Hosted by paramedic Zach Cantor, "Critical Levels" is a new podcast dedicated to having critical conversations in paramedicine. "Critical Levels" is a podcast for paramedics, by paramedics, with a Canadian and local bias. Please visit our website - http://www.criticallevels.ca - for more information Please email us at info@criticallevels.ca for any suggestions/feedback/comments Follow us on Twitter: @criticalevels
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Shift work is a core part of paramedicine, but growing evidence shows it carries real long-term health risks. In this episode, with Dr. James Gilbertson, we explore the science behind circadian rhythm disruption, the impacts of sleep deprivation, and how lifestyle and longevity medicine can help mitigate risk. Key Topics Covered: Why shift work affects lifespan and health outcomes Circadian rhythm…
In this episode of Critical Levels , Zach sits down with Dr. Anna-Maria Carvalho , a Royal College–certified emergency physician with a subspecialty in aviation medicine, to unpack what really happens when someone asks, "Is there a medical professional on board?" From the physiology of flying at 36,000 feet to the realities of managing cardiac arrest in a cramped aircraft cabin, this episode…
On this unique episode, we attend the First60 Toronto Resuscitation Conference and interview several of the speakers. For more detailed information, check out our website, criticallevels.ca
In this episode, Zach sits down with Dr. Ian Drennan and Dr. Sheldon Cheskes to dissect the newly released 2025 AHA and ILCOR resuscitation guidelines . They break down the evidence, controversies, and real-world implications for paramedic practice. Key Topics Covered 🔹 How guidelines are actually created 🔹 Mechanical CPR 🔹 Heads-Up CPR 🔹 IV vs IO Access 🔹 Medications 🔹 Defibrillation…
In this episode, we explore the science, history, and frontline application of End-Tidal CO₂ (ETCO₂) — a tool that offers real-time insight into ventilation, perfusion, and metabolism. Danny and Rance from DnR explain how paramedics can use ETCO₂ to assess and guide care across multiple patient presentations. Key Takeaways: ETCO₂ is the sixth vital sign — reflecting ventilation, perfusion, and…
Delta Air Crash: Paramedics on the Frontline of a Mass Casualty Incident In this gripping episode of Critical Levels, host Zach Cantor sits down with Ornge Critical Care paramedics Colin and Darren to discuss their response to the February 2025 Delta crash at Toronto's Pearson International Airport. From the initial plume of smoke spotted mid-flight to interagency coordination on the ground, they…
What is a paramedic — really? In this thought-provoking episode of Critical Levels , Zach sits down with Dr. Alan Batt to unpack the evolving identity, responsibilities, and future of the paramedic profession. Together, they explore the disconnect between what paramedics are trained for versus what they actually do, the consequences of outdated education models, and the urgent need for…
Neonates are one of the most feared patient populations in EMS—and for good reason. In this episode, Zach Cantor talks with Anthony Iacolucci , a pediatric respiratory therapist and paramedic, about how to confidently approach neonatal calls. Anthony introduces NEO SECRETS , a practical acronym covering the top 10 causes of neonatal illness, and offers insight into assessment, common pitfalls, and…
In this episode of Critical Levels, we dive into the cutting-edge strategies shaping pre-hospital and emergency department care. Our guests discuss how data-driven decision-making, high-performance CPR, and improved handover processes are revolutionizing patient outcomes. Key Topics Covered: ✅ High-Performance CPR: The role of real-time feedback, mechanical CPR devices, and quality metrics in…
🔹 Key Topics: 🔸 Why medics need to understand K9 trauma care The overlap between human and canine emergency medicine Common injuries in police, military, and search-and-rescue dogs 🔸 MARCH for Canines—What's Different? The first "M" stands for Muzzle —securing the dog's "weapon" before treatment Understanding the similarities in trauma care between humans and dogs Key differences in how canines…
