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Writing the Textbook for Emergency Care What does it look like when a community builds critical infrastructure before established institutions recognize the need? In this episode, we examine a short-lived but transformative ambulance program that helped define modern emergency medical response at a time when most U.S. emergency calls were handled by minimally trained personnel. At the intersection of medical research, workforce development, and community trust, this effort, known as the Freedom House Ambulance Service, reframed first responders as field clinicians and demonstrated how on-the-job education can function as public health infrastructure. Learn about the researchers and educators who helped shape early resuscitation science, the culture of embedded learning that accelerated community care, and the institutional shifts that rippled across the country in the wake of the program’s success. 00:30 Intro + Ohio’s changing kindergarten enrollment cutoffs; school & family impact 06:00 Freedom House Ambulance Service: Community-driven transformation in Pittsburgh’s Hill District 13:20 Learning under fire: education and training in the field 17:05 Writing the textbook for emergency medical care 18:30 Building effective learning community in a crisis context 23:20 Rules, restrictions, and mavericks; pushing boundaries to further medical research 25:50 Education as public infrastructure, not credentialing pipeline; the relative value of expertise 27:00 The structure of schools & workplaces for community empowerment For a full list of episode sources and resources, visit our website. (https://sixteentoone.com/archives) Sources & Further Reading: Freedom House Ambulance Service - Wikipedia (https://en.wikipedia.org/wiki/Freedom...) Nancy Caroline - Wikipedia (https://en.wikipedia.org/wiki/Nancy_C...) Peter Safar - Wikipedia (https://en.wikipedia.org/wiki/Peter_S...) Emergency Medical Services - Wikipedia (https://en.wikipedia.org/wiki/Emergen...) America's First Paramedics Were Black. Their Achievements Were Overlooked for Decades (https://healthforce.ucsf.edu/news/ame...) Freedom House Ambulance: The FIRST Responders | America's First EMT Service ( • Freedom House Ambulance: The FIRST Respond... ) How to see Dublin’s secret painting | The Doyle Collection (https://www.doylecollection.com/blog/...) Freedom House Ambulance Service – EMS Museum (https://emsmuseum.org/collections/arc...) About Us - Freedom House Doc (https://freedomhousedoc.com/about.html) These Trailblazing Black Paramedics Are the Reason You Don't Have to Ride a Hearse or a Police Van to the Hospital (https://www.smithsonianmag.com/histor...) Send Freedom House! | Pitt Med | University of Pittsburgh (https://www.pittmed.health.pitt.edu/s...) Nancy Caroline Award | Safar Center for Resuscitation Research (https://www.safar.pitt.edu/safar-symp...) The Jewish Woman who Revolutionized Emergency Medicine | Aish (https://aish.com/the-jewish-woman-who...) Hellelil and Hildebrand, the Meeting on the Turret Stairs by Frederic William Burton | National Gallery of Ireland (https://www.nationalgallery.ie/art-an...) 'There's no telescope this large ever built. It's not like we have a precedent for how to do these things,' Giant Magellan Telescope engineers on why they used the Unreal Engine to build an unprecedented telescope simulator | TechRadar (https://www.techradar.com/cameras/ins...)