TamingtheSRU

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.

Dr. Hinckley and Dr. Chris Miller discuss the rapid evaluation of patients with penetrating trauma. Particular focus is paid to the patients with occult shock and to the, oftentimes, challenging decision to transfuse hypotensive patients with penetrating mechanisms of injury.

Dr. Hill, Dr. Ryan Gerecht, and Dr. Mike Steuerwald discuss a systematic approach to patients with blunt polytrauma. Particular focus is paid to performing a focused exam that identifies and addresses common life-threatening injuries seen in these patients.

Dr. Hill sits down with chief pilot Bob Francis, flight nurse Dennis Schmidt, and flight physician Ryan Gerecht to discuss the complexities of scene flights with multiple helicopters. Topics discussed include the aviation considerations of landing multiple helicopters on a single LZ and patient care considerations including triage and rapid evaluation of multiple patients.

In this, the inaugural podcast of the Air Care and Mobile Care Flight Physician Orientation, Dr. Hill sits down with chief pilot Bob Francis, flight nurse Dennis Schmidt, and flight physician Ryan Gerecht to discuss some of the basic concepts of crew resource management. We will take a look at how these principles apply to flight operations on Air Care.