In this episode of the podcast Hunter and I sit down with Joe again to discuss the role of optimizing Flow in our mechanically ventilated patients, and how to manipulate this on our vents.

We also discuss some of the risks associated with certain vent modes for patients who Flow Hunger and one strategy for correcting ventilator asynchrony.

We highly recommend you check out the video that accompanies this podcast over in the FlightCrit Academy. Support the show Medic and RN CE's available over at academy.flightcrit.com

021 - Vent Management: Optimizing Flow w/ Joe Lewis, The Respiratory Coach

The FlightCrit Podcast.  Sharing the latest education for Prehospital Emergency and Critical Care Trasport Professionals.  We are a team of Paramedics, Nurses, Respiratory Therapists and physicians passionate about providing the very best education for you.  Join us each week for the best in Clinical Practice Updates, Board Certification Exam Prep, Test Taking Tips, and a whole lot more. We exist to help you THRIVE!!!

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In this episode, we chat with Melissa Verseman of Beyond The BVM about the current overwhelming state of pediatric respiratory illnesses in Colorado, and Nationwide, and the proper approach to managing pediatric patients with critical RSV and Bronchiolitis.

Melissa shares with us her Pearls of managing the patient with RSV:Nasotracheal SuctioningFluid Boluses (20ml/kg x 3)Utilization of Positive End Expiratory Pressure (PEEP) to stint open airways.Maximum flow of High Flow Nasal Cannula / Nasal CPAP should be 1liter/kg or 10 liters per min before escalating care to mask BiPapConsider your pediatric assessment triangle and be quick to recognize a patient who's in cardiorespiratory shock.Links mentioned in this podcastPeds SCUBA Mask - Full Face Pediatric BPap MaskPediatric Assessment TriangleMelissa can be contacted at www.beyondthebvm.com.Support the showMedic and RN CE's available over at academy.flightcrit.com

026 - Pediatric Pearls: RSV Management w/ Melissa Verseman, RRT, FP-C

In this episode of the podcast, we sit down with Dr. Zack Shinar of the EDECMO Podcast, and co-author of "ECPR AND Resuscitative ECMO," the world's first ECMO CPR textbook.

Dr. Shinar is a world-renowned expert on ECPR and resuscitative ECMO, and he was gracious enough to share a bit of his time with the FlightCrit community.

In this episode Dr. Shinar shares with us:The history of ECPR including results from some of the very first casesHow ECPR is changing the culture of cardiac arrest resuscitation worldwideWhat EMS, and Critical Care Transport Teams, can do to help optimize the delivery of ECPR therapy to eligible patients.and how ECMO therapy can be applied in other peri-arrest settings.Links discussed in this podcast:www.edecmo.orgReanimate ConferenceARREST Trial ECPR AND Resuscitative ECMO textbookSupport the show Medic and RN CE's available over at academy.flightcrit.com

025: Bringing Back The Dead: eCPR w/ Dr. Zack Shinar

In this episode, we're joined by Dr. Haney Mallemat from @critcarenow to discuss the patient with a massive pulmonary embolism and how we need to manage these patients in the acute phase to keep them alive until we can get them to definitive care.

Below are several resources Dr. Mallemat referenced in our talk, as well as links to Critical Care Now and the ResusX conference.

Please do us a favor and check out Dr. Mallemat's site.  You'll be happy you did.

Critical Care Now - https://criticalcarenow.com/

ResusX Conference - https://www.resusx.com/

PEAPETT Trial - https://pubmed.ncbi.nlm.nih.gov/27422214/

RebelEM Post about PEAPETT - https://rebelem.com/peapett-trial-half-dose-tpa-pea-due-massive-pulmonary-embolism/

PERT Teams - https://pertconsortium.org/about/

PERT Teams - https://onlinelibrary.wiley.com/doi/10.1002/rth2.12216

Nebulized Nitro from PulmCrit - https://emcrit.org/pulmcrit/ntg/

Nebulized nitro from the American Academy of Emergency Physicians - https://www.aaem.org/UserFiles/file/CS21_MarAprCCMS.pdf
 
Nebulized Nitro - https://rc.rcjournal.com/content/57/3/444 Support the show Medic and RN CE's available over at academy.flightcrit.com

024: Keeping the Massive PE Patient Alive w/ Dr. Haney Mallemat

Join us for an exciting talk with our friend and colleague Ami Bess, Chief Flight Nurse for UCHealth LifeLine about one of the most unnerving topics in Adult Critical Care Transport - Management of the HROB patient with severe Antepartum & Postpartum Hemorrhage.

Topics discussed in this episode includeAssessment of the patient with severe Antepartum and Postpartum HemorrhageCause of APH and PPHManagement of APH and PPH includingMedicationsBlood ProductsMechanical Tamponade devices including the Bakri Balloon and Jada Systemand Surgical ProceduresIn this podcast, Ami makes reference to the WOMEN Trial, a trial looking at the use of TXA in pregnant women.  You can find that trial here.  WOMAN Trial - Lancet

Ami can be contacted by email at flightrnami@gmail.com

 Support the show Medic and RN CE's available over at academy.flightcrit.com

023 - Antepartum and Postpartum Hemorrhage w/ Ami Bess, BSN, CCRN


In this episode of the podcast, we discuss some new ideas about the use of TXA as well as provide some new insight into the use of Whole Blood Resuscitation.

Links to articles mentioned in the podcast coming. Support the show Medic and RN CE's available over at academy.flightcrit.com

021 - Vent Management: Optimizing Flow w/ Joe Lewis, The Respiratory Coach

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