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

Mass Casualty Readiness, Burn Decisions, and the Fundamentals That Save Lives

Episode 129 Jul 27, 2026 1:03:16

Episode overview

About this episode

The calls that scare clinicians the most are often the ones they have the fewest opportunities to practice.

So what happens during a rare, high consequence emergency? First, Jennifer Barnhart of Austin-Travis County EMS and Sergeant Luke Serrato of the Austin Police Department discuss the response to a mass casualty shooting on Austin’s Sixth Street.

Then, Ross talks with Allen Wolfe about three unusual burn and blast-injury cases. They discuss when a smaller burn may still warrant transfer to a burn center, how to recognize an airway that may require an early surgical approach, what a blast mechanism can reveal about hidden injuries, and why protecting burned tissue cannot come at the expense of protecting the airway.

In this episode, you’ll learn:

• How shared language and closed-loop communication help EMS and law enforcement move together 

• Why responders may need to pass ambulatory or vocal patients to reach those who cannot self-rescue

• What disrupted tympanic membranes, clothing patterns, circumferential facial burns can reveal

 

Resources:

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Guests:

Jennifer Barnhart, Clinical Specialist, Austin-Travis County EMS

Sergeant Luke Serrato, Austin Police Department

Allen Wolfe, Senior Director of Clinical Education and Clinical Nurse Specialist at Life Link III