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Artwork for The Inflection Point: Conversations in Care, Culture and Change. Designed for Paramedics.

The Inflection Point: Conversations in Care, Culture and Change. Designed for Paramedics.

Ryan Cichowski and Jakob Rodger.
Human Factors
Patient Safety
Paramedicine
Community Paramedicine
Just Culture
Leadership
Psychological Safety
Whole Blood
Tranexamic Acid
EVAP
Pediatric Trauma
Artificial Intelligence In Healthcare
Appreciative Inquiry
Integrity
Cardiogenic Shock
Blood Transfusion
Violence Against Paramedics
Mental Health
Swift Canada
Amy Edmondson

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 collaborati... more

PublishesTwice weeklyEpisodes75Foundeda year ago
Number of ListenersCategories
Health & FitnessMedicine

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Artwork for The Inflection Point: Conversations in Care, Culture and Change. Designed for Paramedics.

Latest Episodes

What does it take to become a Tactical Paramedic?

In this episode of The Inflection Point, Tactical Paramedic William Johnston provides an inside look at the selection, training, and mindset required to perform in some of the most demanding environm... more

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How Special Operations Paramedicine Can Enhance Flourishing

In this episode of The Inflection Point, Tactical Paramedic William Johnston joins us to explore a question that reaches far beyond tactical medicine:

What helps paramedics flourish throug... more

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What should happen after a medication variance in paramedicine?

More importantly:

How should an incident review actually be conducted if the goal is learning instead of blame?

In this episode, Ivan McCann returns to discuss human factors, psycholo... more

What actually makes healthcare safer?

More policies?

More checklists?

More reminders?

Or better system design?

In this episode, Ivan McCann returns to discuss human factors, just culture, psychological safety, and the critical difference between “w... more

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Recent Guests

Raina Beugelink
Nutrition expert specializing in shift-work nutrition for first responders
Shipt Work Nutrition (ShiptworkNutrition.com)
Episode: What Night Shift Is Doing to Your Body (Paramedic Nutrition with Raina Beugelink)
Kristopher Fournier
Community paramedicine advocate / program leader in Leeds-Grenville
Leeds-Grenville Community Paramedicine program
Episode: Community Paramedicine Explained: Upstream Care, ED Diversion & the Future of Paramedicine
Ivan McCann
Paramedic with over a decade of experience in Ontario; master's student in human factors in patient safety; contract medicine across countries
Paramedicine, Ireland and Canada
Episode: Human Factors & Just Culture in Paramedicine with Ivan McCann
Paige Mason
Parademic researcher focusing on well-being and role identity in paramedicine
Ottawa Paramedic Service (research collaborator)
Episode: What Makes Paramedics Flourish at Work — Paige Mason on Integrity, Identity, and Meaning
Mandy Johnston
Paramedic and leader of the EVAP program
Peel Region Paramedic Service
Episode: Violence Against Paramedics Is Rising: Leadership & the EVAP Program | Mandy Johnston
Dr. Murto
Trauma physician specializing in pediatric injuries
Episode: Best of 2025 — Episode 2 Pediatric Trauma and the Life-Saving Window for Prehospital TXA
Dick Zoutman
Professor/Chief of Research (as introduced during interview)
Queen's University? (as discussed in episode)
Episode: Dr. Dick Zoutman On Why Respiratory Viruses Break Our Defenses — What Paramedics Need to Know
Dr. Jeannie Callum
Pediatric anesthesiologist with focus on transfusion medicine and pediatric trauma
CHEO (Children's Hospital of Eastern Ontario)
Episode: Pediatric Trauma: Challenges, TXA, and System Change | Dr. Jeannie Callum & Dr. Kimmo Murto
Aws Almufleh
Cardiologist and researcher
Queen's University
Episode: Part 2 — Dr. Aws Almufleh: Dopamine, Vasopressors & Cardiogenic Shock

Hosts

Jakob Rodger
Host of The Inflection Point: Conversations in Care, Culture and Change
Ryan Cichowski
Co-host of The Inflection Point: Conversations in Care, Culture and Change

Chart Rankings

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Talking Points

Recent interactions between the hosts and their guests.

Part 2 — Dr. Aws Almufleh: Dopamine, Vasopressors & Cardiogenic Shock
Q: So what are your thoughts on that medication, and then what are better medications to be giving to these patients in extremis?
Norepinephrine is favored over dopamine for pressor support in cardiogenic shock due to better hemodynamic stability and lower risk of arrhythmias; in early stages, dopamine can be considered when bradycardia is present or when there's a need to support heart rate, but the choice depends on the patient's hemodynamic profile and available equipment.
The Future of Paramedicine with Chief Marc Goudie | Frontenac Paramedic Service
Q: How can community paramedicine change the broader health system and patient outcomes?
By treating patients at home, CPs reduce hospital visits, relieve ER strain, and address social determinants of health, leading to better disease management and cost savings; collaboration with hospitals and specialists is key.
The Future of Paramedicine with Chief Marc Goudie | Frontenac Paramedic Service
Q: What do you see as the biggest barriers to expanding paramedic education and practice right now?
Funding, workload, and backfill needs constrain training time, while ongoing changes in protocols during events like the COVID era have made it harder to embed new practices; there is a push for more time and resources for continuous education.
Matt Cruchet | How Renfrew County Paramedics Deliver Care Anywhere
Q: How do you ensure competence and safety with such an unconventional model?
Competence comes from a heavy onboarding process, repeated calls, and a large competency framework; real-world experience builds decision-making under stress, reinforced by leadership trust and ongoing feedback.
Matt Cruchet | How Renfrew County Paramedics Deliver Care Anywhere
Q: Why has it been so busy recently and what unique service does Renfrew's Sierra Team provide?
The Sierra Team extends access to patients in hard-to-reach areas and special circumstances, enabling care delivery beyond traditional 911 deployments, including operations in bush, water, and other challenging environments.

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Frequently Asked Questions About This Podcast

What is This Podcast about and what kind of topics does it cover?

Global themes across recent episodes center on improving frontline care in prehospital and emergency settings through system design, safety culture, and practical, evidence-based approaches. Listeners encounter deep dives into incident reviews, just culture, and human factors, with practical guidance on psychological safety, non-punitive reporting, and structured review processes. The format often blends clinical insight with real-world constraints, featuring nutrition, community paramedicine, and upstream care as levers for better outcomes, reduced 911 calls, and more sustainable practice. Sponsorship mentions and resource referrals appear as practical supports for clinicians navigating complex workflows, highlighting a hands-on, systems-o... more

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These podcasts share a similar audience with this podcast:

1. Emergency Medicine Cases

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this podcast launched a year ago and published 75 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on this podcast?

Recent guests on this podcast include:

1. Raina Beugelink
2. Kristopher Fournier
3. Ivan McCann
4. Paige Mason
5. Mandy Johnston
6. Dr. Murto
7. Dick Zoutman
8. Dr. Jeannie Callum

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