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The 10-8 Show

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by Ryan Cichowski and Jakob Rodger.

78 episodes
Updated Daily
Accepts GuestsHas Sponsors
35

Podcast Authority

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Podcast Overview

The Inflection Point is the podcast that brings paramedics, EMS providers, and healthcare professionals the latest in prehospital medicine, critical care, cardiac and trauma management, pharmacology, and system design. Jakob Rodger and Ryan Cichowski dive deep into the intricacies of frontline care—combining clinical expertise, research, human factors, leadership, and interdisciplinary collaboration to help you think differently and perform at a higher level. We aim to take a holistic approach to sharing high-quality information that supports paramedics and healthcare professionals.

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🇺🇲

Publishing Since

2/16/2025

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35

Podcast Authority

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12
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Recent Episodes

Episode thumbnail for Pit Crew CPR: How Paramedic Teams Build High-Performance Resuscitation | Class Professional

August 12, 2026

Pit Crew CPR: How Paramedic Teams Build High-Performance Resuscitation | Class Professional

<p>High-performance resuscitation is not about one clinician doing everything. It is about building a coordinated team that can think clearly, communicate effectively, and protect the fundamentals when every second matters.</p><p><strong>EPISODE CHAPTERS</strong></p><p>00:00 – High-performance resuscitation is a team sport<br>00:35 – Moving beyond the traditional team-lead model<br>02:50 – Clear roles, cognitive bandwidth, and the pit-crew approach<br>05:03 – Why team-based resuscitation improves outcomes<br>07:24 – Reducing peri-shock pauses<br>09:07 – High-performance CPR principles and quality review<br>12:48 – Scenario: responding to a witnessed cardiac arrest<br>17:40 – First actions on scene and moving to a workable space<br>18:18 – Pre-charging the monitor and rapid defibrillation<br>21:02 – Rhythm recognition and pulse-check decisions<br>24:31 – Coordinating with fire and switching compressors<br>27:51 – Equipment placement, task ownership, and keeping the scene organized<br>31:15 – Prioritizing CPR, airway, and vascular access<br>36:59 – Early airway management and continuous compressions<br>40:13 – Gastric insufflation, suction, and airway protection<br>44:05 – Why an i-gel comes before intubation<br>46:18 – Managing a soiled or difficult airway<br>48:24 – SALAD technique and suction strategy<br>52:17 – Securing and troubleshooting an advanced airway<br>56:12 – Reversible causes, prognosis, and team decision-making<br>57:51 – On-scene resuscitation versus transport<br>60:38 – Key takeaways and closing remarks</p><p><strong>MATERIAL FEATURED IN THIS EPISODE</strong></p><p>Educational material and case studies discussed in this episode are drawn from Critical Care, published by Class Professional.</p><p>Featuring more than 35 in-depth case studies, Critical Care combines practical questions, evidence-informed guidance, full-colour illustrations, and structured self-reflection across areas including:</p><p>• Leadership<br>• Airway management<br>• Resuscitation<br>• Cardiac arrest<br>• Medical emergencies<br>• Trauma<br>• Paediatrics<br>• Obstetrics<br>• Toxicology</p><p>Learn more about Critical Care and Class Professional&#39;s clinical education resources:</p><p><a href="https://www.classprofessional.co.uk/">https://www.classprofessional.co.uk/</a></p><p>Canadian website:</p><p><a href="https://www.classprofessional.ca/">https://www.classprofessional.ca/</a></p><p><br></p><p><strong>SPONSORED BY CLASS PROFESSIONAL</strong></p><p>This episode is proudly sponsored by Class Professional, creators of trusted, evidence-informed books, digital tools, and educational resources for paramedics and healthcare professionals.</p><p>Explore Class Professional:</p><p><a href="https://www.classprofessional.co.uk/">https://www.classprofessional.co.uk/</a></p><p>Canadian Website:</p><p><a href="https://www.classprofessional.ca/">https://www.classprofessional.ca/</a></p><p>Podcasts and author conversations:</p><p><a href="https://www.classprofessional.co.uk/podcasts/">https://www.classprofessional.co.uk/podcasts/</a></p><p>Instagram:</p><p><a href="https://www.instagram.com/classprofessional/">https://www.instagram.com/classprofessional/</a></p><p>Canadian Instagram:</p><p><a href="https://www.instagram.com/classprofessional_canada/">https://www.instagram.com/classprofessional_canada/</a></p><p>YouTube:</p><p><a href="https://www.youtube.com/@class.professional">https://www.youtube.com/@class.professional</a></p><p>LinkedIn:</p><p><a href="https://www.linkedin.com/company/class-professional/">https://www.linkedin.com/company/class-professional/</a></p><p>Facebook:</p><p><a href="https://www.facebook.com/ClassProfessionalPublishing/">https://www.facebook.com/ClassProfessionalPublishing/</a></p><p>X:</p><p><a href="https://x.com/classprofession">https://x.com/classprofession</a></p><p>Threads:</p><p><a href="https://www.threads.net/@classprofessional">https://www.threads.net/@classprofessional</a></p><p><br></p><p><strong>EDUCATIONAL DISCLAIMER</strong></p><p>This podcast is provided for educational and informational purposes only. It is not intended to constitute medical advice, clinical direction, diagnosis, treatment, or professional instruction and should not be used as a substitute for independent clinical judgment.</p><p>The information discussed reflects educational commentary, available evidence, professional perspectives, and clinical concepts at the time of recording. Evidence, guidelines, medical directives, protocols, equipment, medications, and standards of care may change over time and may vary significantly between jurisdictions, services, and organizations. Always follow current local medical directives, clinical practice guidelines, organizational policies, protocols, legislation, and standards of care.</p><p>The views and opinions expressed by hosts and guests are their own and do not necessarily represent those of their employers, affiliated organizations, sponsors, regulatory bodies, Base Hospitals, or other institutions.</p><p><br></p>

Episode thumbnail for Pit Crew CPR: The Team Dynamics Behind High-Performance Resuscitation | Class Professional

July 31, 2026

Pit Crew CPR: The Team Dynamics Behind High-Performance Resuscitation | Class Professional

<p>High-performance resuscitation is not simply a collection of technically skilled clinicians. It is a coordinated system built on role clarity, closed-loop communication, shared situational awareness, and the disciplined execution of the fundamentals.</p><p>In this clip from The Inflection Point, we explore pit crew resuscitation and the team dynamics that help paramedics perform at their best during cardiac arrest. Clearly defined roles reduce duplication, protect high-quality CPR, minimize interruptions, and allow the team to anticipate what comes next.</p><p>MATERIAL FEATURED IN THIS EPISODE</p><p>The educational material and case studies discussed in this episode are drawn from Critical Care, published by Class Professional.</p><p>Featuring more than 35 evidence-based case studies, the book explores leadership, airway management, resuscitation, cardiac arrest, medical emergencies, trauma, paediatrics, obstetrics, and toxicology through practical questions and reflective learning.</p><p>Learn more:<br><a href="https://www.classprofessional.co.uk/" target="_new" rel="noopener">https://www.classprofessional.co.uk/</a></p><p>THE INFLECTION POINT</p><p>The Inflection Point explores the decisions, systems, and human factors shaping healthcare, paramedicine, leadership, and patient safety through conversations with clinicians, researchers, educators, first responders, and high-performance leaders.</p><p>SPONSORED BY CLASS PROFESSIONAL</p><p>This episode is proudly sponsored by Class Professional, creators of trusted evidence-informed books, digital learning tools, podcasts, and educational resources for healthcare professionals.</p><p>Explore their resources:</p><p>Website<br><a href="https://www.classprofessional.co.uk/" target="_new" rel="noopener">https://www.classprofessional.co.uk/</a></p><p>Canadian Website<br><a href="https://www.classprofessional.ca/" target="_new" rel="noopener">https://www.classprofessional.ca/</a></p><p>Podcasts<br><a href="https://www.classprofessional.co.uk/podcasts/" target="_new" rel="noopener">https://www.classprofessional.co.uk/podcasts/</a></p><p>Instagram<br><a href="https://www.instagram.com/classprofessional/" target="_new" rel="noopener">https://www.instagram.com/classprofessional/</a></p><p>Canadian Instagram<br><a href="https://www.instagram.com/classprofessional_canada/" target="_new" rel="noopener">https://www.instagram.com/classprofessional_canada/</a></p><p>YouTube<br><a href="https://www.youtube.com/@class.professional" target="_new" rel="noopener">https://www.youtube.com/@class.professional</a></p><p>LinkedIn<br><a href="https://www.linkedin.com/company/class-professional/" target="_new" rel="noopener">https://www.linkedin.com/company/class-professional/</a></p><p>Facebook<br><a href="https://www.facebook.com/ClassProfessionalPublishing/" target="_new" rel="noopener">https://www.facebook.com/ClassProfessionalPublishing/</a></p><p>X<br><a href="https://x.com/classprofession" target="_new" rel="noopener">https://x.com/classprofession</a></p><p>Threads<br><a href="https://www.threads.net/@classprofessional" target="_new" rel="noopener">https://www.threads.net/@classprofessional</a></p><p>DISCLAIMER</p><p>This content is intended for educational purposes only. Always follow your local medical directives, organizational policies, current evidence, and best-practice guidelines.</p><p>This is a paid sponsorship. The opinions expressed in this episode are those of the hosts and guests and do not necessarily reflect the views of Class Professional or our employers.</p><p>#Paramedic #Paramedicine #PitCrewCPR #CardiacArrest #HighPerformanceCPR #TeamDynamics #Resuscitation #PatientSafety #ClassProfessional</p>

Episode thumbnail for Building Resilient Tactical Paramedics: Inside Selection and Mental Preparedness | Will Johnston

July 10, 2026

Building Resilient Tactical Paramedics: Inside Selection and Mental Preparedness | Will Johnston

<p>What does it take to become a Tactical Paramedic?</p><p>In this episode of <strong>The Inflection Point</strong>, Tactical Paramedic <strong>William Johnston</strong> provides an inside look at the selection, training, and mindset required to perform in some of the most demanding environments in healthcare.</p><p>From a rigorous multi-week selection process and mentorship to stress inoculation, human factors, teamwork, and mental performance, this conversation explores what separates high-performing teams from high-performing individuals. More importantly, it demonstrates how these principles can be applied by <strong>all</strong> healthcare professionals—not just those working in tactical medicine.</p><p>Whether you&#39;re a paramedic, physician, nurse, first responder, healthcare leader, educator, or simply interested in leadership and human performance, this episode offers practical lessons on resilience, communication, teamwork, and continuous professional growth.</p><p>• The selection process for Tactical Paramedics<br>• Multi-week training, mentorship, and performance development<br>• Physical fitness, scenario-based assessments, aptitude testing, and interviews<br>• Why integrity, humility, adaptability, and professionalism matter as much as clinical expertise<br>• Human factors and decision-making under pressure<br>• Stress inoculation and building resilience in demanding environments<br>• Practical mental performance strategies, including breathing, visualization, self-talk, and cognitive reframing<br>• Managing fatigue, negativity, and prolonged operational stress<br>• Building psychologically safe, high-performing teams<br>• Why communication, attitude, and team fit often outweigh technical ability alone<br>• Lessons from tactical medicine that can improve every area of healthcare</p><p>00:00 – Introduction to Tactical Paramedic Selection<br>00:33 – The Multi-Week Selection and Mentorship Process<br>01:02 – Physical Fitness Standards and Operational Readiness<br>01:31 – Scenario-Based Assessments, Aptitude Testing, and Interviews<br>01:58 – The Attributes of Exceptional Tactical Paramedics<br>02:56 – Assessing Character, Judgment, and Professionalism<br>03:25 – Designing a High-Performance Selection Process<br>03:56 – Stress, Teamwork, and Performance Under Pressure<br>04:53 – Working in Complex Operational Environments<br>05:22 – Human Factors and Mental Performance<br>06:22 – Stress Inoculation and Building Resilience<br>07:20 – Mindset Strategies During Critical Incidents<br>08:19 – Practical Mental Performance Tools<br>09:17 – Breathing, Visualization, Self-Talk, and Focus Techniques<br>10:44 – Managing Fatigue and Maintaining Perspective<br>11:40 – The Value of Humour and Team Culture<br>12:10 – Controlling the Controllables<br>13:10 – Lessons from Military and Special Operations Teams<br>14:07 – Why Character and Teamwork Matter More Than Technical Skill Alone</p><p><strong>The Inflection Point</strong> explores healthcare, paramedicine, leadership, patient safety, quality improvement, medical education, and human performance through conversations with clinicians, researchers, educators, innovators, and leaders.</p><p>Our mission is to share evidence-informed ideas, practical strategies, and inspiring stories that help healthcare professionals grow, lead, and improve patient care.</p><p>Follow <strong>The Inflection Point</strong> on Spotify, Apple Podcasts, YouTube, or wherever you listen to podcasts.</p><p>This podcast is intended for educational and informational purposes only.</p><p>The views and opinions expressed by the hosts and guests are their own and do not necessarily reflect those of their employers, affiliated organizations, professional colleges, or agencies.</p><p>This episode is not intended to provide medical, legal, or professional advice and should not replace local legislation, organizational policies, medical directives, clinical practice guidelines, or professional judgment. Healthcare professionals should always follow the standards, protocols, and policies applicable within their own jurisdiction and scope of practice.</p><p><br></p><p><br></p>

78 total episodes available

Recent guests on The 10-8 Show

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Paige Mason

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Mandy Johnston

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Dr Andrew Petrosoniak

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Dr Aws Almufleh

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Kimmo Murto

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Jeannie Callum

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Dr Dick Zoutman

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Dr Jeannie Callum

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Dr Kimmo Murto

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Matt Cruchet

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Carly Ring

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Frequently asked questions

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What is The 10-8 Show?

The Inflection Point is the podcast that brings paramedics, EMS providers, and healthcare professionals the latest in prehospital medicine, critical care, cardiac and trauma management, pharmacology, and system design.

Jakob Rodger and Ryan Cichowski dive deep into the intricacies of frontline care—combining clinical expertise, research, human factors, leadership, and interdisciplinary collaboration to help you think differently and perform at a higher level. We aim to take a holistic approach to sharing high-quality information that supports paramedics and healthcare professionals.

How often does this podcast release new episodes?

This podcast updates daily.

Where can I listen to this podcast?

This podcast is available on 4 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.

Does this podcast accept guests?

Yes, this podcast regularly features guests.

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