Rotor Wash

Today we once again head back to Camp ECHO for the first half of the Critical Care Panel. The Camp ECHO panel was one of our largest and most diverse to date and we were thrilled to have such amazing panel members join us.

In this first installment the panel discusses how to deal with a difficult "sending doc", is there ever a patient that is too sick for transport, airway management in the hemodynamically unstable patient, goal of resuscitation, and the nuance managing the acutely ill patient.

A huge thank you to all of the panel members.

Dr. Philip Nawrocki of Allegheny LifeFlight

Dr. Lewis Rubinson of R. Adams Cowley Shock Trauma Center

Dan Rauh, CRNP of University of Cincinnati Aircare

Dr. Ben Lawner of Allegheny LifeFlight

Dr. Shaun Patterson of Hackensack Meridian Health

Dr. Matthew Poremba of Allegheny LifeFlight

Dr. Mike Peterson of Healthnet Aeromedical Services

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CME Collective

Today we hear an interview that was done during Camp ECHO with two physicians who have been helping with ECHO since its inception. Dr. Lewis Rubinson of the University of Maryland Medical Center and Dr. Ben Lawner of the Allegheny Health Network. Both these gentlemen have been big supporters of ECHO and we get a chance to talk candidly to them over a few beers about why the have chosen to support ECHO, what they see as the future of HEMS, and Prehospital medicine.

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CME Collective

This week we head back to Camp ECHO to hear flight medic Josh Piotrowski of Erlanger LifeForce. Josh provides a clear and precise outline to confidently answer the old adage of "right patient, right drug". Every patient is different and no patient deserves a "same pressor, every time" approach to hypotensive treatment. Josh wants all of us to be better providers and be critical care ready.

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CME Collective

Today we again head back to Camp ECHO in WV to hear Flight Nurse Practitioner Jacob Miller from the Cleveland Clinic discuss the latest evidence on all things resuscitation.

CME Collective

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Today we are doing a "Go Around" and revisiting one of our earliest podcasts. We plan to do this from time to time with content that is timely and worth highlighting. This interview with Fred Jeffries a clinical educator and flight paramedic with Boston Medflight is one of our favorite interviews we have ever done.

Fred discusses key components for orientation and continuing education as it relates to flight crew personnel. Fred brings an extensive background to the table when it comes to clinical education and has a true passion for it and we are thrilled to have been able to interview him about this always important topic.

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Rotor Wash logo designed in conjunction with ECHO member Bud Lavin photo submission.

Podcast Logo designed by ECHO HeliOps Marketing Director Joe Zarek

Music provided by www.bensounds.com

Today we have the pleasure of talking to Dr. Phil Nawrocki and Dr. Matt Poremba of Alleghany LifeFlight in western Pennsylvania. Dr. Nawrocki is the lead author on a recently released study on the use of push dose epinephrine with their flight team. We get a chance to discusses what they found during the study, why they chose epinephrine and how they encourage their crews to employ it push dose Epi.

Additionally get a chance to discussed LifeFlight's use of whole blood as a follow up to Dr. Poremba's #CampECHO talk which was recently released here on the Rotor Wash Podcast (http://directory.libsyn.com/episode/index/id/9741833).

Articles discussed in the episode:

Philip Stuart Nawrocki, Matthew Poremba & Benjamin James Lawner (2019) Push Dose Epinephrine Use in the Management of Hypotension During Critical Care Transport, Prehospital Emergency Care, DOI: 10.1080/10903127.2019.1588443

Francis Xavier Guyette, Christian Martin-Gill, Gabriela Galli, Neal McQuaid & Jonathan Elmer (2019) Bolus Dose Epinephrine Improves Blood Pressure but is Associated with Increased Mortality in Critical Care Transport, Prehospital Emergency Care, DOI: 10.1080/10903127.2019.1593564

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CME Collective

We again head back to Camp to hear Flight Nurse Robin House's talk on toxicology in the HEMS environment. Robin offers a down and dirty look at some the most common toxicology emergencies we could potentially face and how best to manage them in the pre-hospital environment.

CME Collective

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On this episode of the Rotor Wash podcast Brian and Sam sit down with Dr. Lewis Rubinson to discuss advanced ventilator management in the asthma patient. Dr. Rubinson who has been a supporter of ECHO since its inception, Dr. Rubinson is a Professor of Medicine in the Program in Trauma at the University of Maryland School of Medicine and Vice President and Deputy Chief Clinical Officer at the University of Maryland Medical Center. For a compressive review on the management of status asthmaticus head over to the Maryland CC project and take a listen to Slack Refractory Status Asthmaticus Drips & Gases ECMO, Oh My

CME Collective

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Strategize Your Simulation! Today we head back to camp where Tyler Christifulli of LifeLink III and FOAMfrat talks about creative ways to build and execute simulation without breaking the bank.

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Today we head back to camp to hear Dr. Ben Lawner of Alleghany LifeFlight discuss how as critical care transport professionals are often tasked with airway management in a patient who is in need of emergent resuscitation because they are teetering on the edge. Whether it is trauma, sepsis, and other critical conditions they all necessitate a heightened awareness of the risks of intubation and positive pressure ventilation. He reviews the latest literature and helps us all consider "best practices" with respect to optimizing the crashing patient with concurrent respiratory failure so they have a parachute to arrest their clinical momentum as we manage their airway.

CME Collective

If you need someone to talk to, call 1-833-AIR-FAST.

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