Coffee Break HEMS Podcast: Recent Episodes
Austin Kiser
Short-ish critical care medicine topics to help paramedics, respiratory therapists, and nurses expand their knowledge of critical care medicine and HEMS, operate better out in the field, and pass their specialty certification exams with confidence.
in this episode we'll be discussing the augmentation and escalation of pediatric respiratory care when we don't otherwise have a magic bullet.
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In this episode we'll be discussing cardiac axis and its importance in the differential of several non-ACS conditions. Finally, we'll answer the question: is the AHA wrong in telling us to give adenosine for monomorphic wide-complex tach? This will give you the answer.
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instagram: @coffeebreakhems
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In this episode we'll be discussing the logistics of proning in the transport environment for severely hypoxic patients.
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Go review it on Amazon today, Here: https://www.amazon.com/Clinical-Airway-Management-Prehospital-Hospital/dp/B0CY6CS3GK/ref=sr_1_1?crid=9AVH6EEE3AFF&dib=eyJ2IjoiMSJ9.fdc4TmQWEJEDpKtXZFLA0KEqGBiilwKttbBl6GZB0ktKHckKIvLBJwjBQDa0su9VE_ewMFje3reAFn0_FuAh9h4buzF36ja5FLWhtMiO8a4YXayWDKT6SCtOtjUJQJTppC21VZDHVoM_q3FPaRZ1a01HATOIl2GSVmM5rLgDc4gAlbRDQmRhEkafaIyU5Qp6jBqy0SzC21iDEfU-_tlWpZG63GPWTWIF2MG9RY0v7f0.H1VKnFWIXsKvZKZaWt-IffbypQs8NVwAyo4x7n5wE3w&dib_tag=se&keywords=clinical+airway+management&qid=1712764958&sprefix=%2Caps%2C1205&sr=8-1
Today we were blessed with an interview with the one and only Dr. Haney Mallemat who is the founder of the ResusX medical conference and a critical care doc in NJ. Haney can be found on instragram @criticalcarenow where he shares his awesome wealth of knowledge with us on a daily basis. Dr. Mallemat and I will be discussing the logistics of airway management and patient resuscitation in a scenario-based format. Get your coffee break swag: www.kisercpr.com/cbhGet a copy of the airway book: www.kisercpr.com/bookstoreLink to ResusX free conference content!: https://www.resusx.com/coffee-break-hemsReach us on instagram: @coffeebreakhemsemail: austin@kisercpr.com
In this episode we'll be discussing why we breathe, how we remove CO2 and why the normal CO2 level is 40 (in the USA).
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email: austin@kisercpr.com
By popular request we are adding a series of episodes throughout the year to delve into the Hamilton Ventilator as it is now becoming the standard platform the both in-hospital and prehospital critical care. In this episode we'll discuss what a "pressure ventilator" is and how the breath types work on the hamilton. Additional, we'll be talking about the basic modes of invasive ventilation on the platform.
Reach out:
austin@kisercpr.com
Instagram: @coffeebreakhems
Get a copy of the book or vent cards:
www.kisercpr.com/shop
Hold off on getting the coffee break merch, but please go check it out on our shop and let us know what you think!!
In this episode I'll be interviewing the fascinating Eddy J. Gutierrez MD. Eddy is an critical care doc in Florida and the Author of "The Vasopressor & Inotrope Handbook". If you work in critical care and deal with vasoactive medications on a daily basis, you better own a copy of this book! You can follow Eddy on Instagram at @eddyjoemd and visit him on his website at www.eddyjoemd.com
Reach out: austin@kisercpr.com
Shop: www.kisercpr.com
Don't forget to snag a copy of our new reference guides and a be on the lookout for our preorders for the second book!
In this episode, Tyler and I will be discussing a patient case he has several months ago that is a great example of managing several problems at the same time in the field. We also get into a great discussion on how to differentiate between DKA and HHS in the field as well as the differences in our considerations during an interfacility transport of these patients.
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Reach out:
austin@kisercpr.com
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@coffeebreakhems
In this episode we'll be discussing our contribution to patient outcomes during our resuscitation of sick patients. We look at a few interesting studies that review BVM ventilation volumes and. How does this affect our patients, and is there something we can do to change this?
Connect with us:
austin@kisercpr.com
instagram: @coffeebreakhems
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In this episode we'll be discussing neonatal congenital heart defects. From recognition to treatment, and everything in between.
Reach out:
kisercpr@gmail.com
instagram: @coffeebreakhems
In this episode we'll be discussing the safety of transfusing Rh positive blood into the population at large.
In this episode we'll be discussed the diagnosis and treatment of dextromethorphan overdose in the field and what we can do for these patients.
Reach out:
instagram: @coffeebreakhems
facebook: /Austinkiser
email: kisercpr@gmail.com
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In this episode we'll be discussing the age-old question I get on a weekly basis. How can I be better?
See our full list of 2023 courses: kisercpr.com/register and click the CE tab
Ask me a question:
Instagram: @coffeebreakhems
facebook : /kisercpr
emails: kisercpr@gmail.com
In this episode we'll discuss the four of decelerations you may see at the bedside during a high-risk obstetrical transport. What they are and how you treat them.
reach out:
instagram: @coffeebreakhems
facebook: Austin Kiser
email: kisercpr@gmail.com
Check out our reference guides and vent management book: www.kisercpr.com/shop
This episode covers the termed "1:1 vent strategy". when your patient have horribly high airway resistance AND high AutoPEEP there's no other place to turn. This strategy is rarely utilized because these patients aren't common, which is why it's so important to understand.
reach out:
instagram: @coffeebreakhems
facebook: Austin Kiser
email: kisercpr@gmail.com
Check out our reference guides and vent management book: www.kisercpr.com/shop
In this episode we'll be discussing the various kinds of fluid we have available for infusion, when each is necessary and how our fluid compartments work. Enjoy!
reach out:
instagram: @coffeebreakhems
facebook: Austin Kiser
email: kisercpr@gmail.com
Check out our reference guides and vent management book: www.kisercpr.com/shop
In this episode we'll be discussing digoxin and how it works in the heart. Then, we'll look at how it becomes toxic, what you'll need to look for, and how to fix it.
reach out:
instagram: @coffeebreakhems
facebook: Austin Kiser
email: kisercpr@gmail.com
Check out our reference guides and vent management book: www.kisercpr.com/shop
In this episode we'll be discussing diagnosis of toxicological issues, and how we can't take a primary diagnosis at face value.
Check out the previous episode that'll help you dissect this case:
The badassery of Base Excess
The Worlds Okayest pH talk
Reach me:
Instragram @coffeebreakhems
Email: kisercpr@gmail.com
Get your vent and lab reference cards:
kisercpr.com/shop
In this episode, we'll be discussing hyponatremia in the critical care world. From diagnosis to management, we've got you covered.
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Email: kisercpr@gmail.com
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In this episode we'll be discussing how to conquer the hemodynamics portion of your specialty exam. It seems to be taught a little more complicated than it really is. Look at SVR, then follow the pressures from the right heart to the left heart. Wherever the pressure or output dies, there's your problem.
(apologies for the misspeak in the beginning, I said mm per Hg twice!)
Reach out:
Instagram @coffeebreakhems
email: kisercpr@gmail.com
Get the Book!
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In this episode I'll be discussing failure. How it seems inevitable, how it's horrible, but how it's also so important. I have never really told these stories and I had to be very vulnerable in order to tell them. I hope you can find solace in the fact that this happens to us all.
In this episode, we'll be discussing antihypertensive therapy in the emergency and critical care setting. Enjoy.
reach me:
kisercpr@gmail.com
intragram: @coffeebreakhems
Get your copy of the book: kisercpr.com/shop
In this episode we'll be going over the basics of what shock really is, and how to conquer it. We'll also be going deep into the various pressors we use in the field to resuscitate the sickest humans on the planet.
Reach out with your suggestions for further episodes via email or IG:
kisercpr@gmail.com
@coffeebreakhems
Go get your copy of "The Flight Medics Guide to Mechanical Ventilation"
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In this episode we'll be discussing lab interpretation of the septic patient, what our goals are, and how to perform bedside care when your patient is dying.
Don't forget to snag your copy of "The Flight Medics Guide to Mechanical Ventilation".
www.kisercpr/shop
In this episode we'll be discussing the interventions you HAVE to do when faced with a dying multi-system trauma patient. When we start missing these interventions, our patients don't do as well!
Do not miss out on getting your copy of "The Flight Medic's Guide to Mechanical Ventilation". If you have struggled with vent's, if you're new, or if you're a veteran in critical care; it doesn't matter! This book will elevate your game, and deepen your understanding of mechanical ventilation.
Get the book here: www.kisercpr.com/shop
In this episode we'll discuss tips and tricks for dominating your clinical interview. We'll cover Trauma, ABG's, Neuro Emergencies, Labs, RSI, Preoxygenation, DKA, and Pressors.
In this episode we'll be discussing the treatment of intracranial hypertension and herniation syndromes. Enjoy!
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email: kisercpr@gmail.com
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In this episode we'll be looking at a vent strategy for the severely hypoxic patient, and why it all lies with the mean airway pressure. Hope you enjoy. Don't forget! Be on the lookout for my book, (The Flight Medic's Approach to Mechanical Ventilation) coming out in a few months, I'll be taking pre-orders soon.
Reach out: kisercpr@gmail.com
In this episode we'll be discussed the common myths surrounding RSI, and how we can be better. Also, sorry for the low volume! My Mic was acting up.
Reach out: kisercpr@gmail.com
In this episode we'll be looking at Benadryl (diphenhydramine) overdose and how to treat it in the field. Enjoy.
Reach out: kisercpr@gmail.com
In this episode we'll be reviewing different tachyarrhythmias and how to treat them. Enjoy!
In this episode, which is part 1 of a 2-part series, we'll be discussing how different antiarrhythmics work on your action potential curve and why we shouldn't be so afraid of adenosine. Hope you like it!
Hey guys, this week we're talking about intubated and vented COPDers and their annoying tendency to AutoPEEP on the vent.
This week we're talking about the logistics of properly prepping our mechanically vented patients for transport.
To answer the episode title's question, it's because we want to, like, save peoples lives! In this episode, we'll take a look at fibrinolysis, tPa, TXA, and how it all works in our patients.
In this episode we talk about clotting, trauma, and why the heck we should care about calcium in our patients!
Reach out: kisercpr@gmail.com
Hi all! In this episode I'll be discussing HAPE and HACE in a gnarly case discussion. Hope you enjoy.
Reach me at: kisercpr@gmail.com
In this episode we're talking about Pre Eclampsia, HELLP, and DIC in pregnancy. Hope you enjoy.
Reach me at : kisercpr@gmail.com
Talking about lactate fermentation and what our body does to fix it. The Cori cycle. and much more.
This week we're taking a look at Cardiac axis and determining how useful it can be in your field differentials.
Hey guys! This week we're talking about pH. What determines pH, the Stuart approach, and what the hell does bicarb do!? Hope you enjoy.
This week we'll be chit chatting about the HOP killers, ei: the reason we sometimes inadvertently kill our patient's during intubation. (so we can hopefully avoid that nonsense in the future).
If your pilot didn't use a checklist before takeoff, would you get on the plane? In this episode, we'll be talking about proper pre-oxygenation and the use of an intubation checklist in HEMS and EMS (and hospitals too)..
WhooHoo, this is Part III of our mechanical vent series. We talk about pressure control ventilation, how to target ETCO2 goals, and how to help with the refractory hypoxic patient. I hope you enjoy.
HEMS #CoffeebreakHEMS #airmedical #kisercpr #flightparamedic #flightnurse #criticalcare #emergencymedicine
In this episode we talk about the obstructive lung strategy. This is part 2 of our 3-part intro to mechanical ventilation series. I hope you enjoy.
HEMS #CoffeeBreakHEMS #Airmedical #flightparamedic #flightnurse #EMS #criticalcare #mechanicalventilation #foamed
WHAT?!?! We are one year down and kicking off season two. This year we'll be focusing on a 23 episode season that'll prepare you to take the FP-C or CFRN exam. In episode 1, we'll be starting a three part series on mechanical ventilation. I hope you enjoy!
Reach me: kisercpr@gmail.com
HEMS #Airmedical #CoffeebreakHEMS #FOAMed #phiairmedical #emergencymedicine #flightparamedic #flightnurse #criticalcare
In this episode, we'll be talking about herniation syndromes and how to treat them in the prehospital arena. Hope you enjoy.
reach me at: kisercpr@gmail.com
HEMS #coffeebreakHEMS #FOAMed #criticalcare #flightnurse #flightparamedic #airmedical
In this episode, we'll be discussing the airway death spiral (not my term), and a few little tips and tricks to prevent our patients from dying to death.
Reach out: kisercpr@gmail.com
HEMS #criticalcare #airmedical #PHIAirMedical #FOAMed #coffeebreakHEMS #flightparamedic #flightnurse
In this episode, we'll be covering high resistance and low compliance on a vented patient. Hope you enjoy.
HEMS #criticalcare #airmedical #flightnurse #flightparamedic #FOAMed #coffeebreakHEMS
In this episode, we finish our 2-part episode on treating a significant subarachnoid bleed in the critical care realm. Hope you enjoy.
reach out to me and let me know what you want to hear about! kisercpr@gmail.com
HEMS #FOAMed #EMS #Airmedical #PHIairmedical #coffeebreakHEMS #criticalcare #flightparamedic #flightnurse #emergencymedicine
This first part is a look into the ED care of a 50's female with subarachnoid hemorrhage following a ruptured aneurysm. These are incredibly dynamic patient's and give way for many different treatment modalities. Let me know what you think and be on the lookout for Part II in a few days (that's the part where the patient starts to give you a mental and logistical workout).
HEMS #FOAMed #airmedical #criticalcare #coffeebreakHEMS #flightparamedic #flightnurse #phiairmedical #emergencymedicine
Reach me at: kisercpr@gmail.com
Hey everyone! In this episode we'll be covering part II of the ABG Q&A session. Three questions seem to always come up anytime I'm teaching ABG's: how to compensate for the respiratory rate on a vented patient, when to start bicarb, and finally how to predict changes to pH when you make changes to your patient. Hope you enjoy.
HEMS #FOAMed #criticalcare #airmedical #phiairmedical #kisercpr #flightparamedic #flightnurse
get in touch:
kisercpr@gmail.com
Hey everyone! In this part one of our ABG Q&A session, I'll be covering what the actual blood gas is, what pH is really measuring, and how to read those pesky ABG's the right way! I have a couple of listener questions that I'll be addressing in Part II, but this is definitely the foundational episode! Hope you enjoy it.
Reach me: kisercpr@gmail.com
HEMS #criticalcare #airmedical #phiairmedical #FOAMed #EMS #flightparamedic #flightnurse #emergencymedicine
I got a new Mic!! In this episode we'll be finishing our trainwreck newborn episode with the flight crew coming in to facilitate the transfer of this seizing neonate. I hope you enjoy.
NOTE: all dosages and suggested medications, whiled backed by medical science and current guidelines from several sources, doesn't replace your guidelines! Take everything I say with two grains of salt :)
reach me at: kisercpr@gmail.com
HEMS #FOAMed #CoffeeBreakHEMS #Criticalcare #Airmedical #flightparamedic #flightnurse #EMS #emergencymedicine
In this episode we'll be following an EMS crew as they respond to a newborn that was delivered at home and is found to be pretty sick upon their arrival. Part II of this episode will follow a flight crew as they facilitate the transfer of this kiddo to a bigger NICU. I hope you enjoy it.
Sources for today's episode:
https://www.abclawcenters.com/practice-areas/apnea-bradycardia-newborns/
https://www.abclawcenters.com/practice-areas/prenatal-birth-injuries/fetus-or-newborn-medical-problems/hypoxic-ischemic-encephalopathy/
https://www.birthinjuryguide.org/birth-injury/types/hypoxic-ischemic-encephalopathy-hie/
https://pediatrics.aappublications.org/content/117/3/843?download=true
https://emedicine.medscape.com/article/973501-treatment
https://www.health.qld.gov.au/__data/assets/pdf_file/0014/140162/g-hie.pdf
https://www.health.qld.gov.au/__data/assets/pdf_file/0030/143697/g-seizures.pdf
https://www.health.qld.gov.au/__data/assets/pdf_file/0011/140600/g-resus.pdf
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2910185/
https://neonatalresearch.org/page/47/?hub=NNFU
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5220090/
https://myphi.webmanuals.aero/reader/#/1208/n/27
Reach me at: kisercpr@gmail.com
HEMS #CoffeeBreakHEMS #FOAMed #criticalcare #NICU #flightparamedic #flightnurse #airmedical #EMS
In this episode, I'm discussing the anecdotal traits that I've seen in the EMS community that seems to define good vs poor clinicians in emergency and critical care medicine. I hope you like it!
Get in touch: kisercpr@gmail.com
HEMS #CoffeebreakHEMS #criticalcare #flightparamedic #flightnurse #foamED #Airmedical
today we're discussing pressure control ventilation. What are the advantages and disadvantages? What is it? Most importantly, if you're ventilating a patient in volume control, how do you safely switch the patient to pressure control without hypoventilating them, or blowing up their lungs? Small caveat: I apologize for the several moments of background noise, I just couldn't catch a break today... Quarentine life... Anyway, hope you like the episode, and as always, if you want to reach out, my email is below:
kisercpr@gmail.com
HEMS #FOAMed #criticalcare #flightparamedic #flightnurse #airmedical #EMS #ventilatormanagement
In this episode we are reviewing a case of a nightmarish high risk OB call. We've all had these calls, where we think it's going to be totally simple... and then we walk into the room. But what happens when it's also an OB patient? How comfortable are you will the resuscitation of the pregnant woman. We did quite a bit of research to assure that we were giving you the best possible information on this one, so I hope you enjoy. If you're interested in my EFM course, it's listed in the works cited below.
Cordioli, Ricardo Luiz, et al. “Sepsis and Pregnancy: Do We Know How to Treat This Situation?” Revista Brasileira De Terapia Intensiva, Associação Brasileira De Medicina Intensiva, 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC4031877/.
Hutter, Damian, et al. “Causes and Mechanisms of Intrauterine Hypoxia and Its Impact on the Fetal Cardiovascular System: A Review.” International Journal of Pediatrics, Hindawi, 19 Oct. 2010, www.hindawi.com/journals/ijpedi/2010/401323/.
Kinsella, S. M., et al. “International Consensus Statement on the Management of Hypotension with Vasopressors during Caesarean Section under Spinal Anaesthesia.” Wiley Online Library, John Wiley & Sons, Ltd, 1 Nov. 2017, onlinelibrary.wiley.com/doi/pdf/10.1111/anae.14080.
“List of Cephalosporins + Uses, Types & Side Effects.” Drugs.com, www.drugs.com/drug-class/cephalosporins.html.
“Pneumonia in the Pregnant Patient: A Synopsis.” Medscape, 21 May 1999, www.medscape.com/viewarticle/717402_7.
Kiser, Austin. “Intro to External Fetal Monitoring.” Youtube.com, 2020, youtu.be/jQUh7nwxruA.
HEMS #CoffeeBreakHEMS #FOAMed #criticalcare #flightmedic #flightnurse #fpc #cfrn
Hey everyone, in this episode we'll be talking about shock and how to fight it. when you're at the scene of a call, or at bedside and are presented with a patient who is actively dying, it can be pretty overwhelming. We'll be taking shock and dissecting it down into 4 basic priorities to hopefully take the cognitive load off of you. As always, let me know what you think, and don't forget to give us a 5-star review!
kisercpr@gmail.com
FOAMed #HEMS #coffeebreakHEMS #flightparamedic #flightnurse #criticalcare
Hey everyone, in this episode we're going to talk about stress, hyper-vigilance, being an asshole, and much more. I want to give a huge thank you to Dave Motzkin for allowing me to use this material, as he did 90% of the work on this topic. His passion gave me passion. Also, if you love this topic, go read "Emotional Survival in Law Enforcement". It was amazing, and truly helps you to grasp these topics, and how to combat them.
Austin's Contact info: kisercpr@gmail.com
Give us a 5-star rating!!
HEMS #CoffeeBreakHEMS #criticalcare #Flightparamedic #flightnurse #EMS #FOAMed
In today episode, we're discussing heatstrokes. Starting with the EMS response, ED care, ICU care, and the eventual outcomes, we'll delve into everything that you want to know about saving these patients.
If you want to get ahold of me for episode suggestions, reach out to: kisercpr@gmail.com
HEMS #coffeebreakHEMS #EMS #criticalcare #flightparamedic #flight nurse #FOAMed
Today we'll be talking about managing the intubated COVID patient on a ventilator. I know many, if not most, of our listeners are prehospital providers and they may not be super familiar with vent management. If you're interested in learning about it, go to my youtube page (kisercpr) and you can find Intro to Ventilation Parts I-IV. Then you'll have to come back and listen to this! If you are familiar with vents, I hope these little suggestions are helpful in your practice.
email: kisercpr@gmail.com
HEMS #coffeebreakHEMS #FOAMed #criticalcare #flightmedic #flightnurse
Today we'll be discussing WPW in terms of treatment options for you in the field. There are many presentations of WPW, from narrow regular, to wide complex, to afib with WPW. These all need to be treated differently, and we'll discuss that.
Don't forget to let me know what you want to hear about at kisercpr@gmail.com
HEMS #criticalcare #flightmedicine #flightnurse #flightparamedic #FOAMed #coffeebreakHEMS
Hey everyone, today we'll be discussing the proper way to both treat and transport a pediatric DKA patient. We'll go over the treatments and why they matter, and talk about the dangers of inappropriate management in pediatrics with a diagnosis of DKA. Some visual info for you is below:
Sample IV fluid maintenance schedule for pediatrics
• <10kg = 100ml/kg/day
• 10-20kg = (1000ml + 50ml/kg) / day
• >20kg = (1500ml + 20ml/kg) / day
Labs for Case 1:
• pH 7.11, PCO2 17, HCO3 9, BE -19, Lactate 2.7
• Na 132, K 5.2, Cl 95, CO2 8, glucose 540
• Urine: positive for glucose and ketones
And don't forget! If you like this podcast, please give us a 5-Star rating, it helps us to be found by others!
You can always reach me at: kisercpr@gmail.com
HEMS #criticalcare #flightparamedic #flightnurse #coffeebreakhems #FOAMed
Hey everyone! In this episode we're doing a little ABG review and talking about Base Excess and why the heck we care about it in our interpretation of a blood gas. I hope you enjoy it, and don't forget, if you have topics you want to hear about, let me know! kisercpr@gmail.com
HEMS #coffeebreakhems #FOAMed #criticalcare #flightmedic #flightnurse
Note: This case is completely fictional and is not based on any real patient!!
The following case is about a fictional patient that developed a PE and eventually had a cardiac arrest in the hospital. The question posed to the audience is this: if the field personnel had PE on their differential, would the patient have survived? This case goes into utilizing the EKG as a means to identify PE's in the field. Let me know what you think! If you have any questions, comments, or ideas about another episode just email me at kisercpr@gmail.com #HEMS #FOAMed #coffeebreakhems #criticalcare #EMS #flightmedicine
Hey guys! In this episode, we answer that annoying question from back in medic school... Why the hell do I give two craps about the Oxyhemoglobin Curve and what does it have to do with my patient care. Well, it turns out that it's super important. Hopefully this podcast will answer the questions that you had regarding the curve. I really want to start getting feedback on these episodes and see if it's the kind of content that you're looking for. If you love it or hate it, let us know!! kisercpr@gmail.com
HEMS #FOAMed #criticalcare #FP-C #CFRN
This episode deals with the patient who is hard to ventilate or hard to bag. This can be very frustrating for our clinicians and can be very dangerous in our pediatric patient population. There are a ton of ways to help improve lung compliance, and this podcast really addresses one of them, but it's an item is very often missed, and something that most people don't fully understand. I hope you like it! Source materials below: #HEMS #FOAMed #coffeebreakHEMS #criticalcare #ventnerd
“Static Compliance Equation Page :: MediCalculator ::: ScyMed :::” ScyMed, 2019, www.scymed.com/en/smnxpr/prsdc055.htm.
• clinical experts group. “Static Compliance vs Dynamic Compliance.” Static Compliance (Cstat) vs. Dynamic Compliance (Cdyn), 2017, www.hamilton-medical.com/en_US/E-Learning-and-Education/Knowledge-Base/Knowledge-Base-Detail~2019-02-04~Static-compliance-%28Cstat%29-vs--dynamic-compliance-%28Cdyn%29~23980f36-edb7-41ea-b04f-fb9fe4d990b5~.html#DataTables_Table_0=od3.
• Tepper et al. “Static Compliance of the Respiratory System in Healthy Infants.” American Journal of Respiratory and Critical Care Medicine, 2001, www.atsjournals.org/doi/full/10.1164/ajrccm.163.1.2002130.
• Brower, et al. “Driving Pressure: a Marker of Severity, a Safety Limit, or a Goal for Mechanical Ventilation?” Critical Care, BioMed Central, 1 Jan. 2013, ccforum.biomedcentral.com/articles/10.1186/s13054-017-1779-x.
• Nickson, Chris. “Pulmonary Mechanics • LITFL • CCC Ventilation.” Life in the Fast Lane • LITFL • Medical Blog, 30 Mar. 2019, litfl.com/pulmonary-mechanics/.
In this episode we discuss BiPAP comfort. After placing a patient on 15/5 they can still appear to be super uncomfortable, and there are several reasons that can happen. Hopefully after this 15-ish minute talk, you'll be able to confidently make adjustments for your patient to make them as comfortable as possible. You'll learn how to adjust I-Time, Rise Time, and Flow Termination. #FOAMed #CoffeebreakHEMS #HEMS #PHIairmedical
Hey everyone, in this episode we'll be talking about the components of pressure support in our patients and hopefully making everyone a bit more comfortable with single level, and bi-level support. In the past I've seen flight crews not start BiPAP on patients because they simply weren't comfortable with the thought of having to titrate the settings on the ventilator, and that's just not cool. This is part I of a III part series that will be going over how to titrate the settings, and how to make somebody comfortable on BiPAP. #phiairmedical #HEMS #FOAMed @kisercpr
Just taking a second to introduce myself and let everyone know what we're all about. The podcast focus's on critical care medicine in the prehospital setting. We hope that if you're new to the industry, you'll be able to greatly expand your knowledge of critical care and have a first-attempt pass on your specialty exam. If you're a grumpy old veteran to the HEMS industry, we've still got a ton of stuff for you as well!