How up to date are you, as a first responder, on all things neonatal? Are you prepared to take care of and assess a newborn in the very first minutes of their lives? What tools should you have at the ready? How do you improvise the solutions you need? And what key things should you be looking for? This episode of AMPED examines a recent case where our team had to do just that. The AMPED team is joined by: Matthew Milligan, Flight Nurse CCRN Joseph Finney MD Pediatric Emergency Medicine Physician EMS Physician Podcast host of the Pediatric EMS Podcast

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As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

Sometimes during a medical event, a team can make all the correct choices and still lose a patient. In this episode, a patient experiencing angioedema presents our team with choices that are all undeniably fraught and filled with risk. As they relive the event, they discuss how they cope when things don't work out as they hoped, how they try to use the experience for future cases, and the importance of the support and communication of your colleagues. The AMPED team is joined by: Joan Noelker, MD, MACM, FACEP (pronouns: she/her/hers) Associate Vice Chair of Education for Emergency Medicine Washington University School of Medicine Nichole Ojala BSN, RN, CEN, CCRN

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As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

This episode is about the challenges of transporting a highly complex patient with multiple medications and life-saving technologies. In this episode, Critical care paramedic Jordan Stone encountered a malfunctioning transvenous pacemaker causing the patient to move putting at risk his multiple connections and balloon pump placement. With the help of his medical director Dr. Weir, hear how our team dealt with this tenuous situation. The AMPED team is joined by:

Jordan Stone NRP, FP-C, CCP-C, Clinical Base Supervisor

Brad Weir, MD, FACEP, FAEMS, FAMPA Carle AirLife & Critical Care Transport Medical Director

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As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

An impromptu knock at the door shortly before our flight crew's safety nap turns into an unexpected potential mass casualty incident via skydiving accident. Our crew had multiple victims and complex injuries to deal with along with a growing crowd. Quick thinking, resourcefulness, and taking things one small step at a time are the key themes in this month's episode. The AMPED team is joined by:

Mike Dvorak B.S., CFRN, FP-C

Noah Bernhardson, MD NRP EMS Physician/Medical Director

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As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

When the Air Methods first responder team encounters a 19-year-old man with a litany of injuries due to a car accident involving a concrete barricade, a complicated extrication process, crush injuries, and possible amputation, quick analysis, and action are required. Listen in to hear the incredibly quick timeline of events, the complexity of the solutions needed to save the patient, and the assertive decision-making by the Air Methods team in this week's episode. The AMPED team is joined by: Louise Moeck, RN, Clinical Lead Renee Struwig, RN

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As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

It's a different type of episode today on AMPED. We're joined by Ridley Barron, a Senior Pastor at Grove Hill Church in Chapel Hill, TN, and motivational speaker. He tells an incredible story about how his life was changed in a split second via car accident, shares the harrowing journey in the hospital that happened with his youngest son, and the aftermath that followed. Our hosts also discuss Air Methods' MACC Checklist, which stands for Medication Administration Cross Check. It's a story of tragedy, of forgiveness, and of making the most out of the impossibly difficult situations life presents you with. Ridley Barron, Senior Pastor and Motivational Speaker. You can learn more about him at his website.

Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

Pregnancy complications are always difficult to manage. Managing these complications in the air puts a whole new spin on the topic. In this episode the AMPED team discusses a case in which Air Methods crew members had to transfer a patient with an abrupted placenta AND an open abdomen. We discuss the similarities in how treating a patient with an abruptio placentae is like treating a trauma patient. But we also discuss how treating a patient with aburptio placentae is different than treating a trauma patient. Check out this episode where we discuss these subtle diagnostic and treatment differences with our special guest: Dr. Berry Campbell, OB/GYN physician and Medical Director for Air Methods.

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As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

WARNING: This episode features discussion of depression and suicide. If you, or someone you know is suffering from depression or considering suicide, please seek professional help or call the National Suicide Hotline by dialing 988. Remember, you matter.

A mantra of the Navy SEALS is, "Slow is smooth. Smooth is fast." It's a reminder to approach any situation with deliberate and careful consideration and that the quickest route to complete a task is to be methodical and slow. When presented with a patient who attempted suicide via shotgun to the face, the team is faced with difficult, complex choices that require steady nerves, quick decision-making, and reliance on preparation and teamwork. Our team is joined by:

Brian Harrison EMT-P

Zak Saxton, RN

Brian Gremminger, EMT-P

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As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

In the movie Jurassic Park, Dr. Ian Malcolm (played by Jeff Goldblum) says this about the butterfly effect as it relates to chaos theory, "A butterfly can flap its wings in [Beijing], and in Central Park, you get rain instead of sunshine." The metaphor is used to describe how seemingly minor events can have grand consequences much further down the line. On this episode of AMPED, an accident on a rural farm, a seemingly banal scheduling happenstance, and a series of decisions borne out of circumstance result in remarkable change for the state of New York, and a policy that affects the ability of first responders to do their jobs. Our team is joined by:

Rich Mosher BS, NRP, FP-C, Flight Paramedic - Guthrie Air

Larissa Colton, CFRN, Clinical Base Lead

Christopher Berry MD, Medical Director

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As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

We have talked on this show before about the complexity that can arise after suffering a stroke... but what if the patient also goes into pre-term labor while suffering the stroke? What interventions do you do? Which issue do you tackle first? What if your transport occupancy doubles mid-flight? Our team is joined by:

Jeffrey Cutright EMT-P, Clinician for Air Methods,

Dr. Nida Jamal, Stroke Medical Director for Mercy Hospital in Saint Louis, Dr. Barry Campbell, Air Methods OB/GYN consultant,

Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN