This podcast is dedicated to the folks running rural EMS services in the sticks. Whether you’re an EMT, paramedic, medical director, emergency medicine doc, or just interested in how ambulance medicine works, this podcast is for you!
The Kleinschmidt Series, Episode 02 - This Is Not a Wellness Lecture
Drs. David Collins and Regan Washist, alongside Phil Aguet and Jason Kells, explore burnout and moral injury in emergency medicine, nursing, and EMS, offering strategies for resilience beyond typical wellness initiatives in this interview.
12 Jun 2025
MMM Origins: Jason Kells, MS II
Medical student Jason Kells discusses his transition from a SWAT medic and paramedic to pursuing a medical degree, highlighting how his prior experiences inform his medical training in this interview with Phil Aguet.
28 May 2025
Episode 08 - Eye Injuries
Dr. David Collins, Dr. Regan Washist, Phil Aguet, and Marie Tate dissect a chaotic trauma case involving a backyard pool explosion and eye injuries, offering crucial insights for medics managing similar real-world scenarios in this interview episode.
14 May 2025
Episode 07 - Hypothermia
An ice fisherman’s hut plunges into freezing waters, and the clock starts ticking. How do emergency responders navigate extreme cold, unpredictable environments, and limited resources to save lives? In this episode of Medics Musings and Mayhem, Doc Dave, medic and firefighter Phil Aguet, and NOW newly minted Dr. Regan Washist tackle the real-world challenges of hypothermia response in rural settings. Join us as we break down critical pre-hospital care strategies, rapid assessment techniques, and the life-saving interventions that matter most when time and temperature are working against you. From hands-on field protocols to the complexities of rural emergency departments, this conversation is packed with expert insights, practical takeaways, and a dose of humor. Whether you're an EMT, first responder, healthcare provider, or just someone fascinated by high-stakes emergency medicine, this episode will change the way you think about cold-weather rescues. Stay warm, stay prepared, and tune in now!
Host: David Collins, MD, FACEP
Co-host: Regan Washist, MD (congrats Regan!) and Phil Aguet!
Editor/Reviewer: Michelle Collins
Editing Wizard: Phil Aguet
Contact us at medicsmusingsandmayhem@gmail.com
Check out our website www.medicsmusingsandmayhem.com (www.medicsmusingsandmayhem.com)
11 May 2025
The Kleinschmidt Series, Episode 01 - The Crash After the Call: EMS and Emotional Recovery
EMS isn’t just about protocols and procedures—it’s about the emotional toll of saving lives and navigating impossible situations. In this episode, Doc Dave, along with co-hosts, newly minted Dr. Regan Washist and Jason Kells, MS I, dive into the raw realities of EMS work. They share personal experiences with traumatic calls, from a cardiac arrest involving an infant to a devastating pediatric trauma, and discuss how these moments shape first responders mentally and physically. The conversation tackles adrenaline crashes—that intense energy surge followed by emotional exhaustion—and explores how medics and EMTs can manage their recovery. They also break down the back-to-work mentality and the pressure to immediately move on after tragic events, highlighting how leadership and peer support can play a role in fostering resilience. From peer mentorship to mental health resources, this episode sheds light on the often-overlooked struggles of emergency responders and what needs to change to better support them. Whether you’re an EMT, paramedic, first responder, or just curious about what happens behind the sirens, this conversation will leave you with a new appreciation for the resilience of those on the frontlines.
Host: David Collins, MD, FACEP
Co-host: Regan Washist, MD (congrats Regan!) and Jason Kells, MS I; brief cameo from our very own Phil Aguet!
Editor/Reviewer: Michelle Collins
Editing Wizard: Phil Aguet
Contact us at medicsmusingsandmayhem@gmail.com
Check out our website www.medicsmusingsandmayhem.com (www.medicsmusingsandmayhem.com)
If you or someone you know is struggling...
findhelp.org (findhelp.org)
Suicide and Crisis Lifeline - Dial 988
28 Apr 2025
Teaching and Saving: Lifelong Lessons in EMS
Join Dr. David and Phil as they dive deep into the world of medical education—how it’s learned, how it’s taught, and where to find the best resources to sharpen your knowledge. From prehospital emergency medicine to hospital-based expertise, they’ll explore invaluable tools, strategies, and insights to help learners and educators alike. Plus, get a sneak peek at some exciting new directions the podcast is heading in! Whether you're a seasoned clinician, an eager student, or simply passionate about medicine, this episode is packed with knowledge you won’t want to miss.
Host: David Collins, MD, FACEP
Co-host: Phil Aguet
Editor/Reviewer: Michelle Collins
Editing Wizard: Phil Aguet
Contact us at medicsmusingsandmayhem@gmail.com
Check out our website www.medicsmusingsandmayhem.com (www.medicsmusingsandmayhem.com)
2 Dec 2024
EMS Across the Pond, Episode 03: The Heart of POCUS
US medical students Regan Washist and Livia Van Humbeeck explore the critical role of POCUS in prehospital STEMI identification and early treatment with Dr. David Collins.
28 Sept 2024
Fireside Musings with Dave and Phil 01
In this episode, Phil peppers Dr. Dave with various topics in EMS. This episode includes discussion regarding good patient handoff, how to be a lifelong learner, the resurgence of whole blood, and several other quick hits!
12 Aug 2024
Episode 06 - Hyperthermia
In this podcast, we explore how to manage patients in the dog days of summer. Dr. David and Regan discuss the pathophysiology, the interventions generally recommended, a protocol example, a brief discussion of relevant literature, as well as a case example of a patient presenting with hyperthermia.
Credit of intro/outro: Joseph McDade (https://josephmcdade.com)
Co-host: Regan Washist, MS IV
Editor/Reviewer: Michelle Collins
Editing Wizard: Phil Aguet
Contact us at medicsmusingsandmayhem@gmail.com
Check out our website www.medicsmusingsandmayhem.com (www.medicsmusingsandmayhem.com)
28 Jul 2024
MMM Origins: Dr. David Collins
In this podcast, special host Phil Aguet interviews Dr. David Collins, MD, FACEP about why he went into medicine, what led him to EM, why EMS is special to him, and much more!
Credit of intro/outro: Joseph McDade (https://josephmcdade.com)
Host: Phil Aguet
Editor/Reviewer: Michelle Collins
Editing Wizard: Phil Aguet
Contact us at medicsmusingsandmayhem@gmail.com
Check out our website www.medicsmusingsandmayhem.com (www.medicsmusingsandmayhem.com)
24 Jul 2024
EMS Across the Pond, Episode 02: Breathless in the Back
In this podcast, we explore another case of prehospital trauma. Regan and special guest Livia Van Humbeeck discuss the differences in EMS management of a trauma in the United States versus Poland and how POCUS can be an invaluable asset.
Credit of intro/outro: Joseph McDade (https://josephmcdade.com)
Host: David Collins, MD, FACEP
Co-host: Regan Washist, MSIV
Guest host: Livia Van Humbeeck, MSVI (yes, they go that high in Poland!)
Editor/Reviewer: Michelle Collins
Editing Wizard: Phil Aguet
Contact us at medicsmusingsandmayhem@gmail.com
Check out our website www.medicsmusingsandmayhem.com (www.medicsmusingsandmayhem.com)
7 Jul 2024
EMS Across the Pond, Episode 01: Tractor Troubles
In this podcast, we explore nuances of prehospital trauma. Regan and special guest Livia Van Humbeeck discuss the differences in EMS management of a trauma in the United States versus Poland.
Credit of intro/outro: Joseph McDade (https://josephmcdade.com)
Host: David Collins, MD, FACEP
Co-host: Regan Washist, MSIV
Guest host: Livia Van Humbeeck, MSVI (yes, they go that high in Poland!)
Editor/Reviewer: Michelle Collins
Editing Wizard: Phil Aguet
Contact us at medicsmusingsandmayhem@gmail.com
Check out our website www.medicsmusingsandmayhem.com (www.medicsmusingsandmayhem.com)
30 May 2024
Episode 05 - Trauma Basics
In this podcast, we explore the basics of prehospital trauma. Dr. David and Regan discuss the pathophysiology, the interventions generally recommended, a protocol example, a brief discussion of relevant literature, as well as a case example.
Credit of intro/outro: Joseph McDade (https://josephmcdade.com)
Co-host: Regan Washist, MSIII
Editor/Reviewer: Michelle Collins
Editing Wizard: Phil Aguet
Contact us at medicsmusingsandmayhem@gmail.com
Check out our website www.medicsmusingsandmayhem.com (www.medicsmusingsandmayhem.com)
4 May 2024
Episode 04 - Rapid Sequence Intubation
In this podcast, we delve into the exciting but terrifying world of airway and RSI. Dr. David and Regan discuss the pathophysiology, the medicines generally recommended, a protocol example, a brief discussion of relevant literature, as well as a case example.
Credit of intro/outro: Joseph McDade (https://josephmcdade.com)
Co-host: Regan Washist, MSIII
Editor/Reviewer: Michelle Collins
Editing Wizard: Phil Aguet
Contact us at medicsmusingsandmayhem@gmail.com
Check out our website www.medicsmusingsandmayhem.com (www.medicsmusingsandmayhem.com)
We are thrilled to announce many new and exciting episodes coming soon! More on this at a later date!
6 Aug 2023
Episode 03 - Congestive Heart Failure
In this podcast, we examine the many nuances of heart failure and prehospital management. Dr. David and Regan discuss the pathophysiology, the medicines generally recommended, a protocol example, a brief discussion of relevant literature, as well as a case example.
Credit of intro/outro: Joseph McDade (https://josephmcdade.com)
Co-Host: Regan Washist, MSIII
Editor/Reviewer: Michelle Collins
Special thanks to Phil Aguet for editing wizardry.
Contact us at medicsmusingsandmayhem@gmail.com
Check out our website www.medicsmusingsandmayhem.com (www.medicsmusingsandmayhem.com)
Many apologies for the delay! More content on the way VERY SOON!
3 Apr 2023
Episode 02 - Bradycardia
In this podcast, we examine the complexities of bradycardia. Dr. David and Regan discuss the pathophysiology, the medicines generally recommended, a protocol example, a brief discussion of relevant literature, as well as a case example.
Credit of intro/outro: Joseph McDade (https://josephmcdade.com)
Co-host: Regan Washist, MSIII
Editor/Reviewer: Michelle Collins
Editing Wizard: Phil Aguet
Contact us at medicsmusingsandmayhem@gmail.com
Check out our website www.medicsmusingsandmayhem.com (www.medicsmusingsandmayhem.com)
28 Feb 2023
Episode 01 - Anaphylaxis
In this podcast, we examine anaphylaxis and the challenges it presents. Dr. David and Regan discuss the pathophysiology, the medicines generally recommended, a protocol example, a brief discussion of relevant literature, as well as a brief case.
Credit of intro/outro: Joseph McDade (https://josephmcdade.com)
Special Guest: Regan Washist, MSIII
Contact us at medicsmusingsandmayhem@gmail.com
Check out our website www.medicsmusingsandmayhem.com (www.medicsmusingsandmayhem.com)
18 Feb 2023
Introduction - My inspiration, goals, and plans with this podcast
A brief introduction about myself, why the podcast is being created, and what our goals are going forward.
Credit of intro/outro: Joseph McDade (https://josephmcdade.com)
Contact us at medicsmusingsandmayhem@gmail.com
Check out our website www.medicsmusingsandmayhem.com (www.medicsmusingsandmayhem.com)
Reach and audience
Public platform figures. Ratings count people who left a rating, not total listeners.
YouTube views
296
Score snapshot 15 Sept 2025
Apple Podcasts (US)
4.6 / 5
12 ratings
Spotify
4.7 / 5
14 ratings
Podcast Authority Score: 49 / 100
A composite of feed quality, social presence, YouTube performance and engagement. Read the methodology.
Quality
51
Social presence
0
YouTube
64
Engagement
51
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