<![CDATA[Mostly Stable]]>Welcome to Mostly Stable!

I am your host Travis, who is mostly stable.

I have several years of experience in EMS, but only about a year as a paramedic.

This podcast is just me sharing calls that i've ran, what went well, what went wrong, my opinions on various EMS and firefighting topics and much more.

The views expressed on this podcast are that of my own. They do not represent my employer, or any governing or licensing body.

]]>https://riverside.comRiverside.fm (https://riverside.com)Sat, 19 Sep 2026 13:21:25 GMTWed, 22 Jul 2026 18:42:48 GMT60Travis Hutton<p>Welcome to Mostly Stable!</p><p></p><p>I am your host Travis, who is mostly stable.</p><p></p><p>I have several years of experience in EMS, but only about a year as a paramedic.</p><p></p><p>This podcast is just me sharing calls that i've ran, what went well, what went wrong, my opinions on various EMS and firefighting topics and much more.</p><p></p><p>The views expressed on this podcast are that of my own. They do not represent my employer, or any governing or licensing body.</p>episodicTravis Huttonnavyhutton02@gmail.comyes<![CDATA[Lessons in Leadership]]>The conversation covers Christine's journey in EMS, her transition from marketing to paramedic work, and her insights on leadership in the field. She emphasizes the importance of competence, integrity, communication, and accountability in leadership. Additionally, she discusses the distinction between management and leadership, the impact of military experience on leadership, and the significance of listening and learning from mistakes. The conversation delves into the experiences of a paramedic, and the qualities of effective leadership in emergency medical services. The themes of leadership, accountability, and just culture emerge as central to the discussion.

Takeaways

  • Transition from Marketing to EMS
  • Leadership in EMS
  • Importance of Listening and Learning from Mistakes Leaders are made, not born
  • Just culture and leadership are interconnected
  • Adaptability and empathy are essential qualities for effective leadership

Chapters

  • 00:00 Journey in EMS
  • 01:11 Transition from Marketing to Paramedic Work
  • 02:56 Leadership in EMS
  • 04:42 Management vs. Leadership
  • 19:20 Impact of Military Experience on Leadership
  • 28:21 Importance of Listening and Learning from Mistakes
  • 36:09 Leadership and Accountability
  • 55:41 Leadership Development and Adaptability
]]>3f830cc5-386b-4607-af57-335129f7179bFri, 18 Sep 2026 12:00:00 GMT<p>The conversation covers Christine's journey in EMS, her transition from marketing to paramedic work, and her insights on leadership in the field. She emphasizes the importance of competence, integrity, communication, and accountability in leadership. Additionally, she discusses the distinction between management and leadership, the impact of military experience on leadership, and the significance of listening and learning from mistakes. The conversation delves into the experiences of a paramedic, and the qualities of effective leadership in emergency medical services. The themes of leadership, accountability, and just culture emerge as central to the discussion.</p><p></p><p>Takeaways</p><ul><li>Transition from Marketing to EMS</li><li>Leadership in EMS</li><li>Importance of Listening and Learning from Mistakes Leaders are made, not born</li><li>Just culture and leadership are interconnected</li><li>Adaptability and empathy are essential qualities for effective leadership</li></ul><p></p><p>Chapters</p><ul><li>00:00 Journey in EMS</li><li>01:11 Transition from Marketing to Paramedic Work</li><li>02:56 Leadership in EMS</li><li>04:42 Management vs. Leadership</li><li>19:20 Impact of Military Experience on Leadership</li><li>28:21 Importance of Listening and Learning from Mistakes</li><li>36:09 Leadership and Accountability</li><li>55:41 Leadership Development and Adaptability</li></ul>no01:01:40Lessons in Leadershipfull<![CDATA[Sports Standbys; Medication Monday: Metoprolol (lopressor)]]>In this episode we talk about some unique challenges posed by EMS sporting event standbys. And then we get into the weeds on metoprolol.

Fifa diploma in football medicine: https://inside.fifa.com/health-and-medical/education-awareness/diploma-football-medicine

https://medlineplus.gov/druginfo/meds/a682864.html

https://www.ncbi.nlm.nih.gov/books/NBK532923/

]]>50854365-5aa7-48cb-984b-67f02cf44f55Mon, 07 Sep 2026 18:02:55 GMT<p>In this episode we talk about some unique challenges posed by EMS sporting event standbys. And then we get into the weeds on metoprolol. </p><p></p><p>Fifa diploma in football medicine: <a rel="noopener noreferrer nofollow" href="https://inside.fifa.com/health-and-medical/education-awareness/diploma-football-medicine" target="_blank">https://inside.fifa.com/health-and-medical/education-awareness/diploma-football-medicine</a></p><p></p><p><a rel="noopener noreferrer nofollow" href="https://medlineplus.gov/druginfo/meds/a682864.html" target="_blank">https://medlineplus.gov/druginfo/meds/a682864.html</a></p><p></p><p><a rel="noopener noreferrer nofollow" href="https://www.ncbi.nlm.nih.gov/books/NBK532923/" target="_blank">https://www.ncbi.nlm.nih.gov/books/NBK532923/</a></p>no00:43:27Sports Standbys; Medication Monday: Metoprolol (lopressor)full<![CDATA[Pragmed]]>This was an amazing conversation with pragmed! Go check him out on instagram @pragmed

Also check out @thevascular guy

Sorry for the delay in upload; there were some minor technical difficulties with audio.

]]>62891002-c786-4121-ac3a-6ccd4a14416bTue, 01 Sep 2026 03:09:10 GMT<p>This was an amazing conversation with pragmed! Go check him out on instagram @pragmed</p><p>Also check out @thevascular guy</p><p></p><p>Sorry for the delay in upload; there were some minor technical difficulties with audio.</p>no01:48:53Pragmedfull<![CDATA[Asthma, CHF, and Sepsis... Oh My!]]>In this episode we break down a case that has many layers, like an onion! How would you have done it differently?

Pubmed.ncbi.nlm.nih.gov. (n.d.). https://pubmed.ncbi.nlm.nih.gov/18572345/

Reece, R. J., & Hughes, M. (2022). Are digital oral thermometer readings accurate in adult emergency department patients? Cureus, 14(2), e22047. https://doi.org/10.7759/cureus.22047

]]>8b12c578-bf7a-4c23-a43c-0ad7391279bbFri, 28 Aug 2026 12:30:00 GMT<p>In this episode we break down a case that has many layers, like an onion! How would you have done it differently?</p><p></p><p><a rel="noopener noreferrer nofollow" href="http://Pubmed.ncbi.nlm.nih.gov" target="_blank"><i>Pubmed.ncbi.nlm.nih.gov</i></a>. (n.d.). <a rel="noopener noreferrer nofollow" href="https://pubmed.ncbi.nlm.nih.gov/18572345/" target="_blank">https://pubmed.ncbi.nlm.nih.gov/18572345/</a></p><p>Reece, R. J., &amp; Hughes, M. (2022). Are digital oral thermometer readings accurate in adult emergency department patients? <i>Cureus</i>, <i>14</i>(2), e22047. <a rel="noopener noreferrer nofollow" href="https://doi.org/10.7759/cureus.22047" target="_blank">https://doi.org/10.7759/cureus.22047</a></p>no00:15:47Asthma, CHF, and Sepsis... Oh My!full<![CDATA[Medication Monday: TXA and Clot Formation]]>References:

Chauncey, J. M., & Patel, P. (2025, April 26). Tranexamic acid. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK532909/

Joint statement of recommendation for the use of tranexamic acid for the treatment of postpartum haemorrhage | Figo. (n.d.). Figo. https://www.figo.org/joint-statement-recommendation-tranexamic-acid-treatment-pph

Relke, N., Chornenki, N. L., & Sholzberg, M. (2021). Tranexamic acid evidence and controversies: An illustrated review. Research and Practice in Thrombosis and Haemostasis, 5(5), e12546. https://doi.org/10.1002/rth2.12546

The use of tranexamic acid in tactical combat casualty care: TCCC proposed change 20-02. Drew B, Cap A, Auten J, Deaton T, et al. JSOM Oct 2020. (n.d.).

]]>7f6e66db-d508-4027-b1e9-6eca1578845bTue, 25 Aug 2026 00:30:00 GMT<p>References:</p><p>Chauncey, J. M., &amp; Patel, P. (2025, April 26). <i>Tranexamic acid</i>. StatPearls - NCBI Bookshelf. <a rel="noopener noreferrer nofollow" href="https://www.ncbi.nlm.nih.gov/books/NBK532909/" target="_blank">https://www.ncbi.nlm.nih.gov/books/NBK532909/</a></p><p><i>Joint statement of recommendation for the use of tranexamic acid for the treatment of postpartum haemorrhage | Figo</i>. (n.d.). Figo. <a rel="noopener noreferrer nofollow" href="https://www.figo.org/joint-statement-recommendation-tranexamic-acid-treatment-pph" target="_blank">https://www.figo.org/joint-statement-recommendation-tranexamic-acid-treatment-pph</a></p><p>Relke, N., Chornenki, N. L., &amp; Sholzberg, M. (2021). Tranexamic acid evidence and controversies: An illustrated review. <i>Research and Practice in Thrombosis and Haemostasis</i>, <i>5</i>(5), e12546. <a rel="noopener noreferrer nofollow" href="https://doi.org/10.1002/rth2.12546" target="_blank">https://doi.org/10.1002/rth2.12546</a></p><p><i>The use of tranexamic acid in tactical combat casualty care: TCCC proposed change 20-02. Drew B, Cap A, Auten J, Deaton T, et al. JSOM Oct 2020.</i> (n.d.).</p>no00:17:25Medication Monday: TXA and Clot Formationfull<![CDATA[Free-for-All Friday: Reccurrent Syncope]]>In this episode we examine one of the MANY causes of syncope.

To join in on the discussion go ahead and follow me on instagram @mostlystablepod and let me know what you think! All feedback is welcome and I will happily take suggestions for episodes as they are getting harder and harder to come up with.

References:

Cohagan, B., & Brandis, D. (2023, August 8). Torsade de Pointes. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK459388/

]]>68b15f30-4c9d-45da-8b1b-719dc744bb8cFri, 21 Aug 2026 12:30:00 GMT<p>In this episode we examine one of the MANY causes of syncope.</p><p>To join in on the discussion go ahead and follow me on instagram @mostlystablepod and let me know what you think! All feedback is welcome and I will happily take suggestions for episodes as they are getting harder and harder to come up with.</p><p></p><p>References:</p><p></p><p>Cohagan, B., &amp; Brandis, D. (2023, August 8). <i>Torsade de Pointes</i>. StatPearls - NCBI Bookshelf. <a rel="noopener noreferrer nofollow" href="https://www.ncbi.nlm.nih.gov/books/NBK459388/" target="_blank">https://www.ncbi.nlm.nih.gov/books/NBK459388/</a></p>no00:13:36Free-for-All Friday: Reccurrent Syncopefull<![CDATA[Medication Moday(on a wednesday) Benadryl; One Last Commentary on Documentation]]>I have one more thing to say on documentation and then we jump into a new segment called Medication Monday, where we will go over a medication be it on the truck or ones your patients might be on every single day.

]]>7e226acc-f0c5-497f-8ba7-b31772c6cff6Wed, 19 Aug 2026 12:30:00 GMT<p>I have one more thing to say on documentation and then we jump into a new segment called Medication Monday, where we will go over a medication be it on the truck or ones your patients might be on every single day.</p>no00:13:40Medication Moday(on a wednesday) Benadryl; One Last Commentary on Documentationfull<![CDATA[Epi vs Norepi; When to start pressure support.]]>In this episode we tackle the broad strokes of pressure support for the new medic and look at a recent case i had where i could have been more aggressive in treating refractory hypotension.

Insta: MostlyStablePod

]]>261580fd-69be-417a-bcfd-dced2a001f80Mon, 17 Aug 2026 16:00:00 GMT<p>In this episode we tackle the broad strokes of pressure support for the new medic and look at a recent case i had where i could have been more aggressive in treating refractory hypotension.</p><p></p><p>Insta: MostlyStablePod</p>no00:16:00Epi vs Norepi; When to start pressure support.full<![CDATA[Totally not an episode about documentation]]>I am not a Lawyer, i am not a physician. This episode does not exist to cast blame on any one particular person, nor do I think that the physician who is discussed is "guilty" of anything. She is not the one being tried, merely there to talk about the medical care she provided for a party in the trial. This is not a malpractice case, the physician is not going to lose her license nor should she. That is all.

Join the discussion on instagram @mostlystablepod

Sorry for the poor video quality to the youtube watchers! Will be working on that for the future.

This episode tackles the very boring but very important topic of documentation.

]]>bd01de7d-e146-4c31-a8e1-392654340c2dThu, 13 Aug 2026 22:39:02 GMT<p>I am not a Lawyer, i am not a physician. This episode does not exist to cast blame on any one particular person, nor do I think that the physician who is discussed is "guilty" of anything. She is not the one being tried, merely there to talk about the medical care she provided for a party in the trial. This is not a malpractice case, the physician is not going to lose her license nor should she. That is all.</p><p></p><p>Join the discussion on instagram @mostlystablepod</p><p></p><p>Sorry for the poor video quality to the youtube watchers! Will be working on that for the future.</p><p></p><p>This episode tackles the very boring but very important topic of documentation.</p><p></p><p></p>no00:12:17Totally not an episode about documentationfull<![CDATA[Brad and Kiera Newbury: The Saved Effect]]>Today we got to have Brad and Kierra Newbury to talk about their book, "The Saved Effect"

Pre order the saved effect now! Releases August 18th!

https://thesavedeffect.com/

]]>3eb1bd40-09b7-4db8-966b-db322131b390Thu, 06 Aug 2026 04:24:08 GMT<p>Today we got to have Brad and Kierra Newbury to talk about their book, "The Saved Effect"</p><p>Pre order the saved effect now! Releases August 18th!</p><p><a rel="noopener noreferrer nofollow" href="https://thesavedeffect.com/" target="_blank">https://thesavedeffect.com/</a></p>no00:43:27Brad and Kiera Newbury: The Saved Effectfull<![CDATA[Ranting: Paramedic Professionalism, Degrees, and "autonomy"]]>Disclaimer: Viewer discretion is advised. This episode is 100% opinion based and there are no sources to site and any "data" was pulled from a quick google search. The point of this episode is to spark discussion on a few topics that were brought to my attention this morning while listening to a different podcast. You may disagree with me, that is fine.

]]>73f0cbbf-67be-481e-8d3c-010061d245faTue, 04 Aug 2026 05:06:59 GMT<p>Disclaimer: Viewer discretion is advised. This episode is 100% opinion based and there are no sources to site and any "data" was pulled from a quick google search. The point of this episode is to spark discussion on a few topics that were brought to my attention this morning while listening to a different podcast. You may disagree with me, that is fine.</p>yes00:25:08Ranting: Paramedic Professionalism, Degrees, and "autonomy"full<![CDATA[Procedural Sedation]]>EDITORS NOTE: When i was talking about the "analgesic effects of versed i meant to say the amnesia effects. Versed provides no analgesics.

Disclaimer: This is not a guide, tutorial, or training! This does not substitute medical training or medical direction. FOLLOW YOUR PROTOCOLS!!

This episode we will be tackling the topic of procedural sedation, what the NIH says are best practices and examine a call where i used it and how it could have gone better.

References:

Benzoni T, Agarwal A, Cascella M. Procedural sedation. StatPearls - NCBI Bookshelf. Published March 22, 2025. https://www.ncbi.nlm.nih.gov/books/NBK551685/

Emerling AD, Fisher J, Walrath B, Drew B. Rapid ketamine infusion at an analgesic dose resulting in transient hypotension and bradycardia in the emergency department. Journal of Special Operations Medicine. 2020;20(1):31. doi:10.55460/n455-ukw4

]]>40f2d92b-7948-47ff-b24c-6ffa5515c42fSat, 01 Aug 2026 13:00:00 GMT<p>EDITORS NOTE: When i was talking about the "analgesic effects of versed i meant to say the amnesia effects. Versed provides no analgesics.</p><p></p><p>Disclaimer: This is not a guide, tutorial, or training! This does not substitute medical training or medical direction. FOLLOW YOUR PROTOCOLS!!</p><p></p><p>This episode we will be tackling the topic of procedural sedation, what the NIH says are best practices and examine a call where i used it and how it could have gone better.</p><p></p><p>References:</p><p>Benzoni T, Agarwal A, Cascella M. Procedural sedation. StatPearls - NCBI Bookshelf. Published March 22, 2025. <a rel="noopener noreferrer nofollow" href="https://www.ncbi.nlm.nih.gov/books/NBK551685/" target="_blank">https://www.ncbi.nlm.nih.gov/books/NBK551685/</a></p><p>Emerling AD, Fisher J, Walrath B, Drew B. Rapid ketamine infusion at an analgesic dose resulting in transient hypotension and bradycardia in the emergency department. <i>Journal of Special Operations Medicine</i>. 2020;20(1):31. doi:10.55460/n455-ukw4</p>yes00:16:17Procedural Sedationfull<![CDATA[Tacticool Paramedics, Cameras in EMS, Professional interactions]]>In this episode we tackle some hot takes. As always, keep in mind i am a 1 year paramedic and don't pretend to be an expert. These are my own opinions, you don't have to like them.

]]>411ccf82-8761-459c-8f32-9534b94b57a2Thu, 30 Jul 2026 17:08:43 GMT<p>In this episode we tackle some hot takes. As always, keep in mind i am a 1 year paramedic and don't pretend to be an expert. These are my own opinions, you don't have to like them.</p>yes00:21:31Tacticool Paramedics, Cameras in EMS, Professional interactionsfull<![CDATA[Magnesium in COPD]]>Today we are talking about the controversy of Magnesium in COPD.

Here is the study

Ni H, Aye SZ, Naing C. Magnesium sulfate for acute exacerbations of chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews. 2022;2022(5):CD013506. doi:10.1002/14651858.cd013506.pub2

]]>3e893b0e-451d-49eb-b075-dc93ad95404dMon, 27 Jul 2026 13:00:00 GMT<p>Today we are talking about the controversy of Magnesium in COPD.</p><p>Here is the study</p><p></p><p>Ni H, Aye SZ, Naing C. Magnesium sulfate for acute exacerbations of chronic obstructive pulmonary disease. <i>Cochrane Database of Systematic Reviews</i>. 2022;2022(5):CD013506. doi:10.1002/14651858.cd013506.pub2</p>no00:05:39Magnesium in COPDfull<![CDATA[Imposter Syndrome and Analysis Paralysis]]>In this episode we talk about Imposter Syndrome and Analysis Paralysis and how i've been able to manage them as a 1 year medic.

]]>14609cd1-d642-4622-b588-6fff69994d07Sun, 26 Jul 2026 06:49:25 GMT<p>In this episode we talk about Imposter Syndrome and Analysis Paralysis and how i've been able to manage them as a 1 year medic.</p>no00:12:40Imposter Syndrome and Analysis Paralysisfull<![CDATA[Who Am I?; Not Succumbing to Anchoring Bias]]>This is episode 1! Thank you so much for listening, hopefully the start of something fun

]]>72782abf-7f43-4af0-b797-1d20c8304a89Fri, 24 Jul 2026 06:29:38 GMT<p>This is episode 1! Thank you so much for listening, hopefully the start of something fun</p>yes00:07:4511Who Am I?; Not Succumbing to Anchoring Biasfull