special update of the Erik & Matt Show (EMS), ER physician Dr. Erik Axene and firefighter/paramedic Matt Ball share their professional backgrounds and discuss exciting future plans for the podcast. Get to know the hosts and find out what’s in store for upcoming episodes as they continue to bring valuable insights and stories from the world of emergency medical services.

Join hosts Erik Axene, an ER physician, and Matt Ball, a firefighter/paramedic, as they share their personal health journeys and transformative moments that prompted change, with a special focus on heart health. In this episode, they delve into the unique challenges of identifying and treating cardiac issues, offering valuable diagnostic tips and management techniques. Discover the realities of life as an EMS provider and gain insights into maintaining heart health from two seasoned professionals.

Join hosts Dr. Erik Axene and Matt Ball as they explore the fascinating evolution of emergency rooms from their humble beginnings to becoming critical lifelines in our healthcare system. This episode delves into the challenges and transformative potential of pre-hospital care roles, offering a glimpse into the future of emergency medicine. Discover insights from Dr. Erik Axene, Chief Medical Officer for Axene Health Partners and founder of Axene Continuing Education, LLC, and Matt Ball, a firefighter, paramedic, and registered nurse.

Hosts Dr. Erik Axene and Matt Ball dive deep into the often-unspoken reality of trauma faced by firefighters. They explore the emotional and psychological challenges that come with witnessing and experiencing traumatic events in the line of duty. Join Erik and Matt as they shed light on the impact of trauma, discuss coping strategies, and emphasize the importance of support and self-care within the firefighting communit

Get a look beyond the sirens as hosts Dr. Erik Axene and Matt Ball discuss the challenges and rewards of the fire service profession. Discover the highs and lows of life in the fire department, from the intense demands of the job to the deep sense of fulfillment it brings.

Join hosts Dr. Erik Axene and Matt Ball as they discuss the various paths people take to become firefighters, sharing insights from their personal backgrounds in EMS. Discover the different routes to this rewarding career, including firefighter academy training, volunteer firefighting, degrees in fire science, EMT/paramedic certification, and more. Learn about the physical and aptitude tests, application, and selection processes that aspiring firefighters may face. Remember, specific requirements can vary by location, so it’s crucial to research the fire department you’re interested in and consult local authorities for accurate information.

Hosts Dr. Erik Axene and Matt Ball delve into the hotly debated 48/96 work schedule that many fire departments are considering. This episode explores the complexities of balancing firefighter well-being, operational efficiency, and high-quality emergency services for the community. Key issues discussed include fatigue and performance, work-life balance, staffing and overtime, health and well-being, emergency response, continuing education, and the challenges of adopting and implementing the 48/96 schedule.

Join hosts Dr. Erik Axene and Matt Ball, along with special guest Jerry Wells, for part two of an in-depth discussion on leadership and teamwork. Building on the insights from part one, this episode dives deeper into advanced strategies and practical tips for effective leadership in the EMS field and beyond.

Join hosts Dr. Erik Axene and Matt Ball, along with special guest Jerry Wells, for part one of an enlightening episode all about leadership and teamwork. Discover valuable insights and strategies for effective leadership in the EMS field and beyond.

Join hosts Dr. Erik Axene and Matt Ball as they discuss Matt’s recent trip to Ukraine this past fall. Hear firsthand about the experiences, challenges, and insights gained from this unique journey. Dr. Erik Axene serves as Chief Medical Officer for Axene Health Partners and is the founder of Axene Continuing Education, LLC, while Matt Ball is a firefighter, paramedic, and registered nurse.

Hosts Dr. Erik Axene and Matt Ball take a closer look at recent prehospital controversies. From the ambulance to the courtroom and from the ER to Capitol Hill, our first responders are under intense scrutiny for doing one of the toughest and most important jobs in our society. Join Erik and Matt as they discuss the challenges, accountability, and implications of these high-stakes situations.

Patrick shares the real-world EMS experiences that inspired the movie, from burnout and dark humor to low pay, private ambulance work, and the emotional toll of prehospital medicine. The conversation dives into EMS culture, patient experience, tension between prehospital and hospital staff, and why Code 3 resonates so strongly with paramedics, EMTs, and emergency clinicians.

Hosts Dr. Erik Axene and Matt Ball share their personal journeys into the world of first responders, discussing how they got started in their careers. Learn about their backgrounds, the motivations that led them to this vital field, and the experiences that shaped their professional paths.

Hosts Dr. Erik Axene and Matt Ball discuss the often unseen pressures of life as a first responder. While working on the front lines comes with well-known risks, there are many aspects that go unnoticed – from diet and exercise to mental health and home life pressures. Join Erik and Matt as they delve into the holistic challenges faced by first responders and share strategies for maintaining balance and well-being.