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Outside the box ....who we are ....we the one’s that think out side the box it’s that simple .....every day is different so it’s our desire to do different things ....learn new things and evolve as we learn ....new things
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Outside the Box: An EMS Podcast

Sugar Land Fire Department

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Welcome to Outside the Box, a podcast that has evolved from its roots in EMS clinical excellence to a broader exploration of the topics, trends, and challenges surrounding the EMS industry today. Initially launched as a platform for driving clinical performance within emergency medical services, our journey has expanded to encompass a broader array of subjects that touch the lives and work of EMS professionals and beyond. We now delves into the intersections of healthcare, personal developme ...
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In this episode of "Outside the Box," join host Kevin and guest Ashley Stakes, a licensed professional counselor and former paramedic, as they discuss the critical issue of burnout among first responders. Ashley brings her dual expertise to illuminate the psychological and physiological impacts of stress and burnout in high-stress professions, part…
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In this episode of Outside the Box, Kevin is joined again by Mary to discuss the power of resilience and facing life's toughest challenges. Mary shares her journey from overcoming cancer twice and a difficult childhood to becoming a successful businesswoman. Despite her introverted nature and anxiety, she transitioned from a technical oil and gas r…
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In this episode of "Outside the Box," Kevin and guest Kathie Leverence explore the essential critical thinking and problem-solving skills in educational and emergency service contexts. With her rich experience in public education, Kathie discusses the parallels between teaching strategies for children and adults, highlighting the importance of deve…
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In this episode of "Outside the Box," Kevin and his guest, Mary, reflect on the universal significance of first impressions and how they matter across vastly different industries. The conversation reveals the undeniable impact of presenting oneself with intention and professionalism, regardless of the field. We explore the parallels between selling…
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Welcome to another episode of "Outside the Box," the EMS podcast dedicated to enhancing clinical performance and more in Sugar Land and beyond. This week, we delve into a critical skill set every EMS provider and leader must master: making decisions. Not just any decisions, but the right ones, swiftly and confidently, even when the stakes are high …
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In this episode of 'Outside the Box,' we go into the critical topics of setting standards, expectations, and embracing failure. Joining us is Adriel Ramirez, a former Marine and a local CrossFit gym owner, who shares his valuable perspectives and experiences. Throughout the conversation, we explore the importance of establishing clear standards and…
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Welcome to another episode of the Outside the Box - EMS podcast, where we delve into the fascinating intersection of journalism and the Fire/EMS industry, bringing unique insights from the world of news reporting. Our special guest, Keith Garvin, an experienced local television news anchor and reporter, shares his journey from behind the camera to …
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Welcome back to "Outside the Box," the podcast that sharpens your clinical judgment. In this episode, our host, Kevin, delves into the crucial topic of the Shock Index with special guest Dr. Amanda Humphreys, the Sugar Land Fire Department Medical Director. With her rich ground and air EMS background, Amanda brings an insightful perspective on this…
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In this episode of "Outside the Box," we sit down with Firefighter/ Paramedic Michael Dimitri to discuss the MARCH acronym — a critical approach for trauma patient assessment. Michael guides us through the life-saving techniques for handling massive bleeding, airway management, respiratory support, circulation, and hypothermia, along with the cruci…
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In the latest episode of "Outside the Box," join Chief Kevin Leverence and Firefighter/ Paramedic Sean Lackey as they cover the complexities of asthma and other reactive airway diseases. They discuss the efficacy and application of treatments like Albuterol, Magnesium, and the emerging use of Ketamine in respiratory emergencies. Through the convers…
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In this episode of "Outside the Box," Kevin dives into the world of effective education and training methodologies. Joined by education expert Jennifer Perry, they explore the intricacies of group instruction, the transformation to more personalized teaching approaches, and the pivotal role of instructional coaches. From her 22 years of teaching ex…
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Welcome to another episode of "Outside the Box", where we delve into vital skills that can enhance clinical performance in the EMS sector. Join our host as he engages with Marcello Perez, a veteran in customer service with over 20 years in the insurance industry, in a candid discussion on the art of effective communication. In this episode, Marcell…
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Welcome to another episode of "Outside the Box," our EMS podcast designed to elevate clinical performance within Sugarland. Chief Atripaldi, an accomplished combat medic, paramedic, firefighter, and educator, joins us as our distinguished guest in this installment. He places the spotlight on a fundamental yet often underestimated subject: ventilati…
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Welcome to the latest installment of Outside the Box! In today's episode, we're venturing beyond the clinical horizon into the dynamic realm of coaching, cuing, and feedback. Come along as we delve into proven techniques aimed at enriching our communication and bolstering support, not just within training and education but also on a personal level.…
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In this episode of "Outside the Box," we dive into the crucial topic of hemorrhage control, exploring various life-saving techniques, including the drug Tranexamic Acid (TXA). Join us as we examine various hemorrhage control strategies utilized by pre-hospital teams. From tourniquets and hemostatic agents to quick-thinking interventions, we uncover…
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In this episode of "Outside the Box," we delve into the EMS Education and Training world. Returning to our studio is the esteemed Jay Barrera, a passionate advocate for continuous learning, teaching, and mentoring. Jay shares his invaluable insights and embracing a "crawl, walk, run, sprint" approach. He highlights his ever-evolving teaching philos…
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In this episode of "Outside the Box," we explore the world of prehospital stroke care. Learn about the latest advancements and best practices EMS providers employ to enhance stroke response. We share insights on early recognition, rapid assessments, the latest stroke scales, and seamless transitions to specialized stroke centers. Sources: https://t…
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In this episode of "Outside the Box," we explore the incredible impact of point-of-care ultrasound (POCUS) within the Sugar Land Fire Department. This episode focuses on POCUS in cardiac assessments and "FAST" exams for traumatic injuries. Discover how POCUS enhances cardiac assessments, aids in rapid diagnosis, and guides critical interventions. H…
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In this thought-provoking episode of "Outside the Box," we delve into crucial critical thinking skills in EMS. We sit down with an inspiring teacher who explains her transformative approach to fostering critical thinking skills in students. Discover how she guides learners from a foundation of basic recall to empowering them to analyze and contempl…
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In this episode of “Outside the Box,” we dive into an essential topic in EMS: Positive End-Expiratory Pressure (PEEP). Join us as we explore the significant impact of PEEP on respiratory management in the prehospital setting. Our expert guest shares their extensive knowledge and practical insights on using PEEP to improve oxygenation and ventilatio…
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In this episode, we delve into the crucial topic of prehospital care for congestive heart failure (CHF). Join us as we explore the intricacies of managing this common cardiac condition in the field of EMS. Our guest, Captain Michael Bell, shares his knowledge, experience, and practical insights on effectively assessing and treating CHF patients bef…
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Ivette and Jill drink some unFAB Britta-filtered water and talk about unplanned pregnancies, Cesareans, and choosing formula over the all-mighty breast milk. Jill is a fellow author/TV host/journalist/Parenting lifestyle expert/mother of two. She speaks up against mom judgment and the importance of staying FAB (focused after baby). Check out her bo…
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Ivette and Justine talk over some fake wine coolers (aka watered down grape juice). Justine is a mother/sleep consultant and educator/founder of SleepyBye Family. She survived 2 C-sections, a postpartum mood anxiety disorder, and her own sleep issues in order to become a kick-ass pro on all things slumber. This episode is everything but a dozy, so …
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Pregnant Ivette and Almarie drink tea lattes from Coffee Bean. Almarie is an actor/dancer/story pirate/clown/mother who actually loved being pregnant. They discuss the pros and cons of waiting 12 weeks to tell others you’re expecting, and talk about miscarrying, a home water birth that didn’t go as planned, baby wrapping, and elimination communicat…
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Ivette drinks up the rest of the Quarter Acre Merlot blend from New Zealand with one of her BFFs Trina Jacobsen. They talk breastfeeding woes, birth plans vs. intentions, and how growing a baby in your own womb doesn’t necessarily make you a mother no matter what the dictionary says. All moms are pushers -- the title of this podcast (and book) is n…
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Ivette drinks up a well-rounded Quarter Acre Merlot blend from New Zealand with medical professional/toxin connoisseur/mother Kim Ely from Beauty Counter. We delve deep into the blue sea of toxins, discuss favorite clean brands, sort through my shameful drawer of products, and air out our dirty toxic secrets. True to form, we also talk about her ep…
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Ivette has a complex wine and conversation with actor/director/mother Foster Wilson. We discuss controversial topics such as terminating a late-term pregnancy for medical reasons, vaginal birth after cesarean (VBAC), vaccines, and less at-issue but still interesting subjects such as hauling your baby from audition to set, to film festivals, and jug…
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Ivette has a textured 2012 Charles Baur Eichberg Riesling Grand Cru Alsace with Miry’s List founder Miry Whitehill. We chat about living in Israel, orgasmic birth, pumping on the road, how taking her placenta in pills gave her a much-needed high, and her extended family of refugees. Miry's List is a nonprofit organization in CA that uses crowdsourc…
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Ivette has cold sparkling water with writer/producer/actor/certified holistic health coach/mother Heather Juergensen of TheStrongWoman.net. We chat about HypnoBirthing, second infertility, miscarriage, IVF, and going on a donor egg hunt. Heather also shares some great healthy, yummy and easy dinners. www.imtheonepushing.com @imtheonepushing…
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Ivette has blood-friendly dates with acupuncturist/writer/mother Abigail Morgan of MamaFloat.com. They talk about her two underwater home births, eating raw placenta, avoiding induction, postpartum anxiety and following your gut to rescue a sinking marriage. www.imtheonepushing.com @imtheonepushing
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Ivette has essential oil-infused Mimosas with entrepreneur/mother Claire Broussard of Young Living. They converse about how Mother’s Day is not unlike any other day, finding a match in an Au Pair, potty-training boot camp, post birth trauma, gender disappointment, toxins, essential oils, and growing up half French and half Texan. www.imtheonepushin…
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Ivette has a little taste of a juicy yet perfectly elegant 2010 Domaine de la Chevalerie "Bretêche" Bourgueil Cab Franc with singer/songwriter/vintage fashion guru/mother Tina Poppy. They talk about growing up in Milwaukee, procuring sperm from a bank, how her boyfriend shuttled her donor's low-count semen, her water birth dreams going down the dra…
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Ivette attempts a Chardonnay wine tasting with writer/mother Kathleen Dennehy. They only drink a little bit of an “oaky” (oaky is not okay in Ivette’s wine play book) 2014 Au Bon Climat from Santa Barbara. They talk about open adoption, foster child adoption, racial issues, social problems, gender fluidity, teenage rebellion, Catholic guilt, and tr…
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Ivette drinks a sriracha-infused Bloody Mary with producer/mother Sharla Sumpter Bridgett. They talk about trying to keep childbirth “polite,” raising two girls, the biggest cliché that is so true (“it all goes by so quickly”), potty training, breaking every rule on co-sleeping and sleep training, channeling Beyoncé, and “brookies.” www.imtheonepus…
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Ivette drinks buzzy ITO EN canned tea with radio host/author/mother Alex Cohen at KPCC Southern California. They converse about her awkward teenage years, her roller derby days as Axels of Evil and Smother Theresa, talking her husband into having a baby, struggling with breastfeeding, navigating mommy politics and judgment, overcoming self-doubt an…
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Ivette drinks a ligneous Alipús San Andrés mescal with film director/entrepreneur/mom Ondi Timoner. They talk about her childhood, how she came to be one of the most sought-after documentarians of our time, getting knocked-up, becoming a single mom, and still managing to triumph at motherhood and filmmaking. Follow Ondi @onditimoner, check out her …
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Ivette drinks a cozy herbal tea with rockstar mom Emily Zuzik. They talk about her journey as a musician, becoming a mother, dealing with postpartum depression, finding help, loving her mom club tribe, weaning her daughter at 18 months, and how saying hello to a stranger really paid off in spades. Buy Emily’s new album “Angelenos” from iTunes. www.…
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Ivette shares a cool and easy drinkin’ Oyster Bay Sauvignon Blanc with author/activist/mother Janelle Randazza. They chat about growing up Sicilian in Gloucester, dealing with Hyperemesis during pregnancy, expecting a girl but having a boy, switching OBs after 30 weeks, loving on her doula, essential oils, aromatherapy birth, and her commitment to …
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