Dr. DuCanto has created a simulation model that realistically recreates an actively vomiting patient. He brought it and his expertise to the sim lab at the University of Cincinnati Dept of Emergency Medicine and tried it out with Dr. Hill, Dr. Steuerwald, and Dr. Larrimore.

Dr. Hill and Dr. McDonough discuss the management of non-traumatic neurologic emergencies in the prehospital environment. Topics include blood pressure management in ischemic stroke status post tPA, ICH, and SAH.

Dr. Steuerwald and Dr. Gerecht discuss the use of liquid plasma (aka Never Frozen Plasma)

Dr. Hill and Dr. McMullan discuss the use of End Tidal CO2 in patients being transported by Air Care and Mobile Care.

Dr. Hill and Dr. Knight discuss several management considerations for patients with sepsis being transferred on Air Care and Mobile Care, including fluid management, pressors, and vent management.

Dr. Hill and Dr. Hinckley discuss the various complications one should prepare for in the transport of patients with STEMI.

Dr. Ratcliff and Dr. Zammit talk with Dr. Hill about the essential components to management of traumatic brain injuries in the prehospital environment. Particular focus is paid to avoidance of hypoxia, hypotension, as well as appropriate ventilation and sedation.

Dr. Mike Steuerwald and Dr. Jeff Hill talk over the factors that complicate airways in the prehospital environment. The discussion revolves around the mechanical considerations (how to match your line of sight with the glottic opening) and the logistics of performing an intubation as smoothly as possible in an unfamiliar setting.

Dr. Chris Miller and Dr. Jeff Hill sit down and run through a case of a particularly difficult to intubate patient. The physiologic and anatomic predictors of difficulty with particular focus on the decisions that ultimately led to a less commonly used method of intubation - the tomahawk approach to the airway.

Dr. Gerecht sits down with Dr. Hill and discusses the use and indications for use of TXA in the HEMS setting and on Air Care and Mobile Care specifically.