The FlightBridgeED Podcast: Recent Episodes

FlightBridgeED

The FlightBridgeED Podcast provides convenient, easy to understand critical care medicine education, and current topics related to the air medical industry. Each topic builds on another and weaves together a solid foundation of emergency, critical care, and prehospital medicine.

In this episode, Eric looks at warm fluids... or lack thereof in resuscitation. We will cover the current evidence around hypothermia in resuscitation secondary to the infusion of cold IV fluids. We discuss current strategies in warming fluids before administration in warm and cold ambient environments and the impact on body systems that ultimately contribute to increased mortality. Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more. We appreciate your support over the past 11 years!

This is the second of a special podcast series on obstetric critical care. I am joined on this series by Dr. Elizabeth Garchar, MD, FACOG. She is an OB/GYN and Maternal Fetal Medicine (MFM) specialist who has a particular interest in obstetric critical care. She is also unique in that she flies regularly with our critical care transport teams and acts as one of our Assistant Medical Directors for the flight program. So, Dr. Garchar has unique insight into managing this population in transport.

The topic of this podcast is maternal cardiac arrest. This is, possibly, one of the most stressful clinical encounters we can have as flight crew. Critical care transport crews are masters of ACLS and resuscitation during cardiac arrest, but what do you do if the patient is pregnant? Often crews have questions: Can we use the same drugs? Do you change the dose of different ACLS drugs? Can you defibrillate a pregnant patient? Do we change hand position for chest compression? In this podcast, Dr. Garchar and I go over the recommendations and guidelines from major organizations and clarify some of these important questions.

References

Beckett VA, Knight M, Sharpe P. The CAPS Study: incidence, management and outcomes of cardiac arrest in pregnancy in the UK: a prospective, descriptive study. BJOG. Aug 2017;124(9):1374-1381. doi:10.1111/1471-0528.14521
Bennett TA, Katz VL, Zelop CM. Cardiac Arrest and Resuscitation Unique to Pregnancy. Obstet Gynecol Clin North Am. Dec 2016;43(4):809-819. doi:10.1016/j.ogc.2016.07.011
Biderman P, Carmi U, Setton E, Fainblut M, Bachar O, Einav S. Maternal Salvage With Extracorporeal Life Support: Lessons Learned in a Single Center. Anesth Analg. Oct 2017;125(4):1275-1280. doi:10.1213/ANE.0000000000002262
Callaghan WM, Creanga AA, Kuklina EV. Severe maternal morbidity among delivery and postpartum hospitalizations in the United States. Obstet Gynecol. Nov 2012;120(5):1029-36. doi:10.1097/aog.0b013e31826d60c5
Campbell TA, Sanson TG. Cardiac arrest and pregnancy. J Emerg Trauma Shock. Jan 2009;2(1):34-42. doi:10.4103/0974-2700.43586
Dijkman A, Huisman CM, Smit M, et al. Cardiac arrest in pregnancy: increasing use of perimortem caesarean section due to emergency skills training? BJOG. Feb 2010;117(3):282-7. doi:10.1111/j.1471-0528.2009.02461.x
Ducloy-Bouthors AS, Gonzalez-Estevez M, Constans B, Turbelin A, Barre-Drouard C. Cardiovascular emergencies and cardiac arrest in a pregnant woman. Anaesth Crit Care Pain Med. Oct 2016;35 Suppl 1:S43-S50. doi:10.1016/j.accpm.2016.06.008
Einav S, Kaufman N, Sela HY. Maternal cardiac arrest and perimortem caesarean delivery: evidence or expert-based? Resuscitation. Oct 2012;83(10):1191-200. doi:10.1016/j.resuscitation.2012.05.005
Enomoto N, Yamashita T, Furuta M, et al. Effect of maternal positioning during cardiopulmonary resuscitation: a systematic review and meta-analyses. BMC Pregnancy Childbirth. Feb 25 2022;22(1):159. doi:10.1186/s12884-021-04334-y
Fischer C, Bonnet MP, Girault A, Le Ray C. Update: Focus in-hospital maternal cardiac arrest. J Gynecol Obstet Hum Reprod. May 2019;48(5):309-314. doi:10.1016/j.jogoh.2019.02.007
Fisher N, Eisen LA, Bayya JV, et al. Improved performance of maternal-fetal medicine staff after maternal cardiac arrest simulation-based training. Am J Obstet Gynecol. Sep 2011;205(3):239 e1-5. doi:10.1016/j.ajog.2011.06.012
Ford ND, DeSisto CL, Galang RR, Kuklina EV, Sperling LS, Ko JY. Cardiac Arrest During Delivery Hospitalization : A Cohort Study. Ann Intern Med. Apr 2023;176(4):472-479. doi:10.7326/M22-2750
Helviz Y, Einav S. Maternal cardiac arrest. Curr Opin Anaesthesiol. Jun 2019;32(3):298-306. doi:10.1097/ACO.0000000000000719
Jeejeebhoy FM, Morrison LJ. Maternal cardiac arrest: a practical and comprehensive review. Emerg Med Int. 2013;2013:274814. doi:10.1155/2013/274814
Jeejeebhoy FM, Zelop CM, Lipman S, et al. Cardiac Arrest in Pregnancy: A Scientific Statement From the American Heart Association. Circulation. Nov 3 2015;132(18):1747-73. doi:10.1161/CIR.0000000000000300
Jeejeebhoy FM, Zelop CM, Windrim R, Carvalho JC, Dorian P, Morrison LJ. Management of cardiac arrest in pregnancy: a systematic review. Resuscitation. Jul 2011;82(7):801-9. doi:10.1016/j.resuscitation.2011.01.028
Kikuchi J, Deering S. Cardiac arrest in pregnancy. Semin Perinatol. Feb 2018;42(1):33-38. doi:10.1053/j.semperi.2017.11.007
Ko RE, Chung CR, Yang JH, et al. Use of extracorporeal membrane oxygenation in postpartum patients with refractory shock or respiratory failure. Sci Rep. Jan 13 2021;11(1):887. doi:10.1038/s41598-020-80423-w
Lipman SS, Daniels KI, Carvalho B, et al. Deficits in the provision of cardiopulmonary resuscitation during simulated obstetric crises. Am J Obstet Gynecol. Aug 2010;203(2):179 e1-5. doi:10.1016/j.ajog.2010.02.022
Mizuno A, Saito A, Shibata A. You can never be too prepared: ECMO for MCA. Am J Obstet Gynecol. Jan 2019;220(1):122-123. doi:10.1016/j.ajog.2018.09.019
Naoum EE, Chalupka A, Haft J, et al. Extracorporeal Life Support in Pregnancy: A Systematic Review. J Am Heart Assoc. Jul 7 2020;9(13):e016072. doi:10.1161/JAHA.119.016072
Ong J, Zhang JJY, Lorusso R, MacLaren G, Ramanathan K. Extracorporeal membrane oxygenation in pregnancy and the postpartum period: a systematic review of case reports. Int J Obstet Anesth. Aug 2020;43:106-113. doi:10.1016/j.ijoa.2020.04.004
Shields AD, Battistelli JD, Kavanagh LB, Thomson BA, Nielsen PE. A modified Delphi approach to determine current treatment advances for the development of a resuscitation program for maternal cardiac arrest. BMC Emerg Med. Aug 26 2022;22(1):149. doi:10.1186/s12873-022-00704-7
Sommerkamp SK, Gibson A. Cardiovascular disasters in pregnancy. Emerg Med Clin North Am. Nov 2012;30(4):949-59. doi:10.1016/j.emc.2012.08.007
Stokes N, Kikucki J. Management of Cardiac Arrest in the Pregnant Patient. Curr Treat Options Cardiovasc Med. Jun 19 2018;20(7):57. doi:10.1007/s11936-018-0652-9
Webster CM, Smith KA, Manuck TA. Extracorporeal membrane oxygenation in pregnant and postpartum women: a ten-year case series. Am J Obstet Gynecol MFM. May 2020;2(2):100108. doi:10.1016/j.ajogmf.2020.100108
Wu Y, Luo J, Chen T, et al. Successful ECMO-assisted open chest cardiopulmonary resuscitation in a postpartum patient with delayed amniotic fluid embolism. Eur J Med Res. Feb 3 2022;27(1):19. doi:10.1186/s40001-021-00628-1
Zelop C, Einav S, Mhyre JM, et al. 786: Characteristics and outcome of maternal cardiac arrest (MCA). American Journal of Obstetrics and Gynecology. 2018;218(1):S469-S470. doi:10.1016/j.ajog.2017.11.318
Zelop CM, Einav S, Mhyre JM, Martin S. Cardiac arrest during pregnancy: ongoing clinical conundrum. Am J Obstet Gynecol. Jul 2018;219(1):52-61. doi:10.1016/j.ajog.2017.12.232

This is the first of a special podcast series on obstetric critical care. I am joined on this series by Dr. Elizabeth Garchar, MD, FACOG. She is an OB/GYN and Maternal Fetal Medicine (MFM) specialist who has a special interest in obstetric critical care. She is also unique in that she flies regularly with our critical care transport teams and acts as one of our Assistant Medical Directors for the flight program. So, Dr. Garchar has unique insight into managing this population in transport.

This podcast focuses on severe postpartum hemorrhage. We discuss the epidemiology and risk factors as well as the nuances of diagnosis, specifically how blood loss is actually quantified in this setting. We also go through the importance of point-of-care ultrasound to help identify and manage the causes of postpartum hemorrhage. Then, we transition to the discussion of management, focusing on the medical management of uterine atony, and also go over advanced interventions such as uterine packing, balloon tamponade devices, and REBOA. Finally, Dr. Garchar discusses the indication and procedure for emergent hysterectomy as well as the post-procedure management critical care transport crews may have to perform.

References

Practice Bulletin No. 183: Postpartum Hemorrhage. Obstet Gynecol. Oct 2017;130(4):e168-e186. doi:10.1097/aog.0000000000002351
Abdel-Aleem H, Singata M, Abdel-Aleem M, Mshweshwe N, Williams X, Hofmeyr GJ. Uterine massage to reduce postpartum hemorrhage after vaginal delivery. Int J Gynaecol Obstet. Oct 2010;111(1):32-6. doi:10.1016/j.ijgo.2010.04.036
Abul A, Al-Naseem A, Althuwaini A, Al-Muhanna A, Clement NS. Safety and efficacy of intrauterine balloon tamponade vs uterine gauze packing in managing postpartum hemorrhage: A systematic review and meta-analysis. AJOG Glob Rep. Feb 2023;3(1):100135. doi:10.1016/j.xagr.2022.100135
Aibar L, Aguilar MT, Puertas A, Valverde M. Bakri balloon for the management of postpartum hemorrhage. Acta Obstet Gynecol Scand. Apr 2013;92(4):465-7. doi:10.1111/j.1600-0412.2012.01497.x
Bagga R, Jain V, Kalra J, Chopra S, Gopalan S. Uterovaginal packing with rolled gauze in postpartum hemorrhage. MedGenMed. Feb 13 2004;6(1):50.
Borger van der Burg BLS, van Dongen T, Morrison JJ, et al. A systematic review and meta-analysis of the use of resuscitative endovascular balloon occlusion of the aorta in the management of major exsanguination. Eur J Trauma Emerg Surg. Aug 2018;44(4):535-550. doi:10.1007/s00068-018-0959-y
Castellini G, Gianola S, Biffi A, et al. Resuscitative endovascular balloon occlusion of the aorta (REBOA) in patients with major trauma and uncontrolled haemorrhagic shock: a systematic review with meta-analysis. World J Emerg Surg. Aug 12 2021;16(1):41. doi:10.1186/s13017-021-00386-9
Collaborators WT. Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial. Lancet. May 27 2017;389(10084):2105-2116. doi:10.1016/S0140-6736(17)30638-4
Cunningham FG, Nelson DB. Disseminated Intravascular Coagulation Syndromes in Obstetrics. Obstet Gynecol. Nov 2015;126(5):999-1011. doi:10.1097/AOG.0000000000001110
D'Alton M, Rood K, Simhan H, Goffman D. Profile of the Jada(R) System: the vacuum-induced hemorrhage control device for treating abnormal postpartum uterine bleeding and postpartum hemorrhage. Expert Rev Med Devices. Sep 2021;18(9):849-853. doi:10.1080/17434440.2021.1962288
Dildy GA, 3rd. Postpartum hemorrhage: new management options. Clin Obstet Gynecol. Jun 2002;45(2):330-44. doi:10.1097/00003081-200206000-00005
Dueckelmann AM, Hinkson L, Nonnenmacher A, et al. Uterine packing with chitosan-covered gauze compared to balloon tamponade for managing postpartum hemorrhage. Eur J Obstet Gynecol Reprod Biol. Sep 2019;240:151-155. doi:10.1016/j.ejogrb.2019.06.003
Erez O. Disseminated intravascular coagulation in pregnancy: New insights. Thrombosis Update. 2022;6doi:10.1016/j.tru.2021.100083
Erez O, Mastrolia SA, Thachil J. Disseminated intravascular coagulation in pregnancy: insights in pathophysiology, diagnosis and management. Am J Obstet Gynecol. Oct 2015;213(4):452-63. doi:10.1016/j.ajog.2015.03.054
Erez O, Othman M, Rabinovich A, Leron E, Gotsch F, Thachil J. DIC in Pregnancy - Pathophysiology, Clinical Characteristics, Diagnostic Scores, and Treatments. J Blood Med. 2022;13:21-44. doi:10.2147/JBM.S273047
Feng S, Liao Z, Huang H. Effect of prophylactic placement of internal iliac artery balloon catheters on outcomes of women with placenta accreta: an impact study. Anaesthesia. Jul 2017;72(7):853-858. doi:10.1111/anae.13895
Higgins N, Patel SK, Toledo P. Postpartum hemorrhage revisited: new challenges and solutions. Curr Opin Anaesthesiol. Jun 2019;32(3):278-284. doi:10.1097/ACO.0000000000000717
Ji SM, Cho C, Choi G, et al. Successful management of uncontrolled postpartum hemorrhage due to morbidly adherent placenta with Resuscitative endovascular balloon occlusion of the aorta during emergency cesarean section - A case report. Anesth Pain Med (Seoul). Jul 31 2020;15(3):314-318. doi:10.17085/apm.19051
Kellie FJ, Wandabwa JN, Mousa HA, Weeks AD. Mechanical and surgical interventions for treating primary postpartum haemorrhage. Cochrane Database Syst Rev. Jul 1 2020;7(7):CD013663. doi:10.1002/14651858.CD013663
Kogutt BK, Vaught AJ. Postpartum hemorrhage: Blood product management and massive transfusion. Semin Perinatol. Feb 2019;43(1):44-50. doi:10.1053/j.semperi.2018.11.008
Levi M, Toh CH, Thachil J, Watson HG. Guidelines for the diagnosis and management of disseminated intravascular coagulation. British Committee for Standards in Haematology. Br J Haematol. Apr 2009;145(1):24-33. doi:10.1111/j.1365-2141.2009.07600.x
Liu C, Gao J, Liu J, et al. Predictors of Failed Intrauterine Balloon Tamponade in the Management of Severe Postpartum Hemorrhage. Front Med (Lausanne). 2021;8:656422. doi:10.3389/fmed.2021.656422
Lohano R, Haq G, Kazi S, Sheikh S. Intrauterine balloon tamponade for the control of postpartum haemorrhage. J Pak Med Assoc. Jan 2016;66(1):22-6.
Maier RC. Control of postpartum hemorrhage with uterine packing. Am J Obstet Gynecol. Aug 1993;169(2 Pt 1):317-21; discussion 321-3. doi:10.1016/0002-9378(93)90082-t
Makin J, Suarez-Rebling DI, Varma Shivkumar P, Tarimo V, Burke TF. Innovative Uses of Condom Uterine Balloon Tamponade for Postpartum Hemorrhage in India and Tanzania. Case Rep Obstet Gynecol. 2018;2018:4952048. doi:10.1155/2018/4952048
Natarajan A, Alaska Pendleton A, Nelson BD, et al. Provider experiences with improvised uterine balloon tamponade for the management of uncontrolled postpartum hemorrhage in Kenya. Int J Gynaecol Obstet. Nov 2016;135(2):210-213. doi:10.1016/j.ijgo.2016.05.006
Natarajan A, Kamara J, Ahn R, et al. Provider experience of uterine balloon tamponade for the management of postpartum hemorrhage in Sierra Leone. Int J Gynaecol Obstet. Jul 2016;134(1):83-6. doi:10.1016/j.ijgo.2015.10.026
Okoye HC, Nwagha TU, Ugwu AO, et al. Diagnosis and treatment of bbstetrics disseminated intravascular coagulation in resource limited settings. Afr Health Sci. Mar 2022;22(1):183-190. doi:10.4314/ahs.v22i1.24
Ordonez CA, Manzano-Nunez R, Parra MW, et al. Prophylactic use of resuscitative endovascular balloon occlusion of the aorta in women with abnormal placentation: A systematic review, meta-analysis, and case series. J Trauma Acute Care Surg. May 2018;84(5):809-818. doi:10.1097/TA.0000000000001821
Papageorgiou C, Jourdi G, Adjambri E, et al. Disseminated Intravascular Coagulation: An Update on Pathogenesis, Diagnosis, and Therapeutic Strategies. Clin Appl Thromb Hemost. Dec 2018;24(9_suppl):8S-28S. doi:10.1177/1076029618806424
Pingray V, Widmer M, Ciapponi A, et al. Effectiveness of uterine tamponade devices for refractory postpartum haemorrhage after vaginal birth: a systematic review. BJOG. Oct 2021;128(11):1732-1743. doi:10.1111/1471-0528.16819
Quandalle A, Ghesquiere L, Kyheng M, et al. Impact of intrauterine balloon tamponade on emergency peripartum hysterectomy following vaginal delivery. Eur J Obstet Gynecol Reprod Biol. Jan 2021;256:125-129. doi:10.1016/j.ejogrb.2020.10.064
Rattray DD, O'Connell CM, Baskett TF. Acute disseminated intravascular coagulation in obstetrics: a tertiary centre population review (1980 to 2009). J Obstet Gynaecol Can. Apr 2012;34(4):341-347. doi:10.1016/S1701-2163(16)35214-8
Revert M, Rozenberg P, Cottenet J, Quantin C. Intrauterine Balloon Tamponade for Severe Postpartum Hemorrhage. Obstet Gynecol. Jan 2018;131(1):143-149. doi:10.1097/AOG.0000000000002405
Sadek S, Lockey DJ, Lendrum RA, Perkins Z, Price J, Davies GE. Resuscitative endovascular balloon occlusion of the aorta (REBOA) in the pre-hospital setting: An additional resuscitation option for uncontrolled catastrophic haemorrhage. Resuscitation. Oct 2016;107:135-8. doi:10.1016/j.resuscitation.2016.06.029
Schmid BC, Rezniczek GA, Rolf N, Saade G, Gebauer G, Maul H. Uterine packing with chitosan-covered gauze for control of postpartum hemorrhage. Am J Obstet Gynecol. Sep 2013;209(3):225 e1-5. doi:10.1016/j.ajog.2013.05.055
Shimada K, Taniguchi H, Enomoto K, Umeda S, Abe T, Takeuchi I. Hospital transfer for patients with postpartum hemorrhage in Yokohama, Japan: a single-center descriptive study. Acute Med Surg. Jan-Dec 2021;8(1):e716. doi:10.1002/ams2.716
Simpson KR. Update on Evaluation, Prevention, and Management of Postpartum Hemorrhage. MCN Am J Matern Child Nurs. Mar/Apr 2018;43(2):120. doi:10.1097/NMC.0000000000000406
Singer KE, Morris MC, Blakeman C, et al. Can Resuscitative Endovascular Balloon Occlusion of the Aorta Fly? Assessing Aortic Balloon Performance for Aeromedical Evacuation. J Surg Res. Oct 2020;254:390-397. doi:10.1016/j.jss.2020.05.021
Snyder JA, Schuerer DJE, Bochicchio GV, Hoofnagle MH. When REBOA grows wings: Resuscitative endovascular balloon occlusion of the aorta to facilitate aeromedical transport. Trauma Case Rep. Apr 2022;38:100622. doi:10.1016/j.tcr.2022.100622
Soued M, Vivanti AJ, Smiljkovski D, et al. Efficacy of Intra-Uterine Tamponade Balloon in Post-Partum Hemorrhage after Cesarean Delivery: An Impact Study. J Clin Med. Dec 28 2020;10(1)doi:10.3390/jcm10010081
Stensaeth KH, Sovik E, Haig IN, Skomedal E, Jorgensen A. Fluoroscopy-free Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for controlling life threatening postpartum hemorrhage. PLoS One. 2017;12(3):e0174520. doi:10.1371/journal.pone.0174520
Suarez S, Conde-Agudelo A, Borovac-Pinheiro A, et al. Uterine balloon tamponade for the treatment of postpartum hemorrhage: a systematic review and meta-analysis. Am J Obstet Gynecol. Apr 2020;222(4):293 e1-293 e52. doi:10.1016/j.ajog.2019.11.1287
Theron GB, Mpumlwana V. A case series of post-partum haemorrhage managed using Ellavi uterine balloon tamponade in a rural regional hospital. S Afr Fam Pract (2004). May 11 2021;63(1):e1-e4. doi:10.4102/safp.v63i1.5266
Tran QK, Hollis G, Beher R, et al. Transport of Peripartum Patients for Medical Management: Predictors of Any Intervention During Transport. Cureus. Nov 2022;14(11):e31102. doi:10.7759/cureus.31102
Weir R, Lee J, Almroth S, Taylor J. Flying with a Safety Net: Use of REBOA to Enable Safe Transfer to a Level 1 Trauma Center. Journal of Endovascular Resuscitation and Trauma Management. 2022;5(3)doi:10.26676/jevtm.v5i3.214
Wu Q, Liu Z, Zhao X, et al. Outcome of Pregnancies After Balloon Occlusion of the Infrarenal Abdominal Aorta During Caesarean in 230 Patients With Placenta Praevia Accreta. Cardiovasc Intervent Radiol. Nov 2016;39(11):1573-1579. doi:10.1007/s00270-016-1418-y
Zeng KW, Ovenell KJ, Alholm Z, Foley MR. Postpartum Hemorrhage Management and Blood Component Therapy. Obstet Gynecol Clin North Am. Sep 2022;49(3):397-421. doi:10.1016/j.ogc.2022.02.001

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Calcium administration to trauma patients has become a hot topic with the rise of the “Lethal Diamond." While evidence exists regarding the association between hypocalcemia and mortality, it remains unclear whether hypocalcemia is the problem or simply a finding secondary to critical injury. In this podcast, Dr. Lauria reviews the evidence behind calcium administration in trauma and identifies which patients, given the available evidence, might benefit from calcium administration. Don't miss another FlightBridgeED Podcast feature episode of the MDCast! So much good stuff! Please like, subscribe, and leave any questions or comments.

References for the use of Calcium in Severe Trauma

Chanthima P, Yuwapattanawong K, Thamjamrassri T, et al. Association Between Ionized Calcium Concentrations During Hemostatic Transfusion and Calcium Treatment With Mortality in Major Trauma. Anesth Analg. Jun 1 2021;132(6):1684-1691. doi:10.1213/ANE.0000000000005431
D B. Prehospital administration of calcium in trauma J Paramed Prac. 2022;
DeBot M, Sauaia A, Schaid T, Moore EE. Trauma-induced hypocalcemia. Transfusion. Aug 2022;62 Suppl 1:S274-S280. doi:10.1111/trf.16959
Ditzel RM, Jr., Anderson JL, Eisenhart WJ, et al. A review of transfusion- and trauma-induced hypocalcemia: Is it time to change the lethal triad to the lethal diamond? J Trauma Acute Care Surg. Mar 2020;88(3):434-439. doi:10.1097/TA.0000000000002570
Giancarelli A, Birrer KL, Alban RF, Hobbs BP, Liu-DeRyke X. Hypocalcemia in trauma patients receiving massive transfusion. J Surg Res. May 1 2016;202(1):182-7. doi:10.1016/j.jss.2015.12.036
Kronstedt S, Roberts N, Ditzel R, et al. Hypocalcemia as a predictor of mortality and transfusion. A scoping review of hypocalcemia in trauma and hemostatic resuscitation. Transfusion. Aug 2022;62 Suppl 1(Suppl 1):S158-S166. doi:10.1111/trf.16965
Leech C, Clarke E. Pre-hospital blood products and calcium replacement protocols in UK critical care services: A survey of current practice. Resusc Plus. Sep 2022;11:100282. doi:10.1016/j.resplu.2022.100282
Messias Hirano Padrao E, Bustos B, Mahesh A, et al. Calcium use during cardiac arrest: A systematic review. Resusc Plus. Dec 2022;12:100315. doi:10.1016/j.resplu.2022.100315
Moore HB, Tessmer MT, Moore EE, et al. Forgot calcium? Admission ionized-calcium in two civilian randomized controlled trials of prehospital plasma for traumatic hemorrhagic shock. J Trauma Acute Care Surg. May 2020;88(5):588-596. doi:10.1097/TA.0000000000002614
Savioli G, Ceresa IF, Caneva L, Gerosa S, Ricevuti G. Trauma-Induced Coagulopathy: Overview of an Emerging Medical Problem from Pathophysiology to Outcomes. Medicines (Basel). Mar 24 2021;8(4)doi:10.3390/medicines8040016
Steele T, Kolamunnage-Dona R, Downey C, Toh CH, Welters I. Assessment and clinical course of hypocalcemia in critical illness. Crit Care. Jun 4 2013;17(3):R106. doi:10.1186/cc12756
Stueven H, Thompson BM, Aprahamian C, Darin JC. Use of calcium in prehospital cardiac arrest. Ann Emerg Med. Mar 1983;12(3):136-9. doi:10.1016/s0196-0644(83)80551-4
Vallentin MF, Granfeldt A, Meilandt C, et al. Effect of Intravenous or Intraosseous Calcium vs Saline on Return of Spontaneous Circulation in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial. JAMA. Dec 14 2021;326(22):2268-2276. doi:10.1001/jama.2021.20929
Vallentin MF, Povlsen AL, Granfeldt A, Terkelsen CJ, Andersen LW. Effect of calcium in patients with pulseless electrical activity and electrocardiographic characteristics potentially associated with hyperkalemia and ischemia-sub-study of the Calcium for Out-of-hospital Cardiac Arrest (COCA) trial. Resuscitation. Dec 2022;181:150-157. doi:10.1016/j.resuscitation.2022.11.006
Vasudeva M, Mathew JK, Groombridge C, et al. Hypocalcemia in trauma patients: A systematic review. J Trauma Acute Care Surg. Feb 1 2021;90(2):396-402. doi:10.1097/TA.0000000000003027
Vettorello M, Altomare M, Spota A, et al. Early Hypocalcemia in Severe Trauma: An Independent Risk Factor for Coagulopathy and Massive Transfusion. J Pers Med. Dec 28 2022;13(1)doi:10.3390/jpm13010063
Wray JP, Bridwell RE, Schauer SG, et al. The diamond of death: Hypocalcemia in trauma and resuscitation. Am J Emerg Med. Mar 2021;41:104-109. doi:10.1016/j.ajem.2020.12.065
Zhang Z, Xu X, Ni H, Deng H. Predictive value of ionized calcium in critically ill patients: an analysis of a large clinical database MIMIC II. PLoS One. 2014;9(4):e95204. doi:10.1371/journal.pone.0095204

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Join FlightBridgeEDs new Chief Medical Director, Mike Lauria, as we launch the FlightBridgeED MDCast. Dr. Lauria will hijack these episodes for a new perspective on current topics in critical care medicine. In this episode, Dr. Lauria looks at Eric's previously published podcast [episode 224] on ASA Overdose and gives his insight, practical application, and overall thoughts on these difficult-to-manage patients. Don't miss this episode! So much good stuff! Please like, subscribe, and leave any questions or comments.

References for Acute Salicylate Intoxication

Anderson RJ, Potts DE, Gabow PA, Rumack BH, Schrier RW. Unrecognized adult salicylate intoxication. Ann Intern Med. Dec 1976;85(6):745-8. doi:10.7326/0003-4819-85-6-745
Chyka PA, Erdman AR, Christianson G, et al. Salicylate poisoning: an evidence-based consensus guideline for out-of-hospital management. Clin Toxicol (Phila). 2007;45(2):95-131. doi:10.1080/15563650600907140
Dargan PI, Wallace CI, Jones AL. An evidence-based flowchart to guide the management of acute salicylate (aspirin) overdose. Emerg Med J. May 2002;19(3):206-9. doi:10.1136/emj.19.3.206
Delaney TM, Helvey JT, Shiffermiller JF. A Case of Salicylate Toxicity Presenting with Acute Focal Neurologic Deficit in a 61-Year-Old Woman with a History of Stroke. Am J Case Rep. Feb 15 2020;21:e920016. doi:10.12659/AJCR.920016
Espírito Santo R, Vaz S, Jalles F, Boto L, Abecasis F. Salicylate Intoxication in an Infant: A Case Report. Drug Saf Case Rep. Nov 27 2017;4(1):23. doi:10.1007/s40800-017-0065-9
Goldberg MA, Barlow CF, Roth LJ. The effects of carbon dioxide on the entry and accumulation of drugs in the central nervous system. J Pharmacol Exp Ther. Mar 1961;131:308-18.
Juurlink DN, Gosselin S, Kielstein JT, et al. Extracorporeal Treatment for Salicylate Poisoning: Systematic Review and Recommendations From the EXTRIP Workgroup. Ann Emerg Med. Aug 2015;66(2):165-81. doi:10.1016/j.annemergmed.2015.03.031
Kuzak N, Brubacher JR, Kennedy JR. Reversal of salicylate-induced euglycemic delirium with dextrose. Clin Toxicol (Phila). Jun-Aug 2007;45(5):526-9. doi:10.1080/15563650701365800
McCabe DJ, Lu JJ. The association of hemodialysis and survival in intubated salicylate-poisoned patients. Am J Emerg Med. Jun 2017;35(6):899-903. doi:10.1016/j.ajem.2017.04.017
Miyahara JT, Karler R. Effect of salicylate on oxidative phosphorylation and respiration of mitochondrial fragments. Biochem J. Oct 1965;97(1):194-8. doi:10.1042/bj0970194
Oliver TK, Jr., Dyer ME. The prompt treatment of salicylism with sodium bicarbonate. AMA J Dis Child. May 1960;99:553-65. doi:10.1001/archpedi.1960.02070030555001
Oualha M, Dupic L, Bastian C, Bergounioux J, Bodemer C, Lesage F. [Local salicylate transcutaneous absorption: an unrecognized risk of severe intoxication: a case report]. Arch Pediatr. Oct 2012;19(10):1089-92. Application cutanée localisée d'acide salicylique : un risque méconnu d'intoxication : à propos d'un cas. doi:10.1016/j.arcped.2012.07.012
Palmer BF, Clegg DJ. Salicylate Toxicity. N Engl J Med. Jun 25 2020;382(26):2544-2555. doi:10.1056/NEJMra2010852
Penniall R. The effects of salicylic acid on the respiratory activity of mitochondria. Biochim Biophys Acta. Nov 1958;30(2):247-51. doi:10.1016/0006-3002(58)90047-7
Shively RM, Hoffman RS, Manini AF. Acute salicylate poisoning: risk factors for severe outcome. Clin Toxicol (Phila). Mar 2017;55(3):175-180. doi:10.1080/15563650.2016.1271127
Stolbach AI, Hoffman RS, Nelson LS. Mechanical ventilation was associated with acidemia in a case series of salicylate-poisoned patients. Acad Emerg Med. Sep 2008;15(9):866-9. doi:10.1111/j.1553-2712.2008.00205.x
Thurston JH, Pollock PG, Warren SK, Jones EM. Reduced brain glucose with normal plasma glucose in salicylate poisoning. J Clin Invest. Nov 1970;49(11):2139-45. doi:10.1172/JCI106431

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In this podcast, Eric discusses the art of having a "Resuscitative Mindset" when performing advanced airway management with guest host Kevin Collopy. When is it ok to perform advanced airway management rapidly? Is it ever ok? When do we deploy delayed sequence strategies? Should we always use a "Resuscitative" sequence intubation mindset regardless of our assessment findings? So much good conversation about all things airway and decision-making. Please like, subscribe, and leave any questions or comments.

Contact information for Kevin Collopy

Twitter: @ktcollopy

Email: Kevin.Collopy@novanthealth.org

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In this podcast, Eric takes a look at a very difficult case of multifactorial resuscitation within ASA overdose. We dive deep into all things resuscitation and analyze factors that drive our decision-making. This takes the "acidosis rodeo podcast series to another level. Don't miss this episode! So much good stuff! Please like, subscribe, and leave any questions or comments.

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Eric is joined by Joe Hylton, a respiratory therapist, flight paramedic, and Hamilton RT, as they dive into all things Volume Control [Adaptive], ASV, and Pressure Control (Biphasic) ventilation. There are many misconceptions and questions answered within this information-packed podcast. We use the Hamilton simulator to show the differences between patients and accompanying interactions while in Volume Control [Adaptive] ventilation. We discuss when it's best to use Pressure Control [Biphasic] over Volume Control [Adaptive] and the hazards associated with this common mistake. We dive into the long-discussed debate of Assist Control vs. SIMV. Lastly, we discuss the topic of ASV and the technology around this method/mode of delivery.

This is an audio version only. For the best experience, we highly recommend watching the full video version. Please visit the YouTube link below or the FlightBridgeED channel.

Episode Link: https://youtu.be/nhlll1hI7XU

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The "Pandemic Immunity Gap" is likely behind the massive surge in respiratory syncytial virus (RSV), with current CDC data showing a 275% increase from 2020-2021 to 2022-2023. The most vulnerable population is between 0-6 months old, which often raises the stress level for providers across all spectrums. Join Eric for a deep dive into a case study involving a 4-month-old male in acute respiratory compromise. We break down the progression of RSV and its association with bronchiolitis. Dive deep into the current evidence on fluid management, bronchodilators, corticosteroids, NS 0.9%, Hypertonic 3%, racemic epinephrine, HFNC, NiPPV, intubation, and much more.

Recommended flow settings and cannula sizes for high-flow nasal cannula therapy in pediatric patients https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7027347/table/t1-kjp-2019-00626/?report=objectonly

Corticosteroid Therapy During Acute Bronchiolitis in Patients Who Later Develop Asthma: Hosp Pediatr (2017) 7 (7): 403–409. https://doi.org/10.1542/hpeds.2016-0211

Efficacy of 3% hypertonic saline in bronchiolitis: A meta‑analysis, Received May 10, 2018; Accepted August 22, 2018. DOI: 10.3892/etm.2019.7684

Respiratory syncytial virus: diagnosis, prevention and management: Ther Adv Infectious Dis 2019, Vol. 6: 1–9 DOI: 10.1177/2049936119865798

https://journals.sagepub.com/doi/epdf/10.1177/2049936119865798

Gadomski AM, Brower M. Bronchodilators for bronchiolitis. Cochrane Database Syst Rev. 2010;12CD001266.

https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001266.pub4/full

Steroids and bronchodilators for acute bronchiolitis in the first two years of life: systematic review and meta-analysis

https://www.bmj.com/content/342/bmj.d1714

High-dose inhaled corticosteroids’ effect on wheezing in infants after respiratory syncytial virus infection: a randomized, double-blind placebo-controlled trial.

Ermers MJ, Rovers MM, van Woensel JB, Kimpen JL, Bont LJ; RSV Corticosteroid Study Group. High-dose inhaled corticosteroids’ effect on wheezing in infants after respiratory syncytial virus infection: a randomized, double-blind placebo-controlled trial. BMJ. 2009;338:b897.

Heliox inhalation therapy for bronchiolitis in infants

Liet JM, Ducruet T, Gupta V, Cambonie G. Heliox inhalation therapy for bronchiolitis in infants. Cochrane Database Syst Rev. 2010;4:CD006915.

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Join Eric and Miles Dunagan, President of the National Pilots Association at AMTC ELEVATE 2022, to discuss Just Culture, safety, risk, past air medical accidents, and much more. Just culture has become the foundation for organizational learning, transparency, and the overall safety initiative within the industry we all serve. The evaluation of risk is always part of our collective jobs. Whether you are a pilot, a paramedic, or a nurse, we have all experienced risk. Risk is always around us. How can risk be mitigated? It starts with open communication, transparency, each team member feeling like they have a voice, and a company culture that drives this message from the top down.

Join us for this information-packed podcast highlighting how Just Culture collides with risk, which drives awareness and good decision-making.

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In this episode, Eric is joined by Kevin Collopy at Elevate 2022 to discuss his team's recent research on TBI and 3% hypertonic saline. The conversation quickly progressed to overall resuscitation in TBI, with a focus on decision-making in airway management, ICP management, herniation, and the secondary injuries that impact TBI patients. This is a must-listen, with many great discussion points.

Prehospital Hypertonic Saline Administration After Severe Traumatic Brain Injury

https://doi.org/10.1016/j.amj.2022.04.004

Abstract

"A 25-year-old male patient was critically injured in a high-speed motor vehicle collision over an hour from the nearest trauma center. Paramedics diagnosed the patient with a traumatic brain injury and increased intracranial pressure and transported the patient to a predesignated landing zone for helicopter intercept. During transport, paramedics initiated a severe traumatic brain injury protocol which included the administration of 3% hypertonic saline."

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In this episode, Eric is joined by Kevin Collopy at Elevate 2022 to discuss his team's recent research on TBI and 3% hypertonic saline. The conversation quickly progressed to overall resuscitation in TBI, with a focus on decision-making in airway management, ICP management, herniation, and the secondary injuries that impact TBI patients. This is a must-listen, with many great discussion points.

Prehospital Hypertonic Saline Administration After Severe Traumatic Brain Injury

https://doi.org/10.1016/j.amj.2022.04.004

Abstract

"A 25-year-old male patient was critically injured in a high-speed motor vehicle collision over an hour from the nearest trauma center. Paramedics diagnosed the patient with a traumatic brain injury and increased intracranial pressure and transported the patient to a predesignated landing zone for helicopter intercept. During transport, paramedics initiated a severe traumatic brain injury protocol which included the administration of 3% hypertonic saline."

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This episode is a must listen. Join Eric as he sits down with an exclusive interview with American Siren author Kevin Hazzard. Do you know the true origins of emergency medical services? This story highlights the TRUE origins of ems. A story of poverty, hope, diversity, change, success, and the forgotten.

Kevin Hazzard is the author of A 1000 Naked Strangers, a 10-year veteran Paramedic in Atlanta, and current nursing student. In this podcast, we discuss the inspiration for the book, why its a must read, the history of EMS as we know it and the true origins of EMS as told in this story. We discuss the first 24 Paramedics in the United States and how this group paved the way for thousands of pre-hospital providers today.

FlightBridgeED will be giving away 10 autographed copies of American Siren by author Kevin Hazzard. Like, Share, and Repost on Facebook, Twitter, and Instagram and we will select 10 people from those shares.

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This episode is a must listen. Join Eric as he sits down with an exclusive interview with American Siren author Kevin Hazzard. Do you know the true origins of emergency medical services? This story highlights the TRUE origins of ems. A story of poverty, hope, diversity, change, success, and the forgotten.

Kevin Hazzard is the author of A 1000 Naked Strangers, a 10-year veteran Paramedic in Atlanta, and current nursing student. In this podcast, we discuss the inspiration for the book, why its a must read, the history of EMS as we know it and the true origins of EMS as told in this story. We discuss the first 24 Paramedics in the United States and how this group paved the way for thousands of pre-hospital providers today.

FlightBridgeED will be giving away 10 autographed copies of American Siren by author Kevin Hazzard. Like, Share, and Repost on Facebook, Twitter, and Instagram and we will select 10 people from those shares.

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As healthcare providers, much of what we struggle with is not what we take with us to the scene (our equipment, medications, and techniques) it's what we take back home with us after we have helped others in the most terrible situations of their lives. We are empathetic creatures, and we share in other people's pain. In addition, we may find ourselves struggling with our own terrible situations at work or outside of work. In either case, those traumatic events take a little piece of us with them every time we encounter them.
Dave Olvera shared an incredibly impactful talk at FAST22 detailing his struggles with post-traumatic stress disorder (PTSD) and how he continues to overcome it daily. If there is something that you struggle with, it's important for you to find someone to help you move forward in a healthy way. You don't have to suffer, and you aren't alone. If you need help, FlightBridgeED can connect you with a mental health professional.
If you didn't make it out to FAST22 in Las Vegas, you won't want to miss FAST23! We are returning to Planet Hollywood Resort and Casino in Las Vegas this year, which promises to be bigger and better than last year! Tickets go on sale soon, so be sure to find out more information at FASTSYMPOSIUM.COM. Also, please share this content with your friends and rate and review it wherever you get your podcasts. Thanks so much for listening!

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The critical care transport industry is constantly changing, and it can be hard to keep up with the latest news and trends. FlightBridgeED has always been dedicated to providing the best education possible for our students, but we know that we can't do it alone. We need your help to continue to learn and grow as an industry. In this second part of The State of Things series, Eric, Ashley, and Evan sit down for a conversation about the latest news and trends in the critical care transport industry. We have always believed that education should come without labels and that we can all learn from each other as we work together to care for the sick and injured.

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The FlightbridgeED Podcast has been taken over! Chris Meeks joins us to discuss how the devil is in the details of our RSI procedures! Tune in to learn how applying a high-flow nasal cannula can significantly improve patient outcomes and your workload! Be sure to listen to the end for a huge announcement!

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The last few years have been trying for the medical transport industry, making us wonder about the industry's future. In part 1 of this podcast series, Eric, Ashley, and Evan discuss the good and the bad of the trends happening in the industry. If you really want some fun listening, just wait until you hear the outtake episode! In the mean time, we hope you learn from and enjoy this very open conversation. Thank you so much for listening! We couldn't make this podcast without the support of our incredible community!

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The last few years have been trying for the medical transport industry, making us wonder about the industry's future. In part 1 of this podcast series, Eric, Ashley, and Evan discuss the good and the bad of the trends happening in the industry. If you really want some fun listening, just wait until you hear the outtake episode! In the mean time, we hope you learn from and enjoy this very open conversation. Thank you so much for listening! We couldn't make this podcast without the support of our incredible community!

See omnystudio.com/listener for privacy information.

In the final Hangar Talk episode, Eric and Evan discuss the concept of Just Culture as part of their survey of the air medical industry. This concept is hugely divisive in the industry and is unlikely to change anytime soon. Just Culture is a large topic, and it has many dimensions. In most organizations, employees must complete mandatory Just Culture training modules. The RaDonda Vaught case captured the healthcare industry's attention after the judge handed down her sentence. How does Just Culture apply to this case? Does it apply? Did it apply? Did someone decide that Just Culture didn't apply in this case, and if so, does that instill a great deal of confidence in you that your next blunder (and you will make blunders... we all do) will also result in bypassing Just Culture and putting you in prison for your job? It will be hard to unpack this concept in a short period of time! Don't forget to like and subscribe wherever you found our podcast. Thanks so much for listening! We couldn't make The FlightBridgeED Podcast without you!

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In the final Hangar Talk episode, Eric and Evan discuss the concept of Just Culture as part of their survey of the air medical industry. This concept is hugely divisive in the industry and is unlikely to change anytime soon. Just Culture is a large topic, and it has many dimensions. In most organizations, employees must complete mandatory Just Culture training modules. The RaDonda Vaught case captured the healthcare industry's attention after the judge handed down her sentence. How does Just Culture apply to this case? Does it apply? Did it apply? Did someone decide that Just Culture didn't apply in this case, and if so, does that instill a great deal of confidence in you that your next blunder (and you will make blunders... we all do) will also result in bypassing Just Culture and putting you in prison for your job? It will be hard to unpack this concept in a short period of time! Don't forget to like and subscribe wherever you found our podcast. Thanks so much for listening! We couldn't make The FlightBridgeED Podcast without you!

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Picking up from our last episode, Eric Bauer and Evan Claunch continue their discussion. Getting a job in the air medical industry is exciting, but that shouldn't be your final destination. Critical care medicine is always evolving, and you must stay current with how things are changing in this fast-paced career. In part 2 of Hangar Talk, Eric and Evan reveal some pivotal moments in their careers that may help you as you navigate your way through your own. There are so many great tips and pearls in this episode.
We invite you to listen wherever you get your podcasts, and if you like the content, please don't forget to share it. Thanks so much for listening, and don't forget to listen to episode 3, which is coming soon!

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Picking up from our last episode, Eric Bauer and Evan Claunch continue their discussion. Getting a job in the air medical industry is exciting, but that shouldn't be your final destination. Critical care medicine is always evolving, and you must stay current with how things are changing in this fast-paced career. In part 2 of Hangar Talk, Eric and Evan reveal some pivotal moments in their careers that may help you as you navigate your way through your own. There are so many great tips and pearls in this episode.
We invite you to listen wherever you get your podcasts, and if you like the content, please don't forget to share it. Thanks so much for listening, and don't forget to listen to episode 3, which is coming soon!

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A new mini-series from FlightBridgeED! In this episode, Eric Bauer and Evan Claunch tackle a couple of difficult conversations, share some of the milestones they passed as they grew as critical care providers, and lay breadcrumbs for those seeking a path forward toward accomplishing their own goals. Nothing worth doing is simple, and there are always obstacles in our way. Being successful isn't a destination; it's a journey, and determination is the fuel that moves you along your journey. We invite you to listen wherever you get your podcasts, and if you like the content, please don't forget to share it. Thanks so much for listening!

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A new mini-series from FlightBridgeED! In this episode, Eric Bauer and Evan Claunch tackle a couple of difficult conversations, share some of the milestones they passed as they grew as critical care providers, and lay breadcrumbs for those seeking a path forward toward accomplishing their own goals. Nothing worth doing is simple, and there are always obstacles in our way. Being successful isn't a destination; it's a journey, and determination is the fuel that moves you along your journey. We invite you to listen wherever you get your podcasts, and if you like the content, please don't forget to share it. Thanks so much for listening!

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We are starting off the FAST22 Rewind series with one of the most powerful talks we have ever heard. In fact, we are still getting feedback almost two months after the conference about the positive impact this talk had. Mike Verkest pitched the idea of a presentation in which...he never spoke. In a symbolic way, he would take the stage with tape across his mouth, only to remove it in the last seconds of the talk to encourage others to take the proverbial tape off of their mouths and talk about our shared experiences. You could feel the emotion in the room, hear the tears and experience the permission to feel the way we feel. It was extraordinarily dramatic and culminated with a standing ovation. We are pleased to present to you, "That One Day"!

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We are starting off the FAST22 Rewind series with one of the most powerful talks we have ever heard. In fact, we are still getting feedback almost two months after the conference about the positive impact this talk had. Mike Verkest pitched the idea of a presentation in which...he never spoke. In a symbolic way, he would take the stage with tape across his mouth, only to remove it in the last seconds of the talk to encourage others to take the proverbial tape off of their mouths and talk about our shared experiences. You could feel the emotion in the room, hear the tears and experience the permission to feel the way we feel. It was extraordinarily dramatic and culminated with a standing ovation. We are pleased to present to you, "That One Day"!

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Pediatric patients are just tiny adults, right? Isn't that what we have always been taught? It is what was taught, but we flatly reject the concept. Why? Because we have seen the reports and results of that flawed logic and the tragic results that follow. For example, if you treat a pediatric patient with diabetic ketoacidosis (DKA) the same way as you would an adult patient with DKA then you can bet your favorite pair of flight boots that their outcome will suffer. That's what this podcast episode is all about!

Among many concepts, you will learn why it's wrong to bolus your pediatric DKA patients with tons of fluid and why sodium bicarbonate is not your friend in these cases. Also, check out the show notes! These are incredible resources that you can use in your own practice!

Show Notes:

https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/Bicarb_DKA_Pediatrics.pdf

https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/DKA-pathway.pdf

https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/Kupperman+NEJM+2018_Fluids.pdf

https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/NEJM.pdf

https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/Neonatal_DKA+case+report.pdf

https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/peds_protecting+the+brain.pdf

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Pediatric patients are just tiny adults, right? Isn't that what we have always been taught? It is what was taught, but we flatly reject the concept. Why? Because we have seen the reports and results of that flawed logic and the tragic results that follow. For example, if you treat a pediatric patient with diabetic ketoacidosis (DKA) the same way as you would an adult patient with DKA then you can bet your favorite pair of flight boots that their outcome will suffer. That's what this podcast episode is all about!

Among many concepts, you will learn why it's wrong to bolus your pediatric DKA patients with tons of fluid and why sodium bicarbonate is not your friend in these cases. Also, check out the show notes! These are incredible resources that you can use in your own practice!

Show Notes:

https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/Bicarb_DKA_Pediatrics.pdf

https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/DKA-pathway.pdf

https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/Kupperman+NEJM+2018_Fluids.pdf

https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/NEJM.pdf

https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/Neonatal_DKA+case+report.pdf

https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/peds_protecting+the+brain.pdf

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In this episode, Eric breaks down some of the changes that were made to the new sepsis protocols in 2021. Sepsis is one of the most common illnesses that we see in critical care medicine. It's important to understand the many dimensions of sepsis and how to treat it as a critical care provider. A 30-minute transport could make the difference in your patient's outcome; maybe even life, or death. Arm yourself with the latest information and ensure that you are providing the right care for your septic patients.

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In this episode, Eric breaks down some of the changes that were made to the new sepsis protocols in 2021. Sepsis is one of the most common illnesses that we see in critical care medicine. It's important to understand the many dimensions of sepsis and how to treat it as a critical care provider. A 30-minute transport could make the difference in your patient's outcome; maybe even life, or death. Arm yourself with the latest information and ensure that you are providing the right care for your septic patients.

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In this video podcast, Eric discussed the acronym developed by Jared Patterson, an educator for FOAMfrat. This clever memory aid is used to identify the atypical 12 lead tracings that often go unnoticed or missed. Join us for this information-packed episode on evidence-based 12 lead interpretation. So much good stuff! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

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In this video podcast, Eric discussed the acronym developed by Jared Patterson, an educator for FOAMfrat. This clever memory aid is used to identify the atypical 12 lead tracings that often go unnoticed or missed. Join us for this information-packed episode on evidence-based 12 lead interpretation. So much good stuff! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

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In this video podcast, Eric dives into all things neuro and ischemic stroke pathophysiology. We discuss brain physiology, circulation, common thrombotic and embolic stroke etiology, recognition, assessment, and management based on current evidence-based practice. Don't miss this episode! So much good stuff! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

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In this video podcast, Eric dives into all things neuro and ischemic stroke pathophysiology. We discuss brain physiology, circulation, common thrombotic and embolic stroke etiology, recognition, assessment, and management based on current evidence-based practice. Don't miss this episode! So much good stuff! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

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In this video podcast, Eric takes a look at a very difficult case of multifactorial resuscitation with an adult male patient. We dive deep into all things resuscitation and analyze factors that drive our decision-making. This takes the "acidosis rodeo podcast series to another level. Don't miss this episode! So much good stuff! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

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In this video podcast, Eric takes a look at a very difficult case of multifactorial resuscitation with an adult male patient. We dive deep into all things resuscitation and analyze factors that drive our decision-making. This takes the "acidosis rodeo podcast series to another level. Don't miss this episode! So much good stuff! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

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In this episode, Eric dives into airway assessment, research, and resuscitation. how do you assess your airway? What methods optimize your ability to predict a difficult airway. How do you anticipate resuscitation factors that impact advanced airway management and your decision making? This is an information packed episode. Don't miss it! You don't want to miss this episode. So much good stuff! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

In this episode, Eric dives into an amazing case of survival and breaks down all things hypothermia. We look at the current resuscitation recommendations and evaluate this case, the decision making and the ultimate outcome. How should you focus your approach on working a hypothermia patient with a long down-time? You don't want to miss this episode. So much good stuff! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

In this cross-over podcast, we are joined by our team from the Standard of Care Podcast. On 8/22/2021, a Colorado grand jury handed down a 32-count criminal indictment against the police officers and EMS personnel involved in the incident that led to Elijah McClain’s death. In this episode of the Standard of Care, Nick and Samantha try to untangle what these indictments could mean for the EMS community. We reach out to our resident experts - former prosecutor (now business lawyer) Chris Timmons and defense attorney (and Samantha’s law school classmate) Stephen Coxen – for answers. How do prosecutors even decide to file charges in a case like this? How does a grand jury work? What are the strengths and weaknesses of the prosecution’s case, and how does a criminal defense attorney defend a client against these charges? What can EMTs and paramedics do to protect themselves from potential criminal liability? You don't want to miss this episode. So much good stuff! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

In this podcast, Eric and Mike are joined by special guest John Clark, the Chief Operating Officer at the International Board of Specialty Certification - IBSC. We discuss all things related to the FP-C and CCP-C board certifications and answer a lot of listener questions related to why these two board certifications are the standard in critical care medicine for paramedics. You don't want to miss this episode. So much good stuff! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

In this podcast, Eric is joined by Mike Verkest and our special guest, Flight Paramedic Kyle Driesse. We discuss the implementation and ongoing performance of the Minnesota mobile extracorporeal cardiopulmonary resuscitation program. This is the first program serving an entire metropolitan area designed to rapidly deliver extracorporeal membrane oxygenation (ECMO) facilitated resuscitation to patients with refractory ventricular fibrillation/ventricular tachycardia (VF/VT) out-of-hospital cardiac arrest (OHCA). Don't miss it! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

In this podcast, Eric is joined by Mike Verkest for our 200th episode. It has been an amazing nine years! In this podcast we review the "Best and Most Downloaded Podcasts of All-Time", as chosen by you the listener. We review any new science and discuss each the high points of each podcast. Don't miss it! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

In this video podcast, Eric takes a look at clinical pearls within the realm of advanced hemodynamics and cardiac physiology. He dives into the 1:5 rule and uses simulation from iSimulate, with case studies to illustrate how your hemodynamic numbers can help you in decision making. This is an information-packed episode, with a focus on current evidence-based practice and treatment guidelines. Don't miss it! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

Part 1: Bad information abounds. We wanted to get the band back together and give you a no-nonsense, non-political, non-biased easy to understand podcast about the COVID Vaccines (well, the mRNA versions) and talk about safety, efficacy, and everything else you wanted to know. We want you to be able to share this with your non-medical friends and family who may be on the fence when it comes to getting vaccinated. Thanks for continuing to support our podcast! Did you know many of our episodes can also be watched? Be sure to check out the FlightBridgeED channel on YouTube! We appreciate your subscriptions and views! Be sure to leave us a review and rating!

Part 2: Bad information abounds. We wanted to get the band back together and give you a no-nonsense, non-political, non-biased easy to understand podcast about the COVID Vaccines (well, the mRNA versions) and talk about safety, efficacy, and everything else you wanted to know. We want you to be able to share this with your non-medical friends and family who may be on the fence when it comes to getting vaccinated. Thanks for continuing to support our podcast! Did you know many of our episodes can also be watched? Be sure to check out the FlightBridgeED channel on YouTube! We appreciate your subscriptions and views! Be sure to leave us a review and rating!

In this video podcast, Eric takes a look at the concept of damage control resuscitation and the new concept of the "Lethal Trauma Diamond". In this podcast we dive into all things trauma resuscitation, focusing on current evidence-based practice as it relates to component therapy (1:1:1), whole blood administration, and the four components of the lethal diamond. We investigate the newest of the four, hypocalcemia, and look at the pathophysiology around ionized calcium and the impact on coagulopathy. This is an information-packed episode, with a focus on current evidence-based practice and treatment guidelines. Don't miss it! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

Join Eric as he takes a DEEP DIVE into all things Spinal Cord Injury. Spinal cord injuries are catastrophic injuries that can be hard to manage. Each year approximately 17,000 new spinal cord injuries occur in the United States, with trauma from motor vehicle crashes as the leading cause. In this video podcast, we take a look at anatomy and physiology, injury location, and associated presentations for anterior cord, central cord, posterior and Brown-Sequard syndrome. This is an information-packed episode, with a focus on current evidence-based practice and treatment guidelines. Don't miss it! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

Join Dr. Zaffer Qasim for this video Podcast: "Better than the sum of its parts: Whole Blood In Trauma" This insightful video podcast will take an in-depth look at the evidence surrounding Whole Blood administration and the current practices surrounding trauma resuscitation. Join Dr. Zaffer Qasim for this excellent look at one of the hottest topics in pre-hospital and emergency medicine - Whole Blood!. Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

Join Dr. Peter Antevy for this exclusive FAST21 video talk: "Hail to the Receptor in Chief"! This insightful video podcast will take an in-depth look at the evidence surrounding Ketamine and the impact on MDMA receptors. Join Dr. Antevy for this excellent look at one of the hottest topics in pre-hospital and emergency medicine. Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

In this episode, Eric discusses our impact on our environment and the people around us. How do you come across to others? Are you a (-1), (0) or (+1)? How does this impact your ability to grow in an organization? Join Eric for: "Aim To Be A ZERO! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

In this episode, Eric takes a look at key elements of differential diagnosis and how being thorough in our approach will often save us from making big mistakes. One of the highest risk areas in prehospital EMS and emergency medicine is cognitive bias. You will not make a diagnosis of the disease that you didn’t include in your differential. Join us for "The Eyes Don't See what the Brain Doesn't Consider"! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

In this episode, Eric takes a look at key elements that will help you be successful in your life, career, or any other pursuits you make seek through throughout your life. The "Rage: 5 Pillars of Mastery", takes a look at my top five areas of focus to help you be the best version of yourself! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.

In this episode, Eric discusses the current evidence and analysis of the RCT on Ketamine use in RSI as published in the Air Medical Journal. Does this RCT show us anything we didn't already know? How can we optimize a neutral hemodynamic response in our sickest patients? Join us for "Prehospital Ketamine Use for Rapid Sequence Intubation - RCT Review"! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean and many more.

In this episode, Eric discusses the current evidence, approach and opinions on treating patients in metabolic acidosis w/ partial compensation. How do we determine the correct minute ventilation? Does education cause us to have calculated discrimination for these patients? How do we best approach this type of patient and how often do we really see a patient that needs high minute ventilation? Should education focus more on critical thinking and the identification of these patients? Join us for "Blankets are for Naps, Not Medicine: Metabolic Acidosis - Calculated Discrimination"!

In this Episode, Mike Verkest joins Eric and Dr. Dimitri Yannopoulos to discuss the role of ECMO in out of hospital cardiac arrest. Dr. Yannopoulos’s research involves cardiopulmonary resuscitation, hypothermia, and myocardial salvage during acute coronary syndromes. He is considered an authority in cardiorespiratory interactions and hypothermia during CPR. His work in the laboratories of Dr. Keith Lurie (at the University of Minnesota) and Dr. Henry Halperin (at Johns Hopkins University) has helped change current CPR practices. We will discuss the ARREST trial and learn about he trails he is blazing in cardiac arrest care.

This is a special edition podcast that was recorded from a live broadcast on September 24th 2020 featuring Sea-Long Medical Industries and their partnership with Life Link III. This discussion will cover the unique collaboration that all started with a news story on ABC Nightly News. Hear how the relationship formed and how Life Link III took on the task of implementing this nontraditional, yet ground breaking treatment modality for COVID-19.

You are called for an 18-year-old male who was intubated at a community hospital. That is probably the best thing they could have done. Listen to Eric as he describes the challenge of this patient and the associated ventilator strategies. Join the conversation! Download, subscribe, listen and share this podcast. Don’t forget to subscribe wherever you get your podcasts!

Eric discusses a recent paper on the predictive values of POC Glucose and its relationship to hypotension in the adult trauma patient. Join the conversation! Download, subscribe, listen and share this podcast. Don’t forget to subscribe wherever you get your podcasts!

Ashley Bauer continues her COVID conversation, with a focus on the pediatric population. The number of cases involving children and changes in symptoms have sparked a world-wide discussion as to what to do with these cases. Join the conversation! Download, subscribe, listen and share this podcast. We couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks so much for listening!

In this special episode, Ashley has kicked Eric out of the podcast studio and has gone solo. Join Ashley Bauer as she hosts the podcast and takes you through a Nightmare case study of a COVID-19 positive patient. She breaks down the initial presentation and moves through diagnostic studies, including labs, chest x-ray findings and much more! This is a can't miss episode! We couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks so much for listening!

Join Mike Verkest, Eric Bauer and Bruce Hoffman as we discuss all things Advanced Hemodynamics. This topic can be complex and is often not used enough to get proficient. Join us as we discuss "tips and tricks" and answer your common questions. We finish with a look at the application and how to make the correct pharmacology decision based on the hemodynamic numbers you are seeing. Download, rate, and review wherever you get your podcasts. Reviews help us stay high on the chart where your friends and co-workers can find us. If you love our free podcast, help us spread the word!

As we continue through this COVID-19 pandemic, mechanical ventilation and the available equipment needed to manage these intubated patients are dwindling fast. Join Dr. DuCanto as he introduces the Oxylator as a tool to manage intubated patients that need mechanical ventilation support. The device is simple to use and maybe a great option in this COVID-19 fight. Download, rate, and review wherever you get your podcasts. Reviews help us stay high on the chart where your friends and co-workers can find us. If you love our free podcast, help us spread the word!

We have not seen anything like this... I would dare to say the COVID-19 pandemic will live in our memories for a lifetime. As the world watches, healthcare providers around the world are dealing with patients that have mild to severe symptom morphology. This podcast goes into the disease escalation and how the sickest patients end up in acute respiratory failure. Join me in part 1 of 2 in the COVID-19 series as we identify the disease evolution and look at the specific pathophysiology associated with the secondary effects seen with COVID-19 patients. Download, rate, and review wherever you get your podcasts. Reviews help us stay high on the chart where your friends and co-workers can find us. If you love our free podcast, help us spread the word!

This is a retro release from the highly downloaded series on Acid Base Balance. If you missed these episodes, need to brush up on concepts or just love all things Acid Base Balance listen and sharpen your skills. In this first of a three part series, Eric Bauer unpacks a difficult critical care case scenario and begins to explain how we can better identify pH balance disturbances in our patients. Learn how to identify acidosis even without blood gasses, how to protect your patients from further sliding into a worsening state, and much more. Download, rate and review wherever you get your podcasts. Reviews help us stay high on the chart where your friends and co-workers can find us. If you love our free podcast, help us spread the word!

Push dose pressor administration in the pre-hospital and air medical industry is becoming a more standard guideline. However, there is very little evidence in its application in our environment. The Vasopressor Intravenous Push to Enhance Resuscitation (VIPER) study takes a prospective observational look at Phenylephrine and Vasopressin in non-trauma and trauma patients in the air medical environment. Listen and find out more. Download, rate and review wherever you get our podcast. Remember that reviews help us stay high on the charts where your friends and colleagues can find us. If you love our podcasts, please help us out and spread the word online and in the streets. Thanks for listening!

This was one of the most popular and most downloaded podcasts we have ever done. Endocrine is often an unpopular subject and can bring forth many complex topics. Join guest Ashley Bauer in this retro release and dive into this great podcast. In this episode of The FlightBridgeED Podcast, Eric is joined by his lovely wife, Ashley Bauer as they dissect several complicated patient care scenarios. These cases are lab value intense and each value is explained clearly and applied to the patient so that you can easily understand what they mean on your next critically ill patient. Download, rate and review wherever you get our podcast. Remember that reviews help us stay high on the charts where your friends and colleagues can find us. If you love our podcasts, please help us out and spread the word online and in the streets. Thanks for listening!

In this episode of The FlightBridgeED Podcast, Eric is joined by Mike Verkest to review the top 5 most downloaded podcasts from 2019. It was an incredible year, and 2020 is shining just as bright! Download, rate, and review wherever you get your podcasts. The FBE family of podcasts is now available on TuneIn! Get the app now and listen to your favorite podcast and more! Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

In this episode, we explore another critical Nightmare Series Patient. We explore the complex world of ischemic stroke and the pathophysiology of herniation. Eric is joined by his good friend Flight Nurse Rahkeem Francis in the discussion of all things neuro and how to handle a herniating ischemic stroke patient within the transport realm. Don't miss this excellent case and overview of the herniating ischemic stroke patient. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

In this episode, we dive into Congenital Heart Defects Part 3 of 3. In this podcast, we will review Tricuspid Atresia and Hypoplastic Left Heart. Despite these patients often being transported by NICU teams, there are cases of congenital heart defects that have been undiagnosed and something you may encounter on scene fights that decompensate once the PDA has closed. This places the care in the pre-hospital provider's hands and brings forth a high-stress case that can be overwhelming for most. Couple this with the high quantity of questions seen on all advanced certification exams and it is a must that we review these congenital heart defects. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

In this episode, we dive into Congenital Heart Defects Part 2 of 3. In this podcast, we will review Truncus Arteriosus and Tetrology of Fallot. Despite these patients often being transported by NICU teams, there are cases of congenital heart defects that have been undiagnosed and something you may encounter on scene fights that decompensate once the PDA has closed. This places the care in the pre-hospital provider's hands and brings forth a high-stress case that can be overwhelming for most. Couple this with the high quantity of questions seen on all advanced certification exams and it is a must that we review these congenital heart defects. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

In this episode, we dive into Congenital Heart Defects Part 1 of 3. In this podcast, we will review Coarctation of the Aorta and Transposition of the Great Vessels. Despite these patients often being transported by NICU teams, there are cases of Coarctation of the Aorta infants that have been undiagnosed that you may encounter on scene fights that decompensate once the PDA has closed. This places the care in the pre-hospital provider's hands and brings forth a high-stress case that can be overwhelming for most. Couple this with the high quantity of questions seen on all advanced certification exams and it is a must that we review these congenital heart defects. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

In this episode, we dive into another Nightmare Series Patient Case of the decompensating infant. Join Eric as he discusses neonatal to full-term infant resuscitation based on current standards by NRP, PALS, STABLE and Pediatric Fundamentals of Critical Care Support (PFCCS). This is a great case that highlights key factors in neonatal and infant resuscitation. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

Throughout the course of modern medicine, old methods fall as new ones emerge safer, more reliable, better for patient outcomes, and more. Sims et al., Says this: "Resuscitation strategies that decrease the need for transfusions without increasing complications, therefore, would represent a clinically important innovation". Research is deep and results are shared throughout the world. One of the fastest-growing, most industry-related sections of medicine today is that of resuscitation. In this episode of The FlightBridgeED Podcast, the team of Dr. Jeff Jarvis and Mike Verkest from the highly-rated EMS LightHouse Project Podcast dissect the actual study from a statistical analysis standpoint. Is the data as good as it seems? Is it statistically significant? Is there a place for vasopressin administration early in the resuscitation phase within the realm of trauma-induced massive hemorrhage? Join them and find out! Don’t forget to rate and especially review wherever you got your podcasts. These reviews are especially key to keeping us high on the charts where your friends and colleagues can find us. Thank you for listening.

The debate regarding vasopressor use in trauma has been going on for years. FOAMfrat recently released a blog article called. "Levophed Assisted Transfusion". In this article written by Tyler, he lays out his thoughts on this subject and advocates for vasopressor administration in the early resuscitation phase with patients suffering from multi-systems trauma and associated TBI. This podcast is a rebuttal podcast on that article and the current evidence. Are vasopressors in trauma warranted? Is there clinical evidence? I say... Join me in this review and find out my stance! These reviews are especially key to keeping us high on the charts where your friends and colleagues can find us. Thank you for listening.

Throughout the course of modern medicine, old methods fall as new ones emerge safer, more reliable, better for patient outcomes, and more. Sims et al., Says this: "Resuscitation strategies that decrease the need for transfusions without increasing complications, therefore, would represent a clinically important innovation". Research is deep and results are shared throughout the world. One of the fastest-growing, most industry-related sections of medicine today is that of resuscitation. In this episode of The FlightBridgeED Podcast, Eric presents the newly published research just released on the AVERT Trial. Remember we introduced this abstract in a podcast called "Vasopressin The Master Medication - September 17, 2017. Well... the evidence is out! This is groundbreaking stuff in trauma resuscitation, don't miss it! Don’t forget to rate and especially review wherever you got your podcasts. These reviews are especially key to keeping us high on the charts where your friends and colleagues can find us. Thank you for listening.

In this episode I ask for your support in my submission for the open board position within the IAFCCP Association. Thank you for all your support! Remember that reviews are key to help keep us stay high on the charts and where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

In this episode, we explore another critical Nightmare Series Patient. We explore the complex world of ASA overdose and the wide-ranging pathophysiology we have to migrate through. ASA overdose is one of the more complex presentations and will challenge the most experienced providers Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

In this episode, we explore the world of OZ... OZmolality, urine specific gravity and the disease processes of SIADH and Diabetes Insipidus. These are important for advance certification exams preparation and overall patient application. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

WOW! FAST19 was so amazing. So inspiring! If you missed FAST19.. Don't worry, FAST20 will be - May 18-20, 2020 in Murfreesboro, TN. This is the second of a few releases from FAST19. This was a moving talk by our own Daniel Mills from the 911 BuddyCheck Project. You don't want to miss this! Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

In this episode, we dive into the many emails I receive and attempt to answer hot topic clinical questions. Join me in this dynamic episode as we discuss all things critical care. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

In this episode, we dive into another Nightmare Series Patient Case of the Undifferentiated Overdose. Join Ashley, Mike, and Eric during our recent visit to the National Teaching Institute Critical Care Nursing Conference. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

This is a plug and introduction to all the FBE listeners to our newest podcast. The EMS Lighthouse Project Podcast exists to foster knowledge translation from peer-reviewed scientific journals to the street. Join Mike Verkest and Dr. Jeff Jarvis as they shine the bright light of science on EMS practice in an informative and fun way as they look deep into the research on epi in cardiac arrest. Does it help? Are there better outcomes? How do patients do based on neurological outcomes? Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening! Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

WOW! FAST19 was so amazing. So inspiring! If you missed FAST19.. Don't worry, FAST20 will be - May 18-20, 2020 in Murfreesboro, TN. This is the first of a few releases from FAST19. This was a very popular talk by our own Bruce Hoffman as he perfectly goes through the case-based study called - RVAD vs. Air Embolus | A Lesson in CRM. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

FAST18 was Epic! If you missed FAST18.. Don't worry, FAST19 is in three days - May 6-8, 2019 in Murfreesboro, TN. This is the fifth and final release of FAST18. Join the 2019 Keynote opening speaker, Ginger Locke for this thought-provoking talk - "When Things Get Wicked"! Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

We are back to the horrors associated with the "The Nightmare Patient". The crew is tenuously attempting to rip the patient out of death’s mouth and bring him back from the roaring mouth of oblivion. Will the patient be saved? In this episode, we dive into the cardiac catastrophe. Take a journey as we discuss treatment pearls associated with atypical presentations, with a focus on Wellen's syndrome and papillary muscle rupture of the mitral valve and associated treatment PEARLS. Join me in the tough topic and take a journey with me as we explore our thinking methodology. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

The transition from more rigid based protocol into the more guideline based thought process can be an overwhelming transition. Many of us can be very black and white with our thinking. This is can be dangerous! We all need to have the "Fifty Shades Of Gray" mindset. This podcast is meant to challenge the black and white thinking many of us struggle with. Join me in the tough topic and take a journey with me as we explore our thinking methodology. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

In this episode of The FlightBridgeED Podcast, Mike Verkest discuss the results of the Resuscitation Outcomes Consortium (ROC) TXA study in traumatic brain injuries. This was a double-blinded study that resulted from data derived from the Crash-2 and MATTERs studies on TXA in hemorrhage. Join Mike as he recaps the results. Hot off the press!! Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

In this episode, Eric is joined by Ashley Bauer as they look at the concept of the "Second Fracture". We can often times become hyper-focused on a specific complaint, to then completely miss the true problem. Join us as we explore three different cases that highlight this concept. Don't miss this important lesson in medicine... The Second Fracture! Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

In this episode of The FlightBridgeED Podcast, Eric breaks down atelectasis and physiologic shunting seen in the standard hypoxic patient. It is essential to understand the physiology and pathophysiology of these difficult patients. Join him in part 1 of 2 on this podcast series. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

In this episode of The FlightBridgeED Podcast, Eric is joined by Mike Verkest to review the top 5 most downloaded podcasts from 2018. It was an incredible year, and 2019 is shining just as bright! Download, rate, and review wherever you get your podcasts. The FBE family of podcasts is now available on TuneIn! Get the app now and listen to your favorite podcast and more! Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

Diabetic ketoacidosis patients can be very sick and challenging. There are multiple diagnostic indicators used in diagnosing and treating DKA patients. One standard test used is the urine and/or serum ketone test. This can be inaccurate and does not always give the provider the true story when evaluating an improving or declining clinical picture. However, the earliest ketone body formed during fatty acid breakdown is beta-hydroxybutyrate. This isn't a new lab, but a lab that has become more available in the emergency department. Join me for this quick podcast on this great tool assisting in the overall diagnosis in the diabetic ketoacidosis patient. You don't want to miss this one! Last, we couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!

Mechanical ventilation in the pediatric population brings forth different areas of concern. Couple this with an already stressful patient population and these types of calls can be highly stressful. Join us in part 2 of 2 as Tyler Christifulli hosts w/ guest Bryan Winchell, as they discuss the "Silent Killers related to pediatric mechanical ventilation, with an application to the Hamilton T1 ventilator. You don't want to miss this one! Lastly, we couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!

Mechanical ventilation in the pediatric population brings forth different areas of concern. Couple this with an already stressful patient population and these types of calls can be highly stressful. Join us in the last podcast for 2018 where we dive into the "Silent Killer" in Pediatric mechanical ventilation. This will be part 1 of 2 podcasts on this highly requested topic. Lastly, we couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!

Join us at AMTC 2018 for a discussion that has been a hot topic around the United States for the past few years. We are joined by Dr. Mike Hudson, medical director for Classic Air Medical in Utah. He is one of just a few medical directors in the United States taking a stance on this hot topic. Are we close to following in the footsteps of our brothers across the pond? Join us to find out more about "Soft Vs. Hard is the Question?" Lastly, we couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!

Using push dose pressors have become common practice in the pre-hospital and critical care environments. We have seen many companies adopt protocols that guide the use of medications such as Epinephrine and Phenylephrine as the go-to medications in the setting of Rapid Sequence Intubation, with associated hemodynamic compromise. However, are these the best medication? We know that both Epinephrine and Phenylephrine come with many potential side effects. Is there a better option? Join us to find out more about "The New KID On The Block." Lastly, we couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!

This is our second in a series of two unique podcasts that takes a look at the road to becoming a Flight Nurse. I'm joined with Kelly Miller, Regional Clinical Manager for the Midwest Region of Air Methods Corporation. We have received numerous podcast requests on the topic of: "What is the best way to achieve the position of "Flight Nurse". Kelly comes with a diverse experience level as a nurse in the ED, ICU and flight nurse in the HEMS industry, with his current role as a Regional Clinical Manager. 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!

We have all sat back and thought about the worst scenarios possible. We train on different patient presentations and take great care in understanding our job as a whole. But...Do we take the same time and preparation in our crew resource management skills? How would you respond in different flight related emergencies with your patient, partner, pilot or aircraft? Sit back and get ready for the Nightmare Scenario - Managing The Unimaginable. We couldn’t make this podcast without. Please rate, and review wherever you download the podcast. Thanks for listening!

What is the best tool we have? It is easy to get excited about intubation, chest tubes or even surgical airways. What saves lives? What tool out of all our procedures and equipment is the best? In the episode, we discuss how to have optimal performance and ways to build on this amazing tool! We couldn’t make this podcast without. Please rate, and review wherever you download the podcast. Thanks for listening!

Join us for a special "hijacked episode" of the podcast. This is a much-needed topic of conversation. The "OODA Loop" process has been discussed in-depth in regards to cognitive and performance psychology. However, we often find ourself task saturated, tunnel-visioned, and stuck in a faulty loop of repetitive error. In the episode, we discuss five tips to train and prepare for optimal performance, troubleshooting, and the mental reset. We couldn’t make this podcast without. Please rate, and review wherever you download the podcast. Thanks for listening!

If you didn't listen to the recent podcast put out by Tyler Christifulli and FOAMfrat called "Trigger Happy Transfusion Confusion" please download and listen via the FOAMfrat podcast feed. Tyler does a great job and provides out of the box thinking on the hot topic of PRBC administration in the transport environment. This "Response" podcast is based on my commentary, overall thoughts on the topic, additional topic points to consider and an overall review of the data related to PRBCs, FFP, and the recently published PAMPer trial. We couldn’t make this podcast without. Please rate, and review wherever you download the podcast. Thanks for listening!

From the authors of David Olvera, FP-C and Daniel Davis M.D. The abstract introduction: Rapid sequence intubation (RSI) is associated with a number of 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. 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 ground breaking look into our mental ability to be ready for duty. This was one of my favorite talks and something everyone of 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. 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 the patient that 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, 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 with 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 a better way to honor Evan as he moves into a new career and leaves the HEMS industry behind, but 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 on subject! Lastly, we couldn’t make this podcast without. Please rate, and review wherever you download the podcast. Thanks for listening!

We are back to the horrors associated with the "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 patients to manage in general. Lastly, we couldn’t make this podcast without. 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 second of many FAST18 Rewinds that will be released throughout the next year, leading up to FAST19. This talk is a ground breaking look into pediatric resuscitation by a true visionary. Join Dr. Peter Antevy with his talk "A Paradigm Shift In Pediatrics. We couldn’t make this podcast without. Please rate, and review wherever you download the podcast. Thanks for listening!

This podcast is going to dive into the topic of TIME CONSTANT. Have you ever wondered how we truly determine the exhalation time for our ventilator patients? Time Constant is the concept that guides our care and determines the time needed for proper alveolar filling or emptying. We couple this podcast with a downloadable worksheet for practice that can be found in the show notes on the FlightBridgeED website under this podcast. The worksheet gives calculation examples, practice questions, and answers to check your work. I promise this podcast will challenge you, bring insight on problems you've encountered in the transport environment and ultimately give you new tools that will make you better as a clinician. We couldn’t make this podcast without. Please rate, and review wherever you download the podcast. Thanks for listening!

This podcast is going to dive into the hot topic of ARDS or lack there of. I’ve been so excited to review this article and was blown away by its depth and science based discussion. In this amazing article by Pulmcrit and Josh Farkas, the topic of ARDS is examined with the focus on the Berlin Definition of ARDS, pathophysiology, iatrogenic injury and the new theory called “pseudoARDS”. In this episode, we explore the old thought process in ARDS, with a focus on diagnosis, physiology, theory, and overall treatment approach. We then examine the science and take a look at the newer thoughts on “pseudoARDS”. We couldn’t make this podcast without. 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 first of many FAST18 Rewinds that will be released throughout the next year, leading up to FAST19. This talk is my Keynote talk that ended day 1. Join me in reflection and listen to "My Worst Day"!

In this episode of The FlightBridgeED Podcast, Eric invites Dr. Bryan C. Morse to discuss REBOA. REBOA is a minimally invasive procedure in which a balloon is inserted into the aorta in order to control bleeding. This buys time for the patient to receive the surgical care that they require and saving their life. Join us for this episode and share it with your colleagues! We couldn’t make this podcast without. Please rate, and review wherever you download the podcast. Thanks so much for listening!

In this episode of The FlightBridgeED Podcast, we take a look at CVP and what it means to modern critical care practice. There are a lot of misconceptions about the correct ranges, what it actually tells us, and so much more. You won’t want to miss this incredibly informative podcast to get you on the road from Zero to Flow! If you love The FlightBridgeED Podcast, rate, and review wherever you get your podcasts. Thanks for listening!

FAST18 is almost here, and we couldn’t be more excited! As the clock counts down until the doors open, we are beginning to get a clear understanding of what an incredible gathering of brilliant educators, and speakers are going to be in the same building at the same time. With that in mind, Eric has invited Ashley Liebig onto the show for a quick chat about what everyone can expect! If you haven’t made up your mind about attending, you still have a short window to purchase your tickets. This could be your chance to breathe new life into your career, or keep the fire burning! Hop in on this conversation and tap into the buzz surrounding this event! FlightBridgeED is dedicated to our community of friends and family from around the world! This is your chance to get connected, earn some continuing educations hours, and learn from some of the most talented educators in the FOAMed community! Thanks for listening!

In this episode of The FlightBridgeED Podcast, Eric is joined by a curio collection of some of the most brilliant minds in the pre-hospital critical care industry to review the top 5 most downloaded podcasts from 2017. It was an incredible year and 2018 is shining just as bright! Download, rate and review wherever you get your podcasts. The FBE family of podcasts is now available on TuneIn! Get the app now and listen to your favorite podcast and more! Remember that reviews are key to help keep us high on the charts where your friends, and family can find us. We couldn’t make this podcast without you. Thanks for listening!

In this episode of The FlightBridgeED Podcast, Eric takes a few minutes to delve into an intriguing aspect of the paralytics we carry out on every flight. As the old quote goes, everything is a poison in the right amount, it is perhaps worth applying this, in a manner of speaking, to the pharmacokinetics of the paralytics we give our patients. Are some of these medications actually doing more harm than we realize? What are the potential problems with the tried-and-true medications we are comfortable with, and that have a long history with providers? Learn how you can bring the cutting edge of medicine to your paralytic toolbox in this episode! Download, rate and review wherever you get your podcasts. The FBE family of podcasts is now available on TuneIn! Get the app now and listen to your favorite podcast and more! Remember that reviews are key to help keep us high on the charts where your friends, and family can find us. We couldn’t make this podcast without you. Thanks for listening!

Have you ever wondered what happens to that medicine you so easily flush down the IV line of your patient, or in that capsule your patient swallows? We so often take for granted that an incredibly complex, and amazing chain of processes must take place in order to move the medicine we give to the exact spot where it’s needed. Join Eric Bauer as he peels back the mysterious layers of medication absorption and distribution. As always, this really difficult subject gets broken down into easily understood analogies, and concepts that builds knowledge on top of knowledge. The best part… it’s all free! Download, subscribe, rate, and review wherever you get your podcast from. Did you learn a lot from this podcast? Help us keep this podcast, and more high on the charts so your friends and colleagues can find us easily! Give us a quick review and let the world know how much you like our stuff! Thanks for listening! We couldn’t make this podcast without you.ke a few minutes and write a short review. We couldn’t make this podcast without you!

In this episode of The FlightBridgED Podcast, Eric and Dave Olvera carve out some time while they are on the road to talk about airway management preparation strategies. Dave has invested many years of his professional career investigating, and researching, among other important projects, how to best optimize intubation success. For as long as I can remember, we have used difficult airway predictors in our field practice, such as LEMON(S), to help prepare for eventualities when placing an endotracheal tube. Dave and his colleagues have determined that those predictors are great, but may not be as applicable to field intubations. With mountains of research at hand the HEAVEN criteria was created, along with best-practice strategies for increasing intubation success in an ever-changing environment. Join us for this episode as Eric and Dave discuss HEAVEN criteria, and more! Download, rate, and review wherever you get your podcast. Each review is so important to our success. Your reviews on iTunes, Google Play Music, Stitcher, or other platforms help to make us a recommended podcast so we are more visible, and easily discovered. If you believe in the value of what FlightBridgeED brings in this podcast, please take a few minutes and write a short review. We couldn’t make this podcast without you!

In this episode of The FlightBridgED Podcast, Eric Bauer, Mike Verkest, and Tyler Christifulli gather round to discuss some of the industries current patient care fallacies… and facts! When we learn new concepts, we often find ourself joining the bandwagon, or joining of the misfits. Not all concepts are grounded in fact, and those that are grounded in fact should have their source evaluated before taking it as gospel. In our exciting age of free, open access to think, discuss, and discover it’s also important to learn responsibly! Join the guys as they take on some of the largest elephants in the room in this episode of The FlightBridgeED Podcast. Download, rate, and review wherever you get your podcast. Remember that reviews are key to keeping us high on the charts where your friends and colleagues can find us easily. We couldn’t make this podcast without you! Thanks so much for listening.

While safety in, and around the aircraft is of paramount importance it is also equally important to train for what happens when safety turns into survival. We have all attended survival training in some form, or fashion. How was your experience? If you’re like most, you unfortunately get run through a quick day of training just to check the box. In the face of life, and death there is certainly a box waiting for you to check, but why not choose to survive? You are choosing life when you demand serious, quality survival training. Join us in this episode as we talk with the Chief Flight Nurse, Deb Witte, and Chief Flight Paramedic, Nathan Morreale, from AirMed at the University of Utah Health to talk about a program they developed to teach, test, and overcome in an emergency survival situation. Download, rate and review wherever you get your podcasts. Remember reviews are key to keeping us high on the charts so your friends and colleagues can find us. Thank you for listening to The FlightBridgeED Podcast.

We have all been trained to make the numbers “normal” for so many years, that it seems so unnatural to leave a number alone. It’s like a terrible itch that we have to scratch, and we feel satisfaction when we finally optimize our patient’s ETCO2 by shoving it right back to 40 mmHg. We take off our work boots, and strap on our favorite running shoes as we run headlong chasing numbers into oblivion. What if we told you that what you are doing could be considered… murder? Maybe the patient is already dead… Join Eric in this episode of The FlightBridgeED Podcast as we learn how to troubleshoot an out of sorts ETCO2 with the 3 P’s of ETCO2. Download, rate, and review wherever you get your podcasts! Remember that reviews are the key to our future success and the intelligence of your peers by keeping us high on the charts where people can find us more easily. We love making this podcast, and we thank you, our listeners, so much for being the reason we get to come to work!

A spark of twisted smoke and fire ignites into a blazing inferno of charring flame. In the midst of the flickering light, a man suffers in the terrifying grip of heat and hellish pain. 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 he be saved? How will his care be rendered? Are the old ways the best ways? Join us for the death-defying answer in this Nightmare Series episode of The FlightBridgeED Podcast.

Intra-aortic Balloon Pump Counterpulsation therapy is a miracle of modern science that has roots going to the 1960’s. We have come a long way since those days and now, although not a high volume request, flight crews are regularly transporting patients with these lifesaving devices in place. Because this service is not a high volume request, it’s very important to ensure you understand how an IABP works, what the numbers mean, and how you can help and hinder the mechanical function through the use of medications. Did you know that by giving a medication you believe could help stabilize your patient’s blood pressure, you may actually be potentiating the deficit the patient’s weak, and fragile heart is already experiencing? Download and join us as Eric Bauer takes us through the IABP Pearls. If you love what you are hearing from us, please take a moment and review our show in iTunes, Stitcher, Google Play Music, or wherever you get your podcasts. Your review could mean the difference in others like you hearing this information, or not. Be a part of building the future of pre-hospital, critical care, and emergency medicine!

Throughout the course of modern medicine, old methods fall as new ones emerge safer, more reliable, better for patient outcomes, and more. Research is deep and results are shared throughout the world. One of the fastest growing, most industry related sections of medicine today is that of resuscitation. In this episode of The FlightBridgeED Podcast, Eric presents his argument for crowning Vasopressin as King of the pressers. He even goes so far as to suggest using it in trauma! With plenty of evidence at his back for you to enjoy, please join us for the latest episode of the podcast! Don’t forget to rate and especially review wherever you got your podcasts. These reviews are especially key to keeping us high on the charts where your friends and colleagues can find us. Thank you for listening.

In this episode of The FlightBridgeED Podcast, we circle the wagons back around to the Acidosis Rodeo ranch and catch part 3 of this series. As medicine changes, so do our acronyms. Come join us as Eric unpacks the details of G.O.L.D.M.A.R.K. Don’t forget to rate and review wherever you get your podcasts. Reviews help keep us high on the charts so your colleagues and friends can find us. Thanks so much for listening!

In this episode of The FlightBridgeED Podcast, we take a look at a phenomenon associated with harnesses. OSHA requires them for safety, and some of our jobs use them as tools for saving the lives of victims of circumstance, but what happens when something goes wrong? Sure they save you from the nasty business of falling to your death, but is there a hidden danger that most of us are not aware of? Join Eric Bauer as he explores the reality of hanging harness syndrome. If you enjoy our podcasts, please take a few minutes to rate, and especially review wherever you found our podcast. Reviews help keep us high on the charts so your friends and colleagues can find us. Thank you so much for listening!

We all know that the first thing you need to do when treating a patient is throw on a non-rebreather mask, right? What happens when that’s not doing the trick? How can we leverage the gas laws to our patient’s advantage? Join us for all this and more in this episode of The FlightBridgeED Podcast with Eric Bauer. Download, rate and review wherever you get your podcasts. Reviews are critical to keeping us visible and viable so we can keep making the great, free content you love to hear, and we love to make! Thanks for listening!

In this blood-chilling episode of The FlightBridgeED Podcast, Eric is joined by a friend to help him cast a light on the dark corner of an otherwise happy little home. A curse has befallen a completely helpless little one. It will take more than the light of their flashlights to scare away this nightmare. Which path should they choose? Where does the river of death spring? Are you up to the challenge of solving these cases? Join us to hear the terrifying conclusion and test your wits again our heroes in this Nightmare Series Podcast episode. Download, rate, and especially review wherever you get your podcasts. We wouldn’t want you to go through this nightmare alone…

In this episode of The FlightBridgeED Podcast, a mysterious presence lingers in the long shadows of the unknown. Its identity cloaked by confusion, and with malice aforethought, the hideous villains winds its long, cold fingers around the heart of its victim. Will he survive? Who can name the twisted entity and diagnose this nightmare? You won't want to miss the conclusion of Undifferentiated Cardiac Collapse. Don't forget to rate and review wherever you get your podcast. Remember that reviews help us stay high on the charts so your friends and colleagues can find us. Thanks so much for listening!

In this episode of The FlightBridgeED Podcast, we take a look at a new mode of ventilation found on some transport ventilators made by Hamilton. Adaptive Support Ventilation (ASV) has been touted as a completely hands-off mode in a “set-it-and-forget-it” sort of way. You won’t believe what a recent study uncovered about this mode! Download, rate, and review wherever you get your podcast. Remember, reviews help keep us high on the charts where your friends and colleagues can find us. If you love our podcast, help us out! It only takes a couple of minutes and your review might light the fire of knowledge for someone else! Thanks for listening!

In critical care medicine, lab values are a standard tool for determining a patient’s course of care, but they are often misunderstood. In this episode of The FlightBridgeED Podcast, Eric is joined by his lovely wife, Ashley Bauer as they dissect several complicated patient care scenarios. These cases are lab value intense and each value is explained clearly and applied to the patient so that you can easily understand what they mean on your next critically ill patient. Download, rate and review wherever you get our podcast. Remember that reviews help us stay high on the charts where your friends and colleagues can find us. If you love our podcasts, please help us out and spread the word online and in the streets. Thanks for listening!

In this episode of The FlightBridgeED Podcast, Eric is joined by Tyler Christifulli from the Lifestar podcast to talk about the ongoing debate over using pediatric BVMs for our adult patients. Regardless of what side of the argument you’re on, you won’t want to miss this episode! Download, subscribe, rate and review from wherever you get our podcast! Thanks for listening!

We are proud to announce the launch of our biggest event yet! On March 20 and 21, 2018 you will want to join us for the first ever FlightBridgeED Air and Surface Transport Symposium in Nashville, Tennessee! World-class speakers, vendors, of course the FlightBridgeED Team will be in attendance and much, much more! Go to our website now to register! Join the revolution!

Medicine is an ever-evolving practice of learning from mistakes, conquering diseases, and seeing to the needs of a unique individual who is desperate for a cure. It would be nice to be able to throw the same things at everyone and get the same results, but if we do that we forget the of the individual and the uniqueness of their body. In this episode, we discuss the trend of “blanket medicine,” and how it specifically relates to the once king of tidal volumes, 6 mL / kg. If you love our podcast, don’t forget to rate and especially review wherever you get your podcasts.

In this episode of the podcast, Eric explains and offers insight into an old argument that has recently been given a spotlight by industry professionals. Are adult bag-valve-masks a dangerous tool? Should we be using pediatric equipment on adults? Join the conversation with our community on FaceBook and Twitter! Don't forget to rate, and review our podcast from where ever you get your podcasts. Taking the time to write a review helps keep our podcast high on the charts so it can easily be found by everyone. If you love the podcast, you cab give back to us by reviewing the content we make on iTunes, Google Play Music, Stitcher, or any other podcast platform. Thanks for listening!

In this special episode of The FlightBridgeED Podcast, join Eric Bauer, Mike Verkest, Ryan Wyatt, and Dave Olvera at the ECHO conference for an incredible meeting of the minds for what could be considered an industry-changing, best practice for airway management. These powerhouses of the pre-hospital world are shattering old paradigms and raising the bar of quality patient care. You won’t want to miss it! Don’t forget to download, rate, and review from wherever you get our podcast. Remember, reviews help keep us high on the charts so your friends and colleagues can find us easier. Help us drive the future of pre-hospital, critical care, and emergency medicine.

Part 2 of 3 in the Acidosis Rodeo is a continuation of our previous case study. In this episode, Eric dives into DKA and HHNK from differential diagnosis to lab values. This episode will link up with part 3 to give you an incredibly in-depth picture of acidosis and how you can put this information into use in your own practice. Don’t forget to rate and review wherever you get your podcasts from. Rating, and especially reviews help us stay high on the charts so that your friends and co-workers can find us more easily. We believe in our mission to bring high level critical care education to the masses. If you believe in us as much as we believe in you, take a couple of minutes and give us a review! We will be forever grateful!

In this episode of The FlightBridgeED Podcast, Eric is joined, once again, by Rahkeem Francis for part 2 in this series entitled “Damage Control Resuscitation.” Covered in this episode are the topics of blood, vasopressin, the lethal trauma triad, and more! Download, rate and review from wherever you get our podcast. Remember that reviews matter so much because it helps our podcast stay high on the charts so our industry peers can find us. Help us change the face of pre-hospital, critical care, and emergency medicine!

In this special 100th episode of The FlightBridgeED Podcast, Eric is joined by Mike for a look back over the journey thus far. Filled with stories, some laughs, and even a little crying, you won’t want to miss this incredible milestone episode! As downloads climb, and review courses fill we want you to know one very important thing… FlightBridgeED is still dedicated to you! Congratulations to you, our community of friends and family, for the success of FlightBridgeED over the years! This one is dedicated to all of you. Download, rate, and don’t forget to review the podcast wherever you get it. Reviews help us stay high on the charts so your friends and co-workers can find us. If you love what you hear, let us know!

In this episode of The FlightBridgeED Podcast, Eric is joined by Flight Nurse, and Paramedic Rahkeem Francis to unpack the first of a 2 part series covering “Damage Control Resuscitation.” In the pre-hospital field we have always held our airway skills in high regard, but is airway king? Could their be a better focus for our skills of which airway is but a small piece? This one simple shift in paradigms could change the way you practice pre-hospital and emergency medicine forever. Download, rate and review from wherever you get our podcast. Remember that reviews matter so much because it helps our podcast stay high on the charts so our industry peers can find us. Help us change the face of pre-hospital, critical care, and emergency medicine!

In this episode of The FlightBridgeED Podcast, after some incredible results in a recent research study, there could finally be a cure for, the often difficult to treat, CO poisoning. Join Eric Bauer and Mike Verkest as they discuss this mutated protein that is really promising for this common complaint. Don't forget to rate, and review. Help keep us high on the charts so your friends, and co-workers can find us.

In this episode of The FlightBridgeED Podcast, Eric catches up with our good friend and ultrasound guru Branden Miesemer of EMSPOCUS at AMTC. Recorded right from the convention floor, the guys discuss just what is EMSPOCUS and how it is being used in the pre-hospital world. Download, rate, review and subscribe from wherever you get your podcasts!

In this first of a two part series, Eric Bauer unpacks a difficult critical care case scenario and begins to explain how we can better identify pH balance disturbances in our patients. Learn how to identify acidosis even without blood gasses, how to protect your patients from further sliding into a worsening state, and much more. Download, rate and review wherever you get your podcasts. Reviews help us stay high on the chart where your friends and co-workers can find us. If you love our free podcast, help us spread the word!

Eric continues our update of ventilator application in part 2 of this series. Discover the proper use of I:E ratios and I-time, a breakdown of manipulating PIPs and pPlats, and much more! Download, subscribe and rate wherever you get our podcast! Don’t forget to check out the brand new Ventilator Management: A Pre-hospital Perspective (2nd Edition) book available now!

In this episode of The FlightBridgeED Podcast, Eric presents a key concept in reducing mortality in ARDS that is being used in the ICU. Does it have application in the air medical world? Download, rate, and review from wherever you get our podcast! Help us stay high on the charts so intelligent folks like yourself can better find us!

Have you ever had a hypoxic patient on a ventilator that you just couldn’t get to oxygenate properly? Spinning dials can be frustrating for you and deadly for your patients. In this episode we present a practical, and logical application of transport ventilation for optimizing oxygenation. Help keep this podcast and podcasts like it high on the charts so people can find us! Rate us where ever you download, or subscribe our podcast!

As we approach the 4 year anniversary of FlightBridgeED, Eric takes some time to reflect on one of the earliest and most popular podcast series we produced - Ventilator Management. It has always been one of our company goals to help clarify the mysteries of ventilator management in pre-hospital medicine. In this retrospective glance mixed with new strategy and science, you will refresh and renew your understanding of cellular respiration and ventilator management. Download, subscribe and rate wherever you get our podcast! Don’t forget to check out the brand new Ventilator Management: A Pre-hospital Perspective (2nd Edition) book available now at FlightBridgeED.com.

Join us for the NAEMT EMS World Expo in New Orleans and for a limited time, pick up the brand new 2nd edition of Ventilator Management: A Pre-Hospital Perspective for a special price!

When it comes to ventilator management, and critically ill patients it can sometimes get a little scary. Have you ever had a patient on a ventilator who starts declining only to pull them off and go back to that good old BVM? Why does the magical BVM work and not the ventilator? Join us for this episode to find out! Download, subscribe, rate and review where ever you get your podcast goodness!

Join Eric for a quick explanation of the shock index and how it applies to your practice in this Teachable Moment Mini Episode of the FlightBridgeED Podcast.

When it comes to RSI in the pre-hospital setting, Ketamine is our new best friend. There are many more benefits to using this medication within several subgroups of patients for RSI than our the old standby, etomidate. We have read the accolades and positives in several studies, and trials, but what are the negatives? Are there any negatives? Could Ketamine be the perfect drug? Is it all just hype? Join the podcast as Eric discusses a new study and you will not believe what it says about your new favorite drug. Download, listen, rate, and review! Help FlightBridgeED keep our podcasts at the top of the charts so your friends and colleagues can find us!

In this episode of The FlightBridgeED Podcast, Eric unpacks the often complicated subject of clinical trials. We all want to know what the latest and greatest treatments, and best practices so we can apply it to our clinical practice. To know that, we have to see what’s going on in the realm of research medicine. Clinical trial papers have a lot to offer, but how do we know the information we are reading is accurate, and appropriate for us? Join us for this episode to learn more! Help keep us high on the charts so your friends and co-workers can find our podcast! Download, rate, and comment wherever you get your podcasts!

In this episode of The FlightBridgeED Podcast, Eric introduces Damage Control RSI. While some of the concepts discussed are not necessarily new concepts, this package of best practice procedures, tips and tricks, and more will streamline your advanced airway practices. This podcast covers procedures, medications, and critical care concepts that you can begin using right away. Download this podcast from your favorite source and help us stay high on the charts so more people can find us. If you enjoy these podcasts, take a second to rate and review our podcast on iTunes, Google Play Music, Stitcher, or anywhere you find us. It really does make a big difference!

Their dagger-like stingers drip with venom as they seek a victim to cut down in the wake of their horrific swarm. There is no time to waste as the poison courses through the veins of the patient. Each breath could be the last, and seconds become precious as the yellow and black reapers swing the death stroke. Will you save her? Don’t miss a moment of this spine-tingling Nightmare Series Podcast, Yellow Jacket Attack!

FlightBridgeED Public Service Announcement - The new website has been released! Take a listen then go to www.flightbridgeed.com and sign up! Registration is FREE and the benefits are incredible!

In this episode of The FlightBridgeED Podcast, we are joined by Dr. Zaffer Qasim to discuss the history, application, and data of REBOA (Resuscitative Endovascular Balloon Occlusion of the Aorta) for a variety of reasons including aortic aneurysm, trauma, and so much more. You won't believe what these things can do, and you might be carrying them in the field sooner than you think!

In this episode of The FlightBridgeED Podcast, the swirling mists of secrecy cover a young life with an esoteric mystery diagnosis. As we shine our flashlights into the vast, gloomy corners of discovery our sure-footed pathway leads to a maze of deception, misdirection and confusion. A diagnosis is within reach, and a treatment just beyond our outstretched, wriggling fingers as we claw ever closer to the truth. Our adventure awaits as we wander in this nightmare series podcast we call the 28 Month-Old Collapse. Download, share, rate and subscribe!

In this episode of The FlightBridgeED Podcast Eric chooses to move off the well-worn path for a moment, motivating us to breathe more passion into what inspires and ignites our mind. We live in an incredible era of information and discovery. Dare to dream!

A tedious and trembling silhouette ascends a precarious perch into a tower thrust high in the skies. A moment's mistake forces the twisted hand of fate as our patient succumbs to the fierce pull of gravity. Plunging to the cold ground, unable to move, and fearfully close to the end it's up to you to fight the hollow heart of death in this episode of The FlightBridgeED Podcast.

A follow-up to our previous push-dose pressor podcast. Even though there is substantial evidence for push-dose pressors in certain situations, the air medical industry as a whole has yet to embrace them. It is important for us to be responsible in our care and with our knowledge and work hand-in-hand with our medical directors and with our patient care protocols. Having said this, it is also up to us to shape the care we give by influencing the folks that make decisions in our individual institutions. Join with Eric as he discusses push-dose pressors and their future in our practice.

After laying the foundations in the previous podcast, we dive below the dura mater in part 2 of the TBI series and take a look at subarachnoid, intraventricular, and intracerebral (parenchymal) hemorrhages as well as specific treatments for each.

In this episode of The FlightBridgeED Podcast Eric is joined by Kelly Miller, Regional Clinical Manager for Air Methods, Inc., to demystify the technical and physiologic application of the intra-aortic balloon pump (IABP). These devices have come a long way over the course of their lives, and in the wake of their continued development lives have been saved and outcomes have been improved. It’s important that we as providers constantly refresh on the operation and application of the IABP since they are a low volume niche of our transport population. Join us as we unpack the ballon pump, and get the industry professional tips and tricks you need to succeed.

In this episode of The FlightBridgeED Podcast, Eric begins part 1 of a series of podcasts regarding traumatic brain injury, with an in-depth examination of anatomy and physiology, the Monro-Kellie Hypothesis, and signs and symptoms of some common neurological injuries. Don’t miss a single episode of this incredible series! Subscribe, or download right now!

We generally never mix these 2 very unique podcasts together, but this podcast is quite possibly the most important podcast we have ever published. A pillar of our practice is under fire and we need everyone's help. Back in the 70's there were a number of laws written regarding the use, and distribution of controlled substances. Unfortunately for us, back in the 70's EMS looked very different. In fact, it was so different that there were never any laws written specifically to direct the function of EMS within those laws. We have been operating for years under a sort of combined mishmash of laws. Recently, the DEA and other members of the US government have been investigating how we operate and you won't believe what they have determined. There is hope for our profession, but it starts with each of us doing our part. Listen to this podcast, contact your representative and encourage them to rally to our side. Failure with this matter means rapid access to lifesaving medication will go away for our patients, and the pre-hospital industry will be turned upside down. Download this podcast, listen, distribute, share, get the word out to your friends, family, co-workers, medical directors, anyone who will listen. We have to band together for the sake of our patients and our profession.

In this episode of The FlightBridgeED Podcast, Eric picks up his magnifying glass and takes a close look at serum lactate. Is there enough evidence to support it, or is it snake oil? Join us as we uncover the evidence together.

In this episode of The FlightBridgED Podcast, BiPAP is nothing new for us, but are we understand the correct way to set up our transport ventilators to deliver the correct pressures? Maybe. Maybe not! Join Eric as he explains the difference between absolute and additive pressures.

In this episode of The FlightBridgeED Podcast, special guest Dave Olvera joins Eric on the show to bring our community some incredible facts, figures, and real world application of powerful, research-based advanced airway management best practice techniques. With years of evidence and statistics, this podcast will challenge you to critically analyze your airway skills and why it is that we perform the way that we do. You won't want to miss it! Join us for Changing Airway Management Culture: Using HEAVEN Criteria, VL & Decision Making with Dave Olvera.

In this ground-breaking episode, special guest Michael Lauria and Eric Bauer present one of the most astoundingly captivating concepts that you won't want to miss. Join us for Approaching Aristotle: Making Critical Care Education Brain Friendly.

In this episode of the FlightBridgeED Podcast, we discuss how to use push dose pressors to offset the effects caused by sedation and paralysis on hemodynamically unstable patients requiring RSI.

In this episode of The FlightBridgeED Podcast, Eric shines a revealing light on the detrimental effects of nitrogen washout on our patient's alveoli and what that could mean for their treatment long term. More oxygen is always better, right? Join us for this insightful discussion as we reveal the truths behind absorption atelectasis.

In this episode of the FlightBridgeED podcast, Eric pulls together the evidence for the traditional drugs we push during RSI, for sedation and paralytics. Join us for an incredibly thought provoking discussion that will challenge your foundational knowledge on these medications and further your clinical expertise.

In this episode of The FlightBridgeED Podcast, Eric addresses an e-mail from listener and critical care provider Ryan Wyatt of Tuscon, Arizona regarding the use of paralytics in our practice.

In this episode of The FlightBridgeED Podcast, a nightmare creeps from the tattered remains of beaten and bruised patient. The wrenching grasp of death casts a long, dark shadow over the flight team as a crucial decision means life, or death. What will happen? Will the patient survive? Join us for the mesmerizing tale of The Traumatic Airway.

In this episode of The FlightBridgeED Podcast, a patient's life perches precariously atop a critical decision. What terrifying malady stands behind this horrific situation? Could it be the gripping, wrenching grasp of a myocardial infarction, or could this be the result of an even more devious fiend? Then again, it could be door number 3…

In this episode of The FlightBridgeED Podcast, Eric discusses the issue of sodium bicarb treatment in acid base disorders through the lens of new evidence, and the overall metabolic state of the patient. As paradigms in treatment shift, all of our patients benefit. Join us for this episode of the podcast.

In this episode of The FlightBridgeED Podcast, Eric outlines the application guidelines and strategies for effective non-invasive positive pressure ventilation. Sometimes putting down the blade, and picking up the mask is an essential step in revolutionary patient care.

Pre-order this exciting new book from Eric Bauer and FlightBridgeED Ventilator Management: A Pre-Hospital Perspective, written in a conversational style that is in-depth, easy to understand, and practical in application is sure to be a go-to resource for your practice. Check out this short introduction of the book from the author himself, and go online to pre-order now for a discounted price.

In this episode of The FlightBridgeED Podcast, Eric clarifies and defines the role of Auto-PEEP. This often neglected measurement has big implications for our patients and adjustments should be made, but with caution and in small increments. Join us as we explore Ventilator Management - Ventilation Failure: Auto-PEEP Strategies.

In this episode of The FlightBridgeED Podcast, Eric helps us develop the concept of the oxyhemoglobin dissociation curve, left and right shifts, and other important principles of oxygen delivery at the tissue level. Although this is a difficult subject, it’s incredibly relevant and enlightening with real application for our patients. Join us as we study the Oxyhemoglobin Dissociation Curve - A Resuscitation Paradigm.

In this episode of The FlightBridgeED Podcast, we continue our conversation about hemodynamic pharmacology started in our previous podcast titled Pure Vasopressors. Today’s conversation focuses on left ventricular dysfunction and how inodilators such as dobutamine, and milrinone are used.

In this episode of The FlightBridgeED Podcast, like a creature stepping forth from another dimension, an unexpected delivery catches the bewildered flight crew off guard in a dizzying rush to get on the ground. Join Eric as he presents the thrilling case of the In-Flight Delivery.

In this episode of The FlightBridgeED Podcast, Eric takes a suggestion from our community and dives into the "other" fluids. While these fluids aren't our normal go to solutions, they all have a place in the great field of "Fluidology." Join us as we explore plasmalyte, normosol, and dextran.

In this podcast we dive further into our exploration of Ketamine - a great medication, but one with lots of misconceptions. Join Eric and very special guest, Dr. Mike Abernethy (@FLTDOC1) , Med Flight Chief Physician at University of Wisconsin, as they debunk the myths, and more on this episode of The FlightBridgeED Podcast.

In this episode of The FlightBridgeED Podcast, Eric talks with ASTNA President Allen Wolfe.

SecondShift, a new podcast from FlightBridgeED with Eric Bauer and Mike Verkest. This podcast covers a lot of the current issues and trends in the Helicopter EMS, pre-hospital, critical care, and emergency medical care industry. As a bonus, or maybe a consolation, you also get to hear these guys yack on about stuff like sports, talk trash about some former co-workers, and maybe even what flavor their socks smell like! Yup... doesn't get much better than this! Join us for the lighter side of FlightBridgeED in out new podcast production, SecondShift. You'll (probably) be glad you did! Don't worry though, The FlightBridgeED Podcast isn't going anywhere! Subscribe and tell us what you think!

In this episode of The FlightBridgeED Podcast, an unthinkable horror glides through dark waters with a terrible appetite for fresh, tender flesh. Join Eric Bauer, and Mike Verkest as they peel back reality to expose this nameless evil in this nightmare series podcast, Pediatric Drowning.

In this episode of The FlightBridgeED Podcast, Eric rides the waves of knowledge as he sheds light on the various fluids we use in our practice. Join us as we learn together!

In this episode of The FlightBridgeED Podcast, Eric Bauer and special guest Michael Verkest discuss TXA in traumatic brain injuries. Join us for the first interview podcast from FlightBridgeED as we learn from these two incredibly talented educators.

In this episode of The FlightBridgeED Podcast, Eric takes some time to unpack this weeks spotlight medication, Ketamine. This medication has been around for quite some time now, but it is only recently seeing routine use in some geographic areas in the pre-hospital critical care field. Join us as we take an in depth look at Ketamine.

In this episode of The FlightBridgeED Podcast, terror from the deep rises from the blackest abyss to wrap its tentacles around an innocent woman who has lost everything. The flight crew struggles to comprehend the twisted and strange horror, but presses on in search of escape. Join us to discover the ending and what happens to our suffering victim. - A Nightmare Series Podcast -

In this episode of The FlightBridgeED Podcast, Eric covers neo-synephrine, and vasopressin as they are used in the pre-hospital and critical care clinical environments. He also discusses the research regarding methylene blue as a vasopressor.

In this episode of The FlightBridgeED Podcast, a mysterious traveler from the deep south winds his way into town. Why is he there? Who is he? As he moves in and out of the shadows, the evidence of his malicious intent becomes apparent as his terrible hands clutch and tear the tender flesh of his victim until there is no use to struggle against him. Will our patient find salvation? Join your host, Eric Bauer, as he uncovers the mystery of the Pulmonary Collapse - A Nightmare Series Podcast.

In this episode of The FlightBridgeED Podcast, we take an in-depth look at the concept of of passive oxygenation and camp out in the literature and studies regarding it. Join us for the podcast and discover together how to apply the concept of passive oxygenation to your practice!

In this episode of The FlightBridgeED Podcast, below the tempest driven surface of the deep and plunging to the murky, gray depths, a struggling soul descends to join the silence of fate. Join us to discover the horrifying fate and as death wraps its icy hand around the lungs of our patient. What is this terror? Find out in this nightmare series podcast episode, Ventilator Associated Pneumonia.

In this episode of The FlightBridgeED Podcast, dopamine comes under fire in the pre-hospital setting. Is this old school medication finished? Join us as we investigate the issues surrounding why we should Get Rid of Dopamine in EMS.

In this episode of The FlightBridgeED Podcast, Eric draws the map to some interesting and controversial new research. What is REBOA? Do you really need that cervical collar? Does dopamine deserve to be ditched? Join us for this, and the next 3 episodes for the complete dialogue in this series of 3 Amazing Concepts!

Claustrophobic and dark hallways surround our patient as they hysterically shake, and flight to free themselves from the ever tightening grasp of a hypoxic straightjacket. There are worse things than death and as time fights against the minds of the providers, the insane realization that this critical patient may very well be toeing the edge of oblivion sets in. Join your host, Eric Bauer, as he walks with you down the terrifying corridors of the newest Nightmare Series podcast... The Hypoxic Status Seizure.

Come and taste what's been cooking in the FlightBridgeED kitchen for 2015! During this podcast, Eric talks about a few things that are in the works made possible by the suggestions we have collected from our community! We are proud to roll out the new FlightBridgeED YouTube channel with 13 brand new videos for you to enjoy right now. Check it out now...

In this episode of The FlightBridgeED Podcast, THE DEAD WALK... join us to learn more about this terrifying episode and discover the perilous struggle of one lone patient against overwhelming odds in a world turned upside down.

In this episode of The FlightBridgeED Podcast, Eric unpacks and examines a new ventilator strategy related to hypotensive trauma patients. This strategy is all about reducing inter thoracic pressure, and optimizing gas exchange. Join us via MP3 download, or Enhanced podcast.

In this episode of The FlightBridgeED Podcast, a patient comes precariously close to disaster as a microscopic fiend unleashes it's fury on an unsuspecting patient. Seeking out this horrible monster will take skill as the crew follows the clues found in strange, cryptic waveforms. Join the podcast as we seek answers, and unravel the mystery of advanced hemodynamics.

In this episode of The FlightBridgeED Podcast, a looming shadow is cast over an innocent crib as an unseen hand holds the fate of tiny child in its icy grasp. Will disease prevail? Join us... maybe you can be the hero!

In this episode of The FlightBridgeED Podcast, Eric discusses new product roll-outs and a few plans for the future! Thanks and congratulations to the FlightBridgeED community on moving into our 2nd year learning together!

In this episode of The FlightBridgeED Podcast we pick up a conversation we began in a previous podcast (Forget the PARALYSIS and Treat the PAIN). Now we will discuss the need for choosing appropriate medications and correctly managing their dosing in order to bring better patient outcomes in critical care environments.

In this episode of The FlightBridgeED Podcast, a perfect storm is rising over a terribly complicated case. Juggling a multitude of therapies and way behind, the flight team must fight to keep their heads above water. Find out what happens as the flight team and patient struggle for survival!

In this episode of The FlightBridgeED Podcast we discuss aVR as a diagnostic 12-lead tool and apply this to a patient case study. Find out more about this EKG misfit.

In this episode of The FlightBridgeED Podcast, a cardiac patient with a genetic anomaly is in a precarious battle for life against a deadly attacking disease. Conventional wisdom may not be the best medicine and the flight crew has a choice to make. Will they fend off certain doom, or is there a second chance waiting for the victim? Find out now!

In this episode of The FlightBridgeED Podcast, traditional asthma treatments come under scrutiny as evidence based medicine demonstrates a better way!

Seriously? What does horsepower have to do with critical care medicine? Who comes up with this stuff???

In this episode of The FlightBridgeED Podcast, a patient struggles to breathe as illness grips them tightly by the throat. Death looms close by watching... waiting. Make your stand and save the patient's life!

In this episode of The FlightBridgeED Podcast, we take some time to look at 3 very cricual elements of trauma management that lead to successful patient outcomes. These critical findings are based on years of research, but some are commonly overlooked at astoundingly high rates. Join in and discover the Lethal Trauma Triad.

In this episode of The FlightBridgeED Podcast, evil lurks around every corner as we dissect the flesh from a terrifying case study. Is there no way out for this patient? Do they face certain death? You may be this helpless victim's only hope, but the clock is ticking and one mistake could lead to disaster...

In this episode of The FlightBridgeED Podcast, we discuss the need for good pain management when dealing with intubated patient. We further deal with a frustrating, old mindset that seems to be lingering in which paralysis overshadows adequate sedation and analgesia practices.

In this episode of The FlightBridgeED Podcast, we discuss the PRVC mode of ventilation in depth. While not a new mode of ventilation, it has seen more frequent use in the transport environment especially for pediatric patients.

In this episode of The FlightBridgeED Podcast we discuss oxygenation and ventilation. These important concepts are cornerstone principles in properly managing patients on the ventilator, and understanding respiratory function.

In this episode of The FlightBridgeED Podcast we discuss 5 gas laws that relate to flight physiology and investigate their effects on patient disease processes and treatment. These concepts are especially important for those interested in pursuing a career in the HEMS industry, or for those preparing for advanced certification courses.

In this podcast, we briefly discuss the recent tragedy of AEL 109 and the importance of safety. No matter what you do there is always the very real danger of injury, or death in the HEMS industry. Your most important job is returning home to friends and family after each mission.

In this episode of The FlightBridgeED Podcast, we survey cardiac pharmacology as it relates to beta blockers and vasopressors.

In this episode of The FlightBridgeED Podcast, we take a look at sepsis and septic shock discussing criteria, stages, and outcomes and treatment strategies.

In this episode of The FlightBridgeED Podcast, we take a close look at ETCO2 and how it plays a role in cardiac output and intubation confirmation.

In this episode of The FlightBridgeED Podcast, we discuss DIC (Disseminated Intravascular Coagulation) related to trauma resuscitation and the use of Tranexamic Acid (TXA). This relatively new medication has shown incredible promise through the Crash 2 study conducted in the UK.

In this episode of The FlightBridgeED Podcast, we discuss Diabetic Ketoacidosis and use a scenario to demonstrate physiological indicators, and treatment methods for the management of these critically ill patients.

PIP and pPlat are vitally important to effective ventilator management. These 2 values go hand-in-hand, but are often misunderstood and often neglected. In this episode, we will discuss PIP and pPlat in depth and how they relate to your ventilator patients.

We are changing pace a little this week and just taking some time to recognize the efforts of our community and their contribution to the success and continued development of our endeavors. From all of is to you, thank you!

In this 3rd and final installment of the Dominating Acid Base Balance series, we discuss Winter's Formula and strategies to affect change in patient pH based on what we have learned from this series.

In part 2 of this 2 part series, we discuss strong and weak acids, what fills the anion gap and how acid base is affected by sodium chloride, CO2, Sodium Bicarbonate, and potassium.

In part 1 of this 3 episode series, we lay the foundation of Dominating Acid Base Balance. Included will be philosophical and clinical exploration of pH, PaCO2, HCO3, base deficits and how acid-base affects critical systems in the body.

In this episode of The FlightBridgeED Podcast, we discuss ethical and practical aspects of traumatic arrest resuscitative practices.

In this episode, Eric clearly explains the importance and implementation of pressure controlled modes of ventilation. These modes are generally less understood than volume controlled modes, however, these modes are vitally important to lung protection, and improved patient outcomes. Along with theory, this podcast incorporates an in-depth, and easy to understand "How-To" guide for PRVC modes of ventilation.

Good sedation and pain management are essential to managing the intubated patient. In this podcast, Eric Bauer explores why this is so vital and about industry standards to get it done right.

Eric Bauer discusses hypovolemic shock, permissive hypotension techniques and theory, and how fluid affect oxygenation.

New ACLS standards clearly regard quality CPR above advanced airway placement. Are they right?

This is part 2 of a 2 part series covering 12-Lead ECG interpretation, focusing on LBBB and Sgarbossa criteria.

This is part 1 of a 2 part series covering 12-lead ECG fundamentals.

Eric Bauer discusses the importance of the first "Platinum 10" minutes and its key relationship to the "Golden Hour."

In his 3 part education series, Eric presents ventilator management approaches and strategies with regard to different patient presentations. We also apply the pathophysiology we learned in part 1 and 2, bringing it all together to form an easy to understand strategy for ventilator management.

In this 3 part education series, Eric Bauer discusses ventilator management in the critical care environment and the different modes of ventilation.

In this 3 part education series, Eric Bauer discusses ventilator management in the critical care environment. We look closely at cellular respiration and the different terminology as it relates to ventilator management.

In this 2 part series, Eric discusses RSI and all aspects of related drug pharmacology providing insight into implementation in the critical care setting.

In this 2 part series, Eric discusses RSI and all aspects of related drug pharmacology providing insight into implementation in the critical care setting.

Eric Bauer explains everything oxygenation. We look closely at cellular respiration and diffusion, ventilation/perfusion, shunt, VQ mismatches and the Fick principle.

Eric Bauer introduces himself and The FlightBridgeED Podcast. In this first episode, he briefly describes this educational podcast series and the origins of FlightBridgeED