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The World’s Okayest Medic Podcast

Mike Carunchio
Emergency Medical Services
EMS
Emergency Medicine
Critical Care Transport
Paramedics
Airway Management
Patient Care
Trauma Care
Emergency Medical Services (EMS)
Patient Assessment
Mental Health
Cardiac Arrest
Intubation
Pre-Hospital Blood Transfusion
EMS Education
Bipap
Patient Safety
Ketamine
Imposter Syndrome
Paramedic Training

The World’s Okayest Medic Podcast is a podcast for all EMS providers. Whether you’re an EMT, paramedic, nurse; work in a 911 response setting or critical care transport; and are a novice or experienced clinician, this podcast is for you.

PublishesTwice weeklyEpisodes375Founded6 years ago
Number of ListenersCategory
Health & Fitness

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Artwork for The World’s Okayest Medic Podcast

Latest Episodes

Listener discretion is advised!

LISTENER DISCRETION IS ADVISED!!!

LISTENER DISCRETION IS ADVISED!

References:

Alam N, Oskam E, et. al. PHANTASi Trial Investigators and the ORCA (Onderzoeks Consortium Acute Geneeskunde) Research Consortium the Netherlands. Prehospital antibiotics in the ambulance for sepsis: a mult... more

LISTENER DISCRETION IS ADVISED!!!

References:

Evans C, Quinlan DO, Engels PT, Sherbino J. Reanimating Patients After Traumatic Cardiac Arrest: A Practical Approach Informed by Best Evidence. Emerg Med Clin North Am. 2018 Feb;36(1):19-40.

Lott, C., ... more

Key Facts

Accepts Guests
Contact Information
Podcast Host
Number of Listeners
Find out how many people listen to this podcast per episode and each month.

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Recent Guests

Nick Gioni
Intensivist and frequent podcast guest referenced as a future guest
Independent physician / ICU
Episode: Friday Coffee Talk (8/21/26)
Dr. Antevi
Clinician referenced as invited guest to talk about sepsis and sepsis protocol
Episode: Friday Coffee Talk (8/21/26)
Eddie Goudier
Author of Vesopressor and Inotrope Handbook
Author/Medic-education
Episode: Friday Coffee Talk (8/21/26)
Poem Toilet
Intensivist and fellow guest mentioned as recording partner for future episode
ICU physician
Episode: Friday Coffee Talk (8/21/26)
Dr. Diego Iescas
Intensivist referenced with reel on albuterol and edema
Intensivist
Episode: Friday Coffee Talk (8/21/26)
Dr. Mark Piehl
Pediatric intensivist and trauma clinician; inventor of Life Flow
Life Flow device / trauma and pre-hospital care advocate
Episode: Dr. Mark Piehl
Dan Rauh
Coffee Talk guest on The World's Okayest Medic Podcast
Episode: BONUS COFFEE TALK with Dan Rauh
Greg Shea
Dr. Greg Shea, author and FDNY culture expert
Rising From Ground Zero (book)
Episode: Saturday Coffee Talk (7/25/26)
Dan Rao
Guest (announced for an upcoming episode)
Episode: Saturday Coffee Talk (7/25/26)

Hosts

Mike Carruchio
Host with multiple references across episodes; frequently presents Coffee Talk segments and overall show hosting responsibilities
Mike Carunciio
Occasional host presence and recurring segment contributor; variations of spelling appear across transcripts

Reviews

4.8 out of 5 stars from 725 ratings
  • Dr Shea

    Your interview with Dr Shea was one of the most impactful podcasts I have listened to. Full stop.

    Apple Podcasts
    5
    Stan pop
    United Statesa month ago
  • Great show!!

    Late to the podcast but catching up. Listened to corporate greed and it should be a state of the union address! It’s 2024 and it still holds true. Enjoy the direct, no apology attitude!

    Apple Podcasts
    5
    schmuel1971
    United States2 years ago
  • An Arizona Paramedic’s opinion

    Have actually met this guy in person. He’s an excellent teacher. Particularly enjoyed the intubation episode.

    Apple Podcasts
    5
    A guy in Arizona
    United States2 years ago
  • Amazing Podcast

    The podcast is like a morning cup of coffee.

    Apple Podcasts
    5
    TheYougRod
    United States2 years ago
  • Keep it real

    Love listening.

    Apple Podcasts
    5
    Plugginalong
    United States2 years ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Listeners praise the practical, no-nonsense EMS guidance and clear clinical takeaways.
Guests and topics are described as candid and highly relevant to day-to-day field work.
Some critiques note strong opinions; others appreciate the unapologetic style and real-world focus.

Talking Points

Recent interactions between the hosts and their guests.

Saturday Coffee Talk (8/15/26)
Q: Hey Mike, I'm in med school and I'm struggling with a scenario where I intubated a patient with a GCS 3 and blown pupil despite a pulse ox of 92% and adequate ventilation. My instructor said I should have waited for the patient to seize before RSI, is my approach wrong and how should I handle airway decisions in similar scenarios going forward?
From my experience, if a patient has a GCS of 3 with a blown pupil and signs of catastrophic brain injury, you should not wait for a seizure to intervene if the airway is compromised or at risk. Assess airway threat, hemodynamics, and transport time; use a thoughtful, staged plan that prioritizes airway protection and oxygenation while maintaining perfusion. Don't default to a reflex RSI; instead, fix perfusion first, consider alternatives like ketamine for induction if BP is a concern, and tailor the plan to the patient's trajectory and facility capabilities.
Rick Maricle: Leadership at a New Agency
Q: How do you balance learning from mistakes with maintaining discipline?
Just culture guides how we respond: support and retrain for human errors, but implement disciplinary action for reckless choices or repeated failures, using case reviews to drive improvement without blaming individuals.
Saturday Coffee Talk (5/1/26)
Q: How do you keep up with the work while still doing a good job?
Focus on doing one call at a time, set clear assessment goals, and build speed through repetition and experience, while using available tools (like charting on the fly) to stay efficient without compromising patient care.
Saturday Coffee Talk (2/28/26)
Q: What should listeners do when they feel their medical director is obstructing evidence-based practices?
Document specific policies, present data-backed arguments, and consider seeking a replacement director or external guidance if the director consistently blocks validated improvements. The host emphasizes that a director's obligation is to support safe, evidence-based care, not to maintain the status quo.
Saturday Coffee Talk (1/31/26)
Q: How do you decide whether to ride in influenza or upper respiratory type calls?
Generally based on vital signs and the context of the patient, with the potential to perform EKGs to avoid missing atypical ACS presentations.

Audience Metrics

Listeners, social reach, demographics and more for this podcast.

Listeners per Episode
Gender Skew
Location
Interests
Professions
Age Range
Household Income
Social Media Reach

Frequently Asked Questions About The World’s Okayest Medic Podcast

What is The World’s Okayest Medic Podcast about and what kind of topics does it cover?

This show centers on practical, no-nonsense discussions about EMS practice, critical care transport, and prehospital decision-making. Episodes frequently cover hands-on topics like airway management, pharmacology in the field, resuscitation strategies, and the realities of EMS leadership, training, and protocol interpretation. A recurring strength is the host's candid, experience-based perspective, often balanced with expert guests and real-world anecdotes that illuminate how EMS care translates to the field. Notable traits include a willingness to challenge established norms, a focus on practical takeaways for frontline clinicians, and a mix of technical deep-dives with accessible, conversational storytelling that appeals to both beginners... more

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Which podcasts are similar to The World’s Okayest Medic Podcast?

These podcasts share a similar audience with The World’s Okayest Medic Podcast:

1. EMS 20/20
2. Alert Medic 1
3. Heavy Lies the Helmet
4. EMCrit FOAM Feed
5. The FlightBridgeED Podcast

How many episodes of The World’s Okayest Medic Podcast are there?

The World’s Okayest Medic Podcast launched 6 years ago and published 375 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 The World’s Okayest Medic Podcast?

Recent guests on The World’s Okayest Medic Podcast include:

1. Nick Gioni
2. Dr. Antevi
3. Eddie Goudier
4. Poem Toilet
5. Dr. Diego Iescas
6. Dr. Mark Piehl
7. Dan Rauh
8. Greg Shea

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