Welcome to Season 3 of TheNewlyMeds! Today starts with a classic “not acting like herself” call that looks like sepsis, until it isn’t. Dan and Wil break down the endocrine emergencies EMS can miss when we anchor on infection.

We cover thyroid and adrenal crises that can silently worsen, then crash fast: Graves and thyrotoxicosis, thyroid storm, apathetic hyperthyroidism in older adults, myxedema coma, Addison’s disease and adrenal crisis, plus Cushing syndrome. You’ll get practical prehospital recognition tips you can use without labs, along with what matters most in the field: airway, temperature, rhythms, glucose, fluids, and key pitfalls to avoid.

Quick pattern recap: too fast and too hot: thyroid excess. too slow with hypoventilation: thyroid failure. shocky and refractory: adrenal failure.

Whether you’re a new paramedic, an EMT, or just someone who loves learning from the streets, this is a must-listen reminder that the only real mistake in medicine is not learning from the ones you make! As always, this podcast does not contain medical guidelines or protocols, please refer to your statewide scope of practice and accepted protocols and procedures for your level of licensure. TheNewlyMeds podcast has no agency affiliation and is an independently owned and operated podcast

References:

Myxedema crisis (2024 Chen et al.):

https://journals.sagepub.com/doi/full/10.1089/thy.2023.0559

Thyroid storm (2024 Elendu et al.):

https://pmc.ncbi.nlm.nih.gov/articles/PMC10977538/

Addison’s disease (2023 Carsote et al.):

https://pmc.ncbi.nlm.nih.gov/articles/PMC10243343/

Graves disease (2022 Hoang et al.):

https://pmc.ncbi.nlm.nih.gov/articles/PMC9174594/

Cushing’s syndrome (2025 Dillon et al.):

https://pmc.ncbi.nlm.nih.gov/articles/PMC12484323/

Adrenal crisis (2022 Lentz et al.):

https://www.sciencedirect.com/science/article/abs/pii/S0736467922003481

Apathetic thyrotoxicosis (2023 Lee et al.):

https://pmc.ncbi.nlm.nih.gov/articles/PMC10873132/

https://pmc.ncbi.nlm.nih.gov/articles/PMC9627317/

As the year comes to a close, Dan and Wil sit down for a candid, unscripted conversation about burnout in EMS and healthcare. In this Quick Crit, they share personal experiences from different career paths, including EMS, nursing, and major job transitions, and break down where burnout really comes from.

They talk about recognizing burnout cycles, the impact of workplace culture, feeling expendable versus valued, and knowing when small changes are not enough. The conversation also dives into practical strategies for managing burnout, including finding meaningful outlets, building a strong support network, and separating work from personal life.

Whether burnout is coming from your job, your schedule, your environment, or life outside of work, this episode offers honest reflection, hard earned lessons, and reassurance that you are not alone.

If you are feeling stuck, burned out, or questioning your next move in healthcare, this episode is for you.

This December episode of The NewlyMeds Podcast is a year in review for both the show and for you as a growing provider. We look back at what it really means to step into the role of paramedic and healthcare professional, and we get honest about the learning curve, the self doubt, and the wins that do not always show up on a skills sheet.

From there, we zoom out and talk about the bigger picture of growing in this profession, including sharpening your assessment, managing airways and sick patients, handling imposter syndrome, and finding a realistic balance between work, study, and life outside of medicine.

We also reflect on seasonal trends, scene leadership, and documentation habits, tying it all back to what it means to stay grounded and continue improving as you move into a new year of practice. And most importantly, we share our appreciation for the support, feedback, and community that has grown around the podcast this year.

Whether you’re a new paramedic, an EMT, or just someone who loves learning from the streets, this is a must-listen reminder that the only real mistake in medicine is not learning from the ones you make! As always, this podcast does not contain medical guidelines or protocols, please refer to your statewide scope of practice and accepted protocols and procedures for your level of licensure. TheNewlyMeds podcast has no agency affiliation and is an independently owned and operated podcast