The EMS Lighthouse Project

Ep108 - 3 Pods In 1

18 Mar 2026

Contributed by Lukas

This is a special version of the EMS Lighthouse, live from Ashland, OR. We are joined by Mike Verkest and Dr Ritu Sahni from The EMS Show, and Jimmy A...

Ep107 - 3 Papers With Dr Crowe

15 Feb 2026

Contributed by Lukas

Dr Remle Crowe returns to the podcast to discuss three new papers with Dr Jarvis: Two papers on epinephrine in cardiact arrest (including one on traum...

Ep 106 - Succ vs Roc in Hyperkalemia

27 Jan 2026

Contributed by Lukas

We were all taught succinylcholine is contraindicated in hyperkalemia because it can cause potassium release, exacerbating the problem. But does it? D...

Ep 105 - The RSI Trial

14 Dec 2025

Contributed by Lukas

You've read about how this groundbreaking trial on ketamine vs etomidate for RSI "Changes Everything!" on the socials. Or perhaps "it's horribly biase...

Ep 104 - The IV vs IO Trials

04 Nov 2025

Contributed by Lukas

Right on the heels of the release of the 2025 AHA guidelines, including one on preferentially using IVs over IOs, comes two RCTs in the same edition o...

Ep 103 - Preeclampsia, Eclampsia, and Postpartum Hemorrhage

02 Oct 2025

Contributed by Lukas

ACOG, the American College of Obstetricians and Gynecologists, recently published EMS guidelines for treatment of hypertension in pregnancy/pre-eclamp...

Ep 102 - Ketamine for Agitation with Dr Crowe

30 Aug 2025

Contributed by Lukas

You use ketamine. I use ketamine. We all use ketamine. But… how safe it is, really? A new study out of Toronto suggests 30% of patients who receive ...

Ep 101 - PreOxygenation and Why Words Matter

18 Aug 2025

Contributed by Lukas

We've covered pre-oxygenation strategies and intubation alot on this podcast, mayber more than anyting else. We covered the definition of FPS in E74, ...

Ep 100 - Amio v Lido in OHCA w Tanner Smida

21 Jul 2025

Contributed by Lukas

The 2017 NEJM study, ALPS, compared amiodarone, lidocaine, and placebo for refractory shockable rhythms in adults with out of hospital cardiac arrest....

Ep 99 - Adenosine or Diltiazem for SVT?

08 Jul 2025

Contributed by Lukas

We just got a new paper that compares initial treatment with adenosine compared with diltiazem for the treatment of adults with SVT in the ED. Wouldn’...

Ep 98 - Does the Sequence of RSI Medications Matter

15 Jun 2025

Contributed by Lukas

The next time you go to intubate a patient, should you give the sedation before the paralytic or the paralytic before the sedative? Does it matter? An...

E97 - Bayes and Calcium Before Diltiazem in Atrial Fibrillation

30 May 2025

Contributed by Lukas

We covered a paper in episode 81 that suggested treating atrial fibrillation with rapid ventricular response in the field could lower mortality. But i...

E96 - MCD Wrap Up

31 Mar 2025

Contributed by Lukas

Wrapping up a series of 5 episodes, Dr Jarvis finishes his discussion of mechanical CPR devices (MCDs) talking about papers from Utah, Vienna, Anchora...

E95 - LUCAS Literature

03 Mar 2025

Contributed by Lukas

Last episode we described the literature showing no survival benefit to patients with the AutoPulse device. Fear not, I wasn’t ignoring the LUCAS, I...

E94 - AutoPulse Literature

11 Feb 2025

Contributed by Lukas

Our story so far.. episode 92 looked at a study showing lower survival from in-hospital cardiac arrest in patients treated with mechanical compression...

E93 - LUCAS: The Austin Experience

23 Jan 2025

Contributed by Lukas

Ever wonder what would happen to cardiac arrest survival after a system implements LUCAS devices and trains really hard to deploy them appropriately? ...

Ep 92 - Mechanical CPR in InHospital Arrest

01 Jan 2025

Contributed by Lukas

We know the literature on mechanical CPR devices on mortality in out of hospital cardiac arrest (we DO know this literature, right?), but what about i...

Ep 91 - The Bloody Details

14 Dec 2024

Contributed by Lukas

New Orleans implemented a blood program and assessed the impact of the program on mortality. Dr Jarvis dives into the details of the paper and then Dr...

Ep90 - IV vs IO in OHCA

22 Nov 2024

Contributed by Lukas

We've reviewed several papers in the past that suggest there might be an advantage to using IV access compared to IO access for medications in cardiac...

Ep 89 - IM Epi in OHCA, Part II

21 Sep 2024

Contributed by Lukas

Back in episode 80 we discussed a feasibility study out of Salt Lake City that showed IM epi resulted in 3-minute faster administration in cardiac arr...

Ep88 - Naloxone in Cardiac Arrest?

31 Aug 2024

Contributed by Lukas

Do you give naloxone to patients who are in cardiac arrest? Should you? Can it possibly provide any benefit at all once you are already providing effe...

Ep87 - Those CPR Pauses, Though...

12 Aug 2024

Contributed by Lukas

Remember when we learned interruptions in compressions take a long time to recover blood pressure from? And how, to avoid these, we should do continuo...

Ep86 - The PREOXI Trial

22 Jun 2024

Contributed by Lukas

What’s the best way to pre-oxygenate our patients prior to intubation? The evidence for this question has been mixed for some time. Dr Jarvis discus...

Ep85 - Intubation: Is More Better?

10 Jun 2024

Contributed by Lukas

There is evidence that clinician experience with intubation is associated with improved success rates and evidence that missed intubation attempts are...

Ep84 - Nebulized Ketamine?

15 May 2024

Contributed by Lukas

Description: Let’s say you were looking for a safe and effective BLS option for analgesia. Something other than oral acetaminophen or ibuprofen. Yo...

Ep 83 - EtCO2 in Cardiac Arrest

21 Apr 2024

Contributed by Lukas

What value does EtCO2 have when predicting survival from cardiac arrest? We all know a sharp spike in EtCO2 is associated with ROSC, but what about pe...

E82 - Ketamine v Etomidate for RSI: A Bayesian Meta-Analysis

01 Apr 2024

Contributed by Lukas

The debate about which drug to use for sedation before RSI will... not… die. Advocates for both ketamine and etomidate approach the argument with ne...

Ep81 - Treatment of Atrial Fib with RVR

11 Mar 2024

Contributed by Lukas

Atrial Fibrillation with rapid ventricular response is a common cause of EMS activations and ED visits. It is associated with chest discomfort, palpit...

LHP E80 – IM Epi in Cardiac Arrest

20 Jan 2024

Contributed by Lukas

Dr. Jarvis is joined by OG co-host Mike Verkest and Dr. Brent Myers from NAEMSP 2024. We discuss an intriguing concept in cardiac arrest… giving the...

LHP E79 - Head Up CPR – Not So FAST

11 Dec 2023

Contributed by Lukas

EMS History is full of interventions we've rapidly adopted, often at great expense and with disruption of existing processes, that later turned out to...

LHP E78 – Racial Disparities in EMS Analgesia

08 Oct 2023

Contributed by Lukas

What would you say if I told you that Black patients were less likely to receive pain medication compared with white patients? My guess is you’d eit...

LHP E77 – Should We Reduce Sedative Dosing In RSI Of Hypotensive Patients?

08 Sep 2023

Contributed by Lukas

Have you heard that you’re supposed to decrease the dose of your sedative when performing RSI on hypotensive patients? First, avoid asking why you h...

EMS LHP – E76 – One and Done Epinephrine

28 Aug 2023

Contributed by Lukas

Y’all know I have thoughts on epinephrine in cardiac arrest. Perhaps you might have heard me say epinephrine “saves the heart at the expense of th...

LHP E75 - The Device Trial

21 Jul 2023

Contributed by Lukas

We’ve spoken a lot recently about intubation First-Pass Success, including the definition. We’ve also discussed different papers about the impact ...

LHP – E74 – What Even IS First Pass Success

04 Jul 2023

Contributed by Lukas

What even is FPS? There's been a long-running argument about the definition of FPS. By argument, I mean mostly established in the literature, with som...

Ep73 - Post-Mortem CT in Blunt Trauma

17 Jun 2023

Contributed by Lukas

A new study describes the utility of post-mortem CT panscans in patients who died either in the field or in the ED to identify mortal and potentially ...

EMS LHP E72 - DSI vs RSI

02 Jun 2023

Contributed by Lukas

DSI (delayed sequence intubation) has been proposed as an alternative to RSI (rapid sequence intubation) for patients who can't tolerate interventions...

Ep 71 - SGA Cage Match: Round 2

01 May 2023

Contributed by Lukas

In episode 69, we interviewed Tanner Smida about his very interesting paper using the ESO dataset. It looked at the association between survival from ...

Ep 70 - Crossover with the EMS Show from Ashland, Oregon!

12 Apr 2023

Contributed by Lukas

Man, did we have fun recording this one? I found myself in a hotel room in Ashland, Oregon, with Drs. Ed Racht, Maia Dorsett, and Ritu Sahni talking a...

Ep 69 - iGel vs King LT in OHCA

05 Mar 2023

Contributed by Lukas

The cage match you've all been waiting for! iGel vs King LT in cardiac arrest. Which is associated with higher survival?Airways-2 was an RCT of iGel v...

EMS LHP - Episode 68 - The SAVE Trial

06 Feb 2023

Contributed by Lukas

Remember AIRWAYS-2, the British RCT comparing iGel to ETI in adults with cardiac arrest? Have you wondered if those results would hold up in a differe...

EMS LHP EP67 - DOSED-VF

11 Dec 2022

Contributed by Lukas

If one is good, two must be better, right? If it applies to cookies and ice cream, why not defibrillators? That’s the question the DOSED-VF trial se...

EMS LHP Episode 65: SpO2 vs SaO2 Variations Between Races

21 Nov 2022

Contributed by Lukas

Dr. Crowe returns to the EMS Lighthouse Project Podcast from our “vacation” in Mexico to discuss the impact of variations between pulse oximetry a...

Real World Midazolam Use In Seizures

20 Sep 2022

Contributed by Lukas

National guidelines for the management of seizures recommend midazolam 10 mg IM as first-line therapy. The big question is how often EMS follows this ...

EMS LHP Episode 64: TXA for Epistaxis, Part Trois

31 Aug 2022

Contributed by Lukas

First, there was Episode 31: TXA for Epistaxis (the Zahed RCT from Tehran), then Episode 40: TXA for Epistaxis, Part Deux (the NoPAC trial), and now E...

EMS LHP - E63 - Unpacking Paxlovid

04 Aug 2022

Contributed by Lukas

COVID sucks, no doubt about it. Vaccination has been a game changer for how we live through the pandemic, but we still need therapeutics for those bre...

EMS LHP - E62 - Esmolol in cardiac Arrest?

22 Jul 2022

Contributed by Lukas

Our good friends at Montgomery County Hospital District EMS in suburban Houston brings us a nice feasibility study about the use of esmolol for refrac...

EMS LHP Episode 61: Red Lights & Sirens Collaborative

07 Jul 2022

Contributed by Lukas

Dr. Jarvis interviewed several EMS industry leaders, discussing why we should use Red Lights & Sirens as a clinical intervention and only as indic...

EMS LHP – Episode 60 – Dueling ECMO Papers

16 Jun 2022

Contributed by Lukas

During my FAST22 talk, I received a great question about what to make of two different papers, seemingly on the same topic, that give different result...

LHP E59 - Cardiac Arrest Transport & ECMO

31 May 2022

Contributed by Lukas

Mikey V. and Dr. Jarvis get together again “live” from Planet Hollywood in Las Vegas for FAST22! We took the opportunity to sit down and discuss t...

EMS LHP – Episode 57 – Bicarb Use In Cardiac Arrest?

29 May 2022

Contributed by Lukas

Y’all have had lots of questions about using sodium bicarbonate in cardiac arrest after we ran an interview with Dr. Menegazzi about an abstract he ...

LHP - E58 - Pediatric Pain

18 May 2022

Contributed by Lukas

Join us for a joint release of the first episode of The Pediatric EMS Podcast. We collaborated with the great folks from the PEC podcast and MedicMind...

EMS LHP – Episode 56 – Atrial Fibrillation Treatment

22 Mar 2022

Contributed by Lukas

Do y'all treat a-fib? Have you wondered what the best method of rate control is? Should you use diltiazem or metoprolol? How about the best pad placem...

EMS LHP – Episode 55 – Research from NAEMSP 2022 – Part 2

07 Mar 2022

Contributed by Lukas

We’re back with the second part of our interviews with researchers from the NAEMSP 2022 conference in San Diego. In this episode, Dr. Jarvis intervi...

Episode 54 – NAEMSP Research Part I

28 Feb 2022

Contributed by Lukas

NAEMSP in Sunny San Diego… Just. SO. MUCH. GREAT. RESEARCH. Dr. Jarvis interviewed a small sample of the great work presented. There was so much we ...

EMS Lighthouse Project Podcast: Episode 53 - Calcium in Out of Hospital Cardiac Arrest

02 Feb 2022

Contributed by Lukas

Are you still giving Calcium in undifferentiated cardiac arrests? Not those with hyperkalemia or hypocalcemia… you know, when it’s actually indica...

Episode 52 – The BOUGIE Trial

04 Jan 2022

Contributed by Lukas

Do you even bougie, bro? Do you use the bougie on every intubation? If so, why? Do you think it improves first-pass success? Well, I certainly did. At...

Episode 51 – Abstracts from PCRF at EMS Expo 2021 - Part 2

19 Nov 2021

Contributed by Lukas

Dr. Jarvis and Mike Verkest return for part 2 of our interviews with some great researchers at the Prehospital Care Research Forum at the EMS Expo in ...

Episode 50 – PCRF Research Abstracts from EMS Expo – Part I

04 Nov 2021

Contributed by Lukas

Dr. Jarvis and Mike Verkest were at the EMS Expo in Atlanta. We recorded some interviews from the FlightbridgeED booth on the exhibitor floor and then...

Episode 49 – The RACKED Trial, with Dr. Barbic

15 Oct 2021

Contributed by Lukas

Ketamine has been getting a lot of attention recently in the media. It's probably safe to say it’s had a bad year. We like ketamine. We felt bad it’...

Episode 48 – Airway Updates from NEAR

17 Sep 2021

Contributed by Lukas

Mike and Jeff meet to discuss some airway papers from the National Emergency Airway Registry (NEAR) and float some merch ideas. If you like the show, ...

Episode 47 – ETI Attempts and Outcomes in Out of Hospital Cardiac Arrest

27 Aug 2021

Contributed by Lukas

In this episode, Dr. Jarvis discusses a paper that is hot off the press, and he’s excited to discuss it. The good folks up in Seattle, WA, and the S...

Episode 46: 2020 EMS LLSA Review with Dr. Casey Patrick

29 Jul 2021

Contributed by Lukas

Every other year, board-certified EMS physicians must take an open book quiz over 20-25 papers felt by the American Board of Emergency Medicine (ABEM)...

Episode 45: ESO Ketamine Paperfrom Eagles

30 Jun 2021

Contributed by Lukas

Ketamine is a wonder drug. Ketamine is a tool of systemic racism. Ketamine is impossible to overdose. Ketamine is an inappropriate drug used for inapp...

Episode 44: OHCA Update from Bend, OR

11 Jun 2021

Contributed by Lukas

What is the impact of on-scene resuscitation vs intra-arrest transport on outcomes? Could the differences in first-pass success between ETI and King L...

Episode 43: mRNA Vaccines – Real World Efficacy

28 May 2021

Contributed by Lukas

We saw the amazing performance of Pfizer and Moderna's two mRNA COVID vaccines in their RCTs. As encouraging as trial performance is, we always want t...

Episode 42: Droperidol Black Box Warning

02 Apr 2021

Contributed by Lukas

December 4, 2001. A bad day, indeed. That’s the day the FDA issued a black box warning for droperidol, citing evidence of QT prolongation, Torsades ...

Episode 41: Breaking News: Johnson and Johnson COVID Vaccine

27 Feb 2021

Contributed by Lukas

The FDA just granted EUA for the Johnson and Johnson vaccine against COVID. This is a big deal because it is a one-shot vaccination that is much more ...

Bonus Episode: Medical Directors Gone Wild, Part Deux

11 Feb 2021

Contributed by Lukas

LIVE from a virtual Texas EMS Conference; we bring you a session moderated by Mike featuring Drs. Jeff Jarvis, Jason Pickett, and Heidi Abraham. This ...

Episode 39: Ketamine Only Intubation: Next Great Thing or Procedure In Search of an Indication?

01 Feb 2021

Contributed by Lukas

Ketamine-only intubation has been promoted by some as a safe approach to airway management in patients with anatomically or physiologically difficult ...

Episode 38: Pediatric Intubation: Are Children Just Small Adults?

05 Jan 2021

Contributed by Lukas

Children are often considered to be just small adults, much to the dismay of pediatricians everywhere. But when it comes to peri-intubation cardiac ar...

Special Episode: mRNA Literature Review

22 Dec 2020

Contributed by Lukas

Dr. Jarvis and Mike Verkest are joined by a trio of guests to discuss the literature surrounding the Pfizer BionTech and Moderna Vaccines. Dr. Ritu Sa...

Episode 37: Droperidol, Ziprasidone and Lorazepam in Undifferentiated Agitation

30 Nov 2020

Contributed by Lukas

This episode was a LIVE media broadcast discussing a double-blind trial of IM Droperidol, Ziprasidone, and Lorazepam for acute undifferentiated agitat...

Episode 36: EMS Lighthouse Project Podcast

13 Oct 2020

Contributed by Lukas

Part pre-recorded, part LIVE! Dr. Jeff Jarvis, Dr. Jason Pickett, and Mike Verkest discuss the results of the Resuscitation Outcomes Consortium TXA in...

Episode 35: Capsaicin Cream and Cannabinoid Hyperemesis Syndrome

25 Sep 2020

Contributed by Lukas

Have you had patients recently with repeat EMS calls and lots of ED visits for nausea and vomiting? They say the only thing that works for them is sca...

Episode 34: LVO and VAN Scores w/ Guests Dr. Wampler and Kidd

07 Aug 2020

Contributed by Lukas

Mike and Dr. Jarvis are joined by Drs. David Wampler and Emily Kidd to discuss their study on the performance characteristics of the VAN score for det...

Episode 33: Headaches with Special Guest Dr. Erin Lincoln

08 Jul 2020

Contributed by Lukas

We talk about headaches in this episode, specifically an RCT comparing haloperidol to placebo for benign headaches. Special guest Dr. Erin Lincoln (@E...

Episode 32: Near VL vs. aDL

18 Jun 2020

Contributed by Lukas

VL vs. Augmented DL with Special Guest: Dr. George Kovacs. We’re starting a new format with this episode. We kick things off with a review of a pape...

Episode 31: TXA for Epistaxis

02 Jun 2020

Contributed by Lukas

There has been a lot of talk about the benefits of TXA in major trauma with minor differences in outcomes. If you’re looking for a big treatment ben...

Episode 30: COVID Comes to The Nursing Home, With Special Guest Dr. Jason Pickett

02 May 2020

Contributed by Lukas

Are you worried about what might happen in your jurisdiction if COVID breaks out in your nursing homes? You should be. Dr. Jarvis reviews a NEJM paper...

Ep. 29: The Very Special Jarvis COVID Home Party Edition

07 Apr 2020

Contributed by Lukas

We are living in a COVID world. And I am a COVID doc. This is a special episode of the EMS Lighthouse Project Podcast. Since the Jarvis household is q...

Episode 28: Does IV vs. IO Matter with Epi?

22 Mar 2020

Contributed by Lukas

Remember our podcast about amiodarone and lidocaine improving survival from arrest when given IV but not IO? Wait! There’s more. Another paper dropp...

DOSE VF Pilot – DSD revisited

03 Mar 2020

Contributed by Lukas

Remember Episode 12, where we reviewed a Houston paper on DSD that showed worse outcomes with DSD? At the end of that pod, I spoke about an ongoing RC...

Episode 26: REVERT: A New Approach to An Old Technique

03 Mar 2020

Contributed by Lukas

Have you ever given adenosine to a patient in SVT? Yeah? Did they like it? I didn’t think so. You’ve probably also given up trying to use the Vals...

Episode 25 NAEMSP 2020, Part 4

09 Feb 2020

Contributed by Lukas

The final part of our coverage of some of the research from NAEMSP2020 in San Diego. If you missed any of the first three episodes, download them and ...

Episode 24 NAEMSP 2020, Part 3

06 Feb 2020

Contributed by Lukas

And…we are back for part 3 of our coverage of some of the research from NAEMSP2020 in San Diego. If you missed parts 1 or 2, be sure to download the...

Amiodarone and Lidocaine in Cardiac Arrest – Does the Route Matter?

28 Jan 2020

Contributed by Lukas

What if we told you that neither amiodarone nor lidocaine did any better in cardiac arrest when given by IO? What if we told you neither one improved ...

NAEMSP 2020, Part 2

25 Jan 2020

Contributed by Lukas

And we’re back for part 2 of our coverage of some of the research from NAEMSP2020 in San Diego. If you missed part 1, be sure to download it and lis...

NAEMSP 2020, Part 1

19 Jan 2020

Contributed by Lukas

Did y’all make it to NAEMSP 2020 in San Diego? If not, I’m sorry. It was awesome! If you did, you probably had a great time but still missed a lot...

The EMS Collaborative Podcast

10 Jan 2020

Contributed by Lukas

HAPPY NEW YEARS! We hope you are celebrating 2020 at the NAEMSP National Conference in San Diego. In this special episode of the EMS Collaborative, we...

Episode 19: Dr. Ben Bobrow Interview

06 Jan 2020

Contributed by Lukas

Dr. Jarvis had an opportunity to sit with Dr. Ben Bobrow at the Texas EMS Conference. Dr. Bobrow is the chair of Emergency Medicine at UT Houston. Dur...

Episode 18: Roc vs Succ: The Randomized Control Trial!

19 Dec 2019

Contributed by Lukas

The debate has raged. In this corner, we have our established champion succinylcholine, or, as the oldsters call it, “because we’ve always done it...

Episode 17: Chillin’ in France with TTM

08 Dec 2019

Contributed by Lukas

Should we chill out with the non-shockable cardiac arrests? Another look at targeted temperature management. First, we knew early hypothermia after RO...

Episode 16: Medical Directors Gone Wild

28 Nov 2019

Contributed by Lukas

As a special Thanksgiving treat, we bring a “Live” panel discussion featuring Drs. Jeff Jarvis, Jason Pickett, Heidi Abraham, and Taylor Ratcliff....

Episode 15: Why I Quit The VL Wars

21 Nov 2019

Contributed by Lukas

You’ve all seen it. Most of you have probably taken (or fired) a round or two in it. It’s the Great Twitter "VL vs. DL War." Everyone has their op...

Episode 14: Research from EMS Expo 2019 with Dr. David Wampler

07 Nov 2019

Contributed by Lukas

More and more EMS research is being presented at the PCRF research forum at the EMS Expo. Dr. Jarvis sat with Dr. David Wampler at the EMS Expo 2019 i...

Episode 13: TXA for TBI? CRASH-3

23 Oct 2019

Contributed by Lukas

A variety of papers, including CRASH-2, suggest that TXA can decrease mortality if given early for patients at risk of significant hemorrhage but excl...

Episode 12: Dual Sequential Defib: Is it better?

06 Oct 2019

Contributed by Lukas

DSD is the current bright and skinny object. Many agencies (including mine) adopted it based on a few case series. Dr. Jarvis discusses a new paper on...

Episode 11: Droperidol Review - Research Update

12 Sep 2019

Contributed by Lukas

Mike and Ritu bring Dr. Jarvis in the mix for the "cross-over episode of the century"…um, described by Mike as a ménage a trois…it's not like tha...

Episode 10: A closer look at RSI in Stroke

22 Aug 2019

Contributed by Lukas

This episode was recorded LIVE on Facebook with a ton of fun interactions. Dr. Jeff Jarvis and Mike Verkest look at a recent paper that described stro...