The Overrun

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Epsiode 126: Remle Crowe and Systems of Care
Monday, 17 November, 2025

Summary This episode is a follow-up to our last episode about the 2025 AHA updates. Our guest is Remle Crowe, one of the authors of section 4 of the 2025 AHA updates, which specifically addresses systems of care. The conversation delves into the complexities of resuscitation practices in emergency medical services, highlighting the stark reality that many resuscitations do not yield favorable outcomes. It emphasizes the importance of evidence-based practices while also addressing the emotional burden placed on EMTs when delivering difficult news to families. The discussion encourages a holistic view of patient care that considers both clinical evidence and the human impact of medical decisions. Takeaways Many resuscitations do not have a favorable outcome.Best practices suggest resuscitating in place.EMTs face emotional challenges in delivering bad news.Training often glosses over difficult scenarios.Ignoring uncomfortable topics does not make them go away.Evidence-based practices can still lead to harm.Communication is key in challenging situations.The emotional toll on EMTs is significant.Real-life scenarios often differ from textbook cases.Holistic patient care must consider emotional impacts. Keywords resuscitation, EMT, best practices, emotional impact, patient outcomes, evidence-based medicine, termination on scene, communication, healthcare challenges, trauma care OverrunEMS.com