FlightCrit Podcast

Mechanical Ventilators, such as the Hamilton T1, ReVel, and ZOLL Z-Vent, are not only vital pieces of equipment used in the ICU and in Critical Care Transport, but they are becoming more popular for use by EMS services for interfacility transport so it's vitally important that EMS and Critical Care providers have a deep understanding of not only how these devices work, but also how different disease processes changes the way our patient interacts with the ventilator.

And who better to learn from than a Respiratory Therapist.

In this episode, we have the pleasure of chatting with Joe Lewis, better known as the Respiratory Coach, as he schools us on Dynamic and Static Compliance, how we can use our PIPs and Plateau Pressures to identify changes in both, and how we can optimize PEEP by looking at changes in Static Compliance.  We also go off the deep end discussing Driving Pressure and how this just may be the future of mechanical ventilation.

Check out the video that goes along with this episode over at academy.flightcrit.com.

Have an idea for a future episode?  Send us a message at www.askflightcrit.com. If we include your question in a future episode we'll send you a T-shirt.

Support the show

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

In this episode of the podcast, I'm joined by my co-host Huster as we discuss the physiology of Oxygenation, Ventilation, and Driving Pressures as they related to the Mechanically Ventilated patient.

https://academy.flightcrit.com/courses/oxygenation-ventilation-and-driving-pressure

Support the show

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

Support the show

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

For year EMS providers have relied on certain clinical signs and symptoms to predict clinically unstable trauma patients and the need for emergent transport for definitive surgical care. Commonly EMS providers have used HR>120, systolic BP<90mmHg, and MAP’s <60mmHg as benchmarks for clinically unstable patients. However, these indicators can frequently be misleading if not carefully evaluated in the context of a patient’s overall clinical presentation leading prehospital providers to underestimate the severity of our patient's injuries or illness.  The Shock Index and Modified Shock Index can help providers make better decisions about prehospital trauma care.

Support the show

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

There’s a severe lack of evidence about how to best utilize the drug Ketamine in the out of hospital environment. Any “research” that’s done comes from either the OR, ICU, or if we’re lucky the ED. We’re forced to extrapolate from those studies what we can about how to best apply their findings to the out of hospital environment.

Support the show

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

This week on the podcast we're reviewing a lesson from the Burn Section of the EPICC Review Course concerning fluid resuscitation.  Listen in as I discuss the most current recommendations from the American Burn Association on the Prehospital and Early Hospital management of IV fluids in the burn patient.  I also give you 1 easy tip to simplify the ABA's recommendation even further, as well as review what you need to know about determining Total Body Surface Area burned and Fluid Resuscitation for the FP-C, CCP-C, and CFRN exam.

Support the show

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

Spend any amount of time working in the air medical environment and you'll absolutely hear people talk about the gas laws.  In this episode, I discuss what I believe to be the 5 essential gas laws any air medical professional must understand to work in this industry.

Listen in as we discuss Boyle's Law, Dalton's Law, Charles Law, Henry's Law and Fick's Law.

Support the show

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

There are 8 different stressors of flight that you as a Flight Paramedic or Flight Nurse must be familiar with.  In this episode of the podcast, I discuss the most important of these flight stressors: hypoxia.

I discuss the 4 different types of hypoxia and the most common causes of each.  I also share with you the three guidelines that regulate when we, as air medical professionals, must utilize oxygen ourselves during transport.

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

Being thrust into a survival situation as a result of an accident or unplanned event while on duty can be unnerving, to say the least. But being both mentally and physically prepared for the unexpected can go along way towards making sure we make it home.

In this, the third episode in my series 52 weeks of EPICC I'm sharing with you some of the most important lessons on Survival from the EPICC Review Course.

It is my belief that with the proper mindset, a little planning, and a few pieces of equipment, we can drastically improve our chances of survival if the unthinkable happens.

Support the show

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

How many have actually read through the CAMTS standards in preparation for the Flight Paramedic or Critical Care Paramedic exam? My guess is not many. This week, the second week of 52 weeks of EPICC, I dug deep into the newly released CAMTS 11th edition standards to find the good stuff. From Duty Shift Times and Crew Fatigue to Part 135 requirements to Ambulance Operations, this episode gives you the most important topics from each section of the CAMTS standards so you can feel confident you’re ready when you sit down for your exam.

Support the show

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