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Shreds of Evidence

Marc Gautreau, John Ehrhart, Eli Carillo

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Diving deep into the evidence, policies, and politics that shape California EMS. Each episode breaks down the clinical topics, operational challenges, and system-level forces influencing how EMS is delivered across the state. Designed for EMS professionals, healthcare leaders, and policy thinkers who want to understand what’s driving change—and what’s holding it back.
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A last-resort lifesaving procedure with high stakes, surgical cricothyrotomy is rarely performed—but always looms in the background of airway management. In this episode, we look at the evidence supporting cric in the field, discuss the training and policy debates around it, and reflect on what it means for EMS clinicians to carry such a heavy clin…
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We examine the evidence behind TXA use in prehospital care and explore how protocol adoption varies across California EMS systems. What does the data say about its effectiveness in trauma? Why do some agencies use it while others hesitate? This episode unpacks the science, the operational considerations, and the policy landscape shaping TXA’s role …
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John talks to Scott about his book, Active Peace: A Mindful Path to a Nonviolent World. "Restorative activism – despite all of the effort going into social change right now, more people, more groups than ever, if a significant amount of that activism isn't transformed into an approach that prioritizes relationship, that attends to real not-violence…
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“When we're talking about the king, we're talking about that sense of knowing who you are, and appreciating who you are at a really really deep level, and that's personal sovereignty.”Tom talks to Scott and John about the mature masculine and the critical importance of initiating boys and men for the sake of our communities and our world.…
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