Why Two Paramedics Watched Their Trainer Nearly Kill a Patient (And Said Nothing): How Lessons From The Aviation Industry Could Have Prevented It

Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers

A field trainer administers a non-indicated medication while two trainees watch in silence. Sound familiar?

In this eye-opening episode, we dive deep into how the aviation industry transformed from a punitive, hierarchical culture to one where crews actively prevent catastrophic errors—and how YOU can apply these same principles on your next EMS shift.

Our guest, Glen, a commercial airline pilot and aviation safety expert, shares how the aviation industry has revolutionized itself through such methodologies as just culture, crew resource management, and error prevention tools like the inquiry, advocacy, assertiveness model. We explore how these principles can be effectively applied in our EMS world to improve safety and performance. By the end of this episode, you'll walk away with practical tactics to implement on your next shift, ensuring you and your crew can handle high-stress situations with confidence and competence.

Key Concepts Covered:

• Crew Resource Management (CRM)
• Just Culture principles
• Aviation Safety Action Program (ASAP)
• Power distance in medical teams
• Human factors in emergency medicine
• Error prevention strategies

Books Mentioned by Glen:

• Just Culture by Sidney Dekker - https://amzn.to/3Su0A9Y
• The Myth of Multitasking: How "doing it all" gets nothing done - https://amzn.to/4dAFa4E
• Crew Resource Management Practice and Principles- https://amzn.to/3ZIjXzZ
• Threat & Error Management resources - https://skybrary.aero/articles/threat-and-error-management-tem

Other Resources:

• The Resus Tailor - https://www.theresustailor.com/
• This Episodes Blog Post- https://emspodcast.com/what-airplane-crashes-teach-us-about-saving-lives-in-ems-lessons-in-crew-resource-management-and-just-culture-from-the-aviation-industry/

Gear We Like:

• Good Stethoscope - https://amzn.to/3YJJrf2
• Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn
• Notepad for taking notes on calls - https://amzn.to/3Z1X21J
• Sunglasses - https://frontline-optics.com/discount/EMSCAST15

Other books we recommend:

• The Dichotomy of Leadership - https://amzn.to/4fiCAjN
• Extreme Ownership - https://amzn.to/3O1FWfa
• Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYf
• Thinking Fast and Slow - https://amzn.to/4fiJG85
• A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back - https://amzn.to/3YJJrf2

Guest/Cast/Crew information-
Guest- Glen
Host- Ross Orpet, Will Berry
Catch up with us after the show

• Instagram- @emsloudandclear
• YouTube- https://www.youtube.com/@EMSLoudandClear
• Website- www.emspodcast.com