The FlightBridgeED Podcast

From the authors of David Olvera, FP-C, and Daniel Davis M.D. The abstract introduction: Rapid sequence intubation (RSI) is associated with several complications that can increase morbidity and mortality. Among RSI agents used to blunt awareness of the procedure and produce amnesia, ketamine is unique in its classification as a dissociative agent rather than a CNS depressant. Thus, ketamine should have a lower risk of peri-RSI hypotension due to the minimal sympatholysis as compared to other agents. The main goal of this analysis was to explore the incidence of hypotension and/or cardiopulmonary arrest in patients receiving ketamine versus other agents during RSI. We hypothesized that ketamine would be associated with a lower risk of hemodynamic complications, particularly after adjusting for co-variables reflecting patient acuity. In addition, we anticipated that an increased prevalence of ketamine use would be associated with a decreasing incidence of peri-RSI hypotension and/or arrest. We couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!

FAST18 was Epic! If you missed FAST18... Don't worry, FAST19 is right around the corner - May 6-8, 2019 in Murfreesboro, TN. This is the fourth release of many FAST18 Rewinds that will be released throughout the next year, leading up to FAST19. This talk is a groundbreaking look into our mental ability to be ready for duty. This was one of my favorite talks and something everyone must hear! I promise you this will knock you down and pick you back up! Join James Boomhower a Flight Paramedic from Boston MedFlight with his talk "Fit For Duty"! We couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!

In this episode, Eric responds to the latest podcast by FOAMfrat and Tyler Christifulli, titled "Response Required"! This is a must-listen and a full Re..butt..AL based on the podcast we published a few weeks back called: "The 5 Hottest Questions In Mechanical Ventilation w/ Mike Herman". Lastly, we couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!

In this episode, Eric discusses the continuing controversy surrounding the use of Ketamine in the TBI patient. Does Ketamine cause an increase in ICP after administration? Join us for a look at the available literature and review this controversial topic. Lastly, we couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!

In this episode, Eric is joined by his buddy Mike Herman for a down-and-dirty question-and-answer blitz on mechanical ventilation. We dive into the hottest subjects in mechanical ventilation, where I attempt to answer five questions that are common in pre-hospital critical care. You don't want to miss this episode!! Lastly, we couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!

FAST18 was Epic! If you missed FAST18... Don't worry, FAST19 has been planned and booked for May 6-8, 2019 in Murfreesboro, TN. This is the third of many FAST18 Rewinds that will be released throughout the next year, leading up to FAST19. Don't miss this talk on the critical thinking involved in Traumatic Arrest. Join Sam Ireland from our FOAMfrat brothers and sista! Sam is a phenomenal speaker and will make you think differently about the Traumatic Arrest patient. Lastly, we couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!

High-dose nitro has become a hot topic as of late. In the podcast, I'm joined by Chris Meeks, a Flight Paramedic and the host of the Mind Body Medic Podcast.  Chris and I sit down and discuss the physiology of left systolic and diastolic ventricular failure and how to approach a patient who is in severe overload due to high systemic vascular resistance.  The newest literature is guiding high push dose nitro, with doses of 1-3mg IV push given every couple minutes. Join us for the discussion, and look into physiology and application in the pre-hospital ground and helicopter environments. Lastly, we couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!

This is a unique podcast that takes a look at the road to becoming a Flight Paramedic. I'm joined by the original co-founder of FlightBridgeED-Evan Claunch. We have received numerous podcast requests on the topic of: "What is the best way to achieve the position of Flight Paramedic". What better way to honor Evan as he moves into a new career and leaves the HEMS industry behind than to have this discussion with him? Evan and I discuss the best ways to achieve these tough-to-find positions. Take a journey with us as we dive into the best way to obtain a flight position and be prepared for these challenging clinical positions. Lastly, we couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!

Hot Off the Press! In this podcast, we dive into the 2018 Surviving Sepsis Update and look at the new recommendations, evaluate the evidence, and take a look at how this does or does not fit with other high-level evidence. We dive into the fluid debate, with a focus on Normal Saline vs. Lactated Ringers, whether 30mL/kg is based on the best evidence, whether fluid should be given based on true body weight or ideal body weight, and lastly, the hot topic of EtCO2 guided fluid resuscitation when coupled with passive leg raising. This is always a hot topic! Take a journey with me on this often disagreed subject! Lastly, we couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!

We are back to the horrors associated with "The Nightmare Patient". The flight crew is tenuously attempting to rip the patient out of death’s mouth and bring him back from the roaring mouth of oblivion. Will she be saved? How will her care be rendered? In this episode, Bruce Hoffman joins Eric for a look at the complexities associated with Tylenol toxicity. We look specifically at the physiology, associated labs, the four phases of toxicity, and associated treatment PEARLS. Don't miss this podcast. This is a highly tested subject on all advanced certification exams and can be a difficult patient to manage in general. Lastly, we couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!