FlightCrit Podcast

In this episode, we chat with Melissa Verseman of Beyond The BVM about the current overwhelming state of pediatric respiratory illnesses in Colorado, and Nationwide, and the proper approach to managing pediatric patients with critical RSV and Bronchiolitis.

Melissa shares with us her Pearls of managing the patient with RSV:

1. Nasotracheal Suctioning
2. Fluid Boluses (20ml/kg x 3)
3. Utilization of Positive End Expiratory Pressure (PEEP) to stint open airways.
4. Maximum flow of High Flow Nasal Cannula / Nasal CPAP should be 1liter/kg or 10 liters per min before escalating care to mask BiPap
5. Consider your pediatric assessment triangle and be quick to recognize a patient who's in cardiorespiratory shock.

Links mentioned in this podcast

• Peds SCUBA Mask - Full Face Pediatric BPap Mask
• Pediatric Assessment Triangle

Melissa can be contacted at www.beyondthebvm.com.

Medic and RN CE's available over at academy.flightcrit.com

In this episode of the podcast, we sit down with Dr. Zack Shinar of the EDECMO Podcast, and co-author of "ECPR AND Resuscitative ECMO," the world's first ECMO CPR textbook.

Dr. Shinar is a world-renowned expert on ECPR and resuscitative ECMO, and he was gracious enough to share a bit of his time with the FlightCrit community.

In this episode Dr. Shinar shares with us:

• The history of ECPR including results from some of the very first cases
• How ECPR is changing the culture of cardiac arrest resuscitation worldwide
• What EMS, and Critical Care Transport Teams, can do to help optimize the delivery of ECPR therapy to eligible patients.
• and how ECMO therapy can be applied in other peri-arrest settings.

Links discussed in this podcast:

• www.edecmo.org
• Reanimate Conference
• ARREST Trial 
• ECPR AND Resuscitative ECMO textbook

Support the show

Medic and RN CE's available over at academy.flightcrit.com

In this episode, we're joined by Dr. Haney Mallemat from @critcarenow to discuss the patient with a massive pulmonary embolism and how we need to manage these patients in the acute phase to keep them alive until we can get them to definitive care.

Below are several resources Dr. Mallemat referenced in our talk, as well as links to Critical Care Now and the ResusX conference.

Please do us a favor and check out Dr. Mallemat's site.  You'll be happy you did.

Critical Care Now - https://criticalcarenow.com/

ResusX Conference - https://www.resusx.com/

PEAPETT Trial - https://pubmed.ncbi.nlm.nih.gov/27422214/

RebelEM Post about PEAPETT - https://rebelem.com/peapett-trial-half-dose-tpa-pea-due-massive-pulmonary-embolism/

PERT Teams - https://pertconsortium.org/about/

PERT Teams - https://onlinelibrary.wiley.com/doi/10.1002/rth2.12216

Nebulized Nitro from PulmCrit - https://emcrit.org/pulmcrit/ntg/

Nebulized nitro from the American Academy of Emergency Physicians - https://www.aaem.org/UserFiles/file/CS21_MarAprCCMS.pdf
 
Nebulized Nitro - https://rc.rcjournal.com/content/57/3/444

Support the show

Medic and RN CE's available over at academy.flightcrit.com

Join us for an exciting talk with our friend and colleague Ami Bess, Chief Flight Nurse for UCHealth LifeLine about one of the most unnerving topics in Adult Critical Care Transport - Management of the HROB patient with severe Antepartum & Postpartum Hemorrhage.

Topics discussed in this episode include

• Assessment of the patient with severe Antepartum and Postpartum Hemorrhage
• Cause of APH and PPH
• Management of APH and PPH including
  • Medications
  • Blood Products
  • Mechanical Tamponade devices including the Bakri Balloon and Jada System
  • and Surgical Procedures

In this podcast, Ami makes reference to the WOMEN Trial, a trial looking at the use of TXA in pregnant women.  You can find that trial here.  WOMAN Trial - Lancet

Ami can be contacted by email at [email protected]

Support the show

Medic and RN CE's available over at academy.flightcrit.com

In this episode of the podcast, we discuss some new ideas about the use of TXA as well as provide some new insight into the use of Whole Blood Resuscitation.

Links to articles mentioned in the podcast coming.

Support the show

Medic and RN CE's available over at academy.flightcrit.com

In this episode of the podcast Hunter and I sit down with Joe again to discuss the role of optimizing Flow in our mechanically ventilated patients, and how to manipulate this on our vents.

We also discuss some of the risks associated with certain vent modes for patients who Flow Hunger and one strategy for correcting ventilator asynchrony.

We highly recommend you check out the video that accompanies this podcast over in the FlightCrit Academy.

Support the show

Medic and RN CE's available over at academy.flightcrit.com

In this week's class, we talk with Dr. Jeremy Kaswer, better known as @TacTraumaMD, about his approach to the initial stabilization of the poly-trauma patient.

From Assessment to Chest Tubes, Shock Index to REBOA, Dr. Kaswer shares his experience as an ED physician, Army Flight Surgeon, and Critical Care Fellow at SHOCK Trauma with our community.

And be sure to stick around to the end when Dr. Kaswer's drops a BOMB on us about obstructive physiology in the trauma patient and why he believes more prehospital providers should be using POCUS in the field.

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Medic and RN CE's available over at academy.flightcrit.com

In this episode of the FlightCrit Podcast Hunter discusses Adrenal Emergencies.

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Medic and RN CE's available over at academy.flightcrit.com

In this episode of the FlightCrit Podcast Hunter introduces the fundamental concepts of interpreting a chest x-ray, an essential skill for all critical care and transport providers to master.

This episode relies heavily on the visuals to support the concepts presented, so we recommend watching the video of this presentation over at academy.flightcrit.com where you can join for free and then watch the video in its entirety.

Support the show

Medic and RN CE's available over at academy.flightcrit.com

In this episode of the FlightCrit Podcast we chat with Dr. David Convissar, Critical Care and Cardiothoracic Anesthesiologist, from "Count Backwards from 10" about his approach to managing the airway of the crashing heart failure patient.  Hang on as Dr. Convissar shares with us his knowledge about:

• Differentiate between cardiogenic shock and distributive shock based on assessment findings.
• Describe Pulse Pressure and explain how it can be used to assess a patient in cardiogenic shock.
• Provide appropriate preintubation resuscitation to a patient in cardiogenic shock.
• Explain why Sodium Bicarb and Calcium can be beneficial preintubation medications for the patient in cardiogenic shock.
• Recognize the physiologic effects of hypoxia during intubation on the lungs and describe how this can complicate the hemodynamics of patients with heart failure.

@countbackwardsfrom10
@flightcrit

Support the show

Medic and RN CE's available over at academy.flightcrit.com