In this episode, we'll be discussing the airway death spiral (not my term), and a few little tips and tricks to prevent our patients from dying to death. Reach out: kisercpr@gmail.com #HEMS #criticalcare #airmedical #PHIAirMedical #FOAMed #coffeebreakHEMS #flightparamedic #flightnurse
In this episode, we'll be covering high resistance and low compliance on a vented patient. Hope you enjoy. #HEMS #criticalcare #airmedical #flightnurse #flightparamedic #FOAMed #coffeebreakHEMS
In this episode, we finish our 2-part episode on treating a significant subarachnoid bleed in the critical care realm. Hope you enjoy. reach out to me and let me know what you want to hear about! kisercpr@gmail.com #HEMS #FOAMed #EMS #Airmedical #PHIairmedical #coffeebreakHEMS #criticalcare #flightparamedic #flightnurse #emergencymedicine
This first part is a look into the ED care of a 50's female with subarachnoid hemorrhage following a ruptured aneurysm. These are incredibly dynamic patient's and give way for many different treatment modalities. Let me know what you think and be on the lookout for Part II in a few days (that's the part where the patient starts to give you a mental and logistical workout). #HEMS #FOAMed #airmedical #criticalcare #coffeebreakHEMS #flightparamedic #flightnurse #phiairmedical #emergencymedicine Rea...
Hey everyone! In this episode we'll be covering part II of the ABG Q&A session. Three questions seem to always come up anytime I'm teaching ABG's: how to compensate for the respiratory rate on a vented patient, when to start bicarb, and finally how to predict changes to pH when you make changes to your patient. Hope you enjoy. #HEMS #FOAMed #criticalcare #airmedical #phiairmedical #kisercpr #flightparamedic #flightnurse get in touch: kisercpr@gmail.com...
Hey everyone! In this part one of our ABG Q&A session, I'll be covering what the actual blood gas is, what pH is really measuring, and how to read those pesky ABG's the right way! I have a couple of listener questions that I'll be addressing in Part II, but this is definitely the foundational episode! Hope you enjoy it. Reach me: kisercpr@gmail.com #HEMS #criticalcare #airmedical #phiairmedical #FOAMed #EMS #flightparamedic #flightnurse #emergencymedicine
I got a new Mic!! In this episode we'll be finishing our trainwreck newborn episode with the flight crew coming in to facilitate the transfer of this seizing neonate. I hope you enjoy. NOTE: all dosages and suggested medications, whiled backed by medical science and current guidelines from several sources, doesn't replace your guidelines! Take everything I say with two grains of salt :) reach me at: kisercpr@gmail.com #HEMS #FOAMed #CoffeeBreakHEMS #Criticalcare #Airmedical #flightparamedic #fli...
In this episode we'll be following an EMS crew as they respond to a newborn that was delivered at home and is found to be pretty sick upon their arrival. Part II of this episode will follow a flight crew as they facilitate the transfer of this kiddo to a bigger NICU. I hope you enjoy it. Sources for today's episode: https://www.abclawcenters.com/practice-areas/apnea-bradycardia-newborns/ https://www.abclawcenters.com/practice-areas/prenatal-birth-injuries/fetus-or-newborn-medical-problems/hypoxi...
In this episode, I'm discussing the anecdotal traits that I've seen in the EMS community that seems to define good vs poor clinicians in emergency and critical care medicine. I hope you like it! Get in touch: kisercpr@gmail.com #HEMS #CoffeebreakHEMS #criticalcare #flightparamedic #flightnurse #foamED #Airmedical
today we're discussing pressure control ventilation. What are the advantages and disadvantages? What is it? Most importantly, if you're ventilating a patient in volume control, how do you safely switch the patient to pressure control without hypoventilating them, or blowing up their lungs? Small caveat: I apologize for the several moments of background noise, I just couldn't catch a break today... Quarentine life... Anyway, hope you like the episode, and as always, if you want to reach out, my e...
In this episode we are reviewing a case of a nightmarish high risk OB call. We've all had these calls, where we think it's going to be totally simple... and then we walk into the room. But what happens when it's also an OB patient? How comfortable are you will the resuscitation of the pregnant woman. We did quite a bit of research to assure that we were giving you the best possible information on this one, so I hope you enjoy. If you're interested in my EFM course, it's listed in the works cited...
Hey everyone, in this episode we'll be talking about shock and how to fight it. when you're at the scene of a call, or at bedside and are presented with a patient who is actively dying, it can be pretty overwhelming. We'll be taking shock and dissecting it down into 4 basic priorities to hopefully take the cognitive load off of you. As always, let me know what you think, and don't forget to give us a 5-star review! kisercpr@gmail.com #FOAMed #HEMS #coffeebreakHEMS #flightparamedic #flightnurse #...
Hey everyone, in this episode we're going to talk about stress, hyper-vigilance, being an asshole, and much more. I want to give a huge thank you to Dave Motzkin for allowing me to use this material, as he did 90% of the work on this topic. His passion gave me passion. Also, if you love this topic, go read "Emotional Survival in Law Enforcement". It was amazing, and truly helps you to grasp these topics, and how to combat them. Austin's Contact info: kisercpr@gmail.com Give us a 5-star rating!! ...
In today episode, we're discussing heatstrokes. Starting with the EMS response, ED care, ICU care, and the eventual outcomes, we'll delve into everything that you want to know about saving these patients. If you want to get ahold of me for episode suggestions, reach out to: kisercpr@gmail.com #HEMS #coffeebreakHEMS #EMS #criticalcare #flightparamedic #flight nurse #FOAMed
Today we'll be talking about managing the intubated COVID patient on a ventilator. I know many, if not most, of our listeners are prehospital providers and they may not be super familiar with vent management. If you're interested in learning about it, go to my youtube page (kisercpr) and you can find Intro to Ventilation Parts I-IV. Then you'll have to come back and listen to this! If you are familiar with vents, I hope these little suggestions are helpful in your practice. email: kisercpr@gmail...
Today we'll be discussing WPW in terms of treatment options for you in the field. There are many presentations of WPW, from narrow regular, to wide complex, to afib with WPW. These all need to be treated differently, and we'll discuss that. Don't forget to let me know what you want to hear about at kisercpr@gmail.com #HEMS #criticalcare #flightmedicine #flightnurse #flightparamedic #FOAMed #coffeebreakHEMS
Hey everyone, today we'll be discussing the proper way to both treat and transport a pediatric DKA patient. We'll go over the treatments and why they matter, and talk about the dangers of inappropriate management in pediatrics with a diagnosis of DKA. Some visual info for you is below: Sample IV fluid maintenance schedule for pediatrics • <10kg = 100ml/kg/day • 10-20kg = (1000ml + 50ml/kg) / day • >20kg = (1500ml + 20ml/kg) / day Labs for Case 1: • pH 7.11, PCO2 17, HCO3 9, BE -19, Lactate...
Hey everyone! In this episode we're doing a little ABG review and talking about Base Excess and why the heck we care about it in our interpretation of a blood gas. I hope you enjoy it, and don't forget, if you have topics you want to hear about, let me know! kisercpr@gmail.com #HEMS #coffeebreakhems #FOAMed #criticalcare #flightmedic #flightnurse
Note: This case is completely fictional and is not based on any real patient!! The following case is about a fictional patient that developed a PE and eventually had a cardiac arrest in the hospital. The question posed to the audience is this: if the field personnel had PE on their differential, would the patient have survived? This case goes into utilizing the EKG as a means to identify PE's in the field. Let me know what you think! If you have any questions, comments, or ideas about another ep...
Hey guys! In this episode, we answer that annoying question from back in medic school... Why the hell do I give two craps about the Oxyhemoglobin Curve and what does it have to do with my patient care. Well, it turns out that it's super important. Hopefully this podcast will answer the questions that you had regarding the curve. I really want to start getting feedback on these episodes and see if it's the kind of content that you're looking for. If you love it or hate it, let us know!! kisercpr@...
This episode deals with the patient who is hard to ventilate or hard to bag. This can be very frustrating for our clinicians and can be very dangerous in our pediatric patient population. There are a ton of ways to help improve lung compliance, and this podcast really addresses one of them, but it's an item is very often missed, and something that most people don't fully understand. I hope you like it! Source materials below: #HEMS #FOAMed #coffeebreakHEMS #criticalcare #ventnerd “Static Complia...
In this episode we discuss BiPAP comfort. After placing a patient on 15/5 they can still appear to be super uncomfortable, and there are several reasons that can happen. Hopefully after this 15-ish minute talk, you'll be able to confidently make adjustments for your patient to make them as comfortable as possible. You'll learn how to adjust I-Time, Rise Time, and Flow Termination. #FOAMed #CoffeebreakHEMS #HEMS #PHIairmedical
Hey everyone, in this episode we'll be talking about the components of pressure support in our patients and hopefully making everyone a bit more comfortable with single level, and bi-level support. In the past I've seen flight crews not start BiPAP on patients because they simply weren't comfortable with the thought of having to titrate the settings on the ventilator, and that's just not cool. This is part I of a III part series that will be going over how to titrate the settings, and how to mak...
Just taking a second to introduce myself and let everyone know what we're all about. The podcast focus's on critical care medicine in the prehospital setting. We hope that if you're new to the industry, you'll be able to greatly expand your knowledge of critical care and have a first-attempt pass on your specialty exam. If you're a grumpy old veteran to the HEMS industry, we've still got a ton of stuff for you as well!
