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Shreds of Evidence

Shreds of Evidence

By: 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.2025 California Paramedic Foundation and Stanford Emergency Medicine Hygiene & Healthy Living Physical Illness & Disease
Episodes
  • Case Highlight: Blood Products in a Pediatric Traumatic Arrest

    Case Highlight: Blood Products in a Pediatric Traumatic Arrest
    Nov 5 2025

    A pediatric traumatic arrest pushes an EMS team to the edge of possibility. In this case review, we discuss how rapid action, coordinated care, and the availability of prehospital blood products led to a miraculous outcome—and what it means for the future of trauma response in the field.
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    46 mins
  • Ambulance Offload Delays

    Ambulance Offload Delays
    Nov 5 2025

    Ambulance offload delays remain a major challenge across California. Dr. Marc Gautreau discusses how Stanford is improving ED flow to support faster offloads—and, as an EMS medical director, shares how new state laws are reshaping accountability, data reporting, and coordination between hospitals and EMS systems.
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    42 mins
  • Surgical Cricothyrotomy

    Surgical Cricothyrotomy
    May 3 2025

    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 clinical responsibility.
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    28 mins
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