I was listening to Eric give a lecture during his ventilator pre-conference workshop. I forget the exact context, but he mentioned that lactate was a normal product of glycolysis. While lactate can be produced through glycolysis, this statement somewhat shook my understanding of how and why lactate is produced. I approached him later and asked him to explain why you would need to produce lactate if there was neither a supply or demand of oxygen. Here is my understanding of why lactate is produced.

Let's have a little chat about static and dynamic tube confirmation.

Is there any benefit to reap from the obligatory "airway gauntlet" day of medic school. Remember this day? Intubating patients upside down, in the dark, and wedged by the toilet. Dr. Pickett believes so, and here is why.  

One of the most common stressors amongst new critical care clinicians, whether that be on the ground to in the air, is learning how to utilize, manipulate, and troubleshoot the mechanical ventilator. Join Sam Ireland, Brad Garmon, Bryan Winchell, and myself as we discuss  our upcoming pre-con at ECHO Camp 2019, REinVENTing the way we teach mechanical ventilation.

Since I’ve been seeing more cold, etoh, and confused patients I thought I’d out a quick podcast discussing some hypothermia physiology and prehospital patient care info.  

Here are some of the highlights. 

#WEMSA19 was a friggin blast and as promised, I recorded a few of the lectures for you clowns that couldn't make it. We did a four talk symposium on resuscitation which included an amazing talk by Dr. Leon Eydelman on ECMO patient selection. He urged us all to ask ourselves "would this patient get better if macro-vascular perfusion was restored?"

join Tyler Christifulli & Sam Ireland as they launch the brand new course "The Speaker's Atlas." In this webinar you will discover the incredible doors that can open up for you as an EMS provider and professional, when you dive into the world of educating and speaking.

www.prolificpresentation.com/enroll

When transporting pediatric or neonatal patients on a ventilator, are you eliminating all possible dead space?  Do you know to use the the capnography waveform to tip you off to CO2 rebreathing?