Air Methods Prehospital EDucation Podcast: Recent Episodes

Phil Moy, Joe Hill, John Wilmas

This is the AMPED Air Methods Prehospital EDucation (AMPED) podcast brought to you by Air Methods, a leader in air medical transport, with the mission to deliver critical care discussion and content to both the prehospital and in hospital care providers through clinician interviews and expert clinical commentary.

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A young man in his 20s experiences a head-on collision with a tree that leaves him in profound shock, and not exhibiting the symptoms that would seem to match his vital signs. Our team recognizes the mismatch and works quickly to get him to the hospital. Upon arriving at the hospital, the team does what our host refers to as "the ultimate hospital intervention" and performs an open resuscitative thoracotomy. After multiple surgeries and three days, the patient ultimately does not survive. But after the staggering volume of blood products and interventions performed, they wonder if he's still eligible for organ and tissue donation. In the last part of this episode, we answer that question with an expert on the issue. The insights are fascinating. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Lindsey Speir, MHA, BSN, RN, CPTCExecutive Vice President Kelsey Nicks BSN, RN, CFRN Flight Nurse Harold Englert EMT-P, FP-C Jason Elliott RN, NRP, FP-C Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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Transporting a newborn in distress already involves extreme logistical complexity, as you'll hear in this month's episode where our team is tasked with taking a newborn experiencing acute shortness of breath. But what happens when the mother starts to decompensate right alongside her baby? Now our team is tasked with caring for two patients, and how they tackle that complexity is the focus of this episode. How many people does our team have to talk to? How long does that process take? Tune in and hear about the thoughtful and thorough process of ensuring everyone's safety provided by Air Methods' procedures. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Mark Fowler NRP, FP-C Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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At a motorcycle track, a middle-aged man suffers a massive crash off a jump. Byt the time our team arrives on scene, the man is inflating like a balloon suffering from massive structural-distorting subcutaneous emphysema. The massive air pockets completely obliterated his normal anatomy, leaving them to guess: Do we blindly plunge decompressing needles into his chest where the landmarks have completely vanished or do we prioritize and secure the airway using advanced focused techniques? Listen in as our team learns in real time that ego has no place beside the patient. How does this case turn out? Listen in! Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Clint Pusey, BSN, RN, CFRN William W. Wright, FP-C Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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A man in a high speed, rollover motor vehicle crash experiences a multitude of symptoms including hemorrhagic shock and profound respiratory distress. As our team assesses him, they attempt multiple needle decompressions to relieve pressure and improve breathing. None are successful. Having recently received training and approval to do a finger thoracostomy, they talk with their lead clinician and decide that is the best course of action. Listen in as we hear from the team on the ground, experience their decisionmaking, and find out what happens. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Matthew Corban NRP, FPC Air Methods Float Paramedic Jacqlyn Murray - Flight Paramedic / RN, FP-C , CFRN Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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On this episode of AMPED, when our team arrives on scene for a pediatric head trauma case in a 10-month old, everything at first seems normal and under control. But in that calm, something feels off to one of our clinicians and he believes our patient faces imminent peril. Does he defer to the doctor on scene who has given assurances that everything is fine, or does he listen to his intuition and communicate his concerns to his partner in order to take action? Listen in and find out how this case unfolds, and hear how this particular case affected our clinicians greatly after the fact. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Holly Prather, RN, CEN, CFRN, CTRN JM Walker, EMT-P Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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When our crew is dispatched to an extremely rural location, they find our patient has fallen off an a-frame ladder and been impaled in the chest by a large piece of rebar on the ground. We know that in dealing with impalements, removal or jostling of the object can cause a host of problems for the patient, so the team must take great care in transporting him to a location where removal and treatment can occur in a safe and controlled environment. Listen in as our team coordinates with other first responders, readies their equipment mise en place, and communicates to ensure the best outcome for our patient. You'll find he is simultaneously very unlucky, and extraordinarily lucky in his unusual case. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Jennifer A. Beckett NREMT-P AAS Cole Diercks BSN, RN, CFRN Steven Johnson NREMT-P Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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Our crew was dispatched to a high energy, rollover MVC with a patient ejection, which usually demands aggressive trauma protocols. But what happens when the patient is equipped with a HeartMate II, a Left Ventricular Assist Device (LVAD) that pumps blood for failing hearts. The irony is that this extremely sophisticated medical device that keeps our patient alive, also precludes our team from gathering regular vital signs, like a palpable pulse or traditional blood pressure measurements. How does the team manage a trauma resuscitation when the patient's circulation is a continuous flow rather than a beat? The trick is going to back to the basics of trauma care. Listen in and find out how this case unfurled. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Chelsea Putman, FP-C Robert Steele, RN Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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On this show we have espoused the general guiding principal of "when you hear hoofbeats, think horses, not zebras." Sometimes the hoofbeats actually are those of zebras. But what if sometimes there not even zebras, they're unicorns? On this episode of AMPED, our patient has been bitten by a Jameson's Mamba, one of the deadliest snakes in the world. Thankfully, he is an expert herpetologist who is able to talk our team through the steps needed to save his life. But what our team learns is that sometimes that which seems extremely rare results in care that isn't rare at all. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Samuel Hall MD (Picture) Jim Harrison (patient) and Kristen Harrison Courtney Martin NREMT-P Sarah Crabrtree RN Kristen Wiley Kentucky Reptile Zoo Links: Official site Facebook Instagram Youtube channel Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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A brutal incident where a woman gets hit by a truck leaves her with a multitude of injuries, most notably both of her legs bent into a position best described as "frog legs." She's in good spirits and her vitals are good, but her legs bent at that angle means that she cannot fit into our team's helicopter. How does our team get her legs back into place without causing further trauma or risking her stable vitals? Complicating factors is the extremely uneven ground because they're in a cow pasture and the risk of infection is extremely high because the team and the patient are surrounded by cow patties. There is no training for this exact scenario, so how does our team adapt and apply the training they have to this unique situation? This episode of AMPED digs in. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Aaron Botzow, NRP, FP-C Drew Gill, BSN, RN, CEN Michael Eastman DO Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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In an incredible twist of irony, this month's case focuses on our flight crew loading into their helicopter to be dispatched to... a patient who has fallen out of a helicopter. From a height of approximately 40 feet and at a speed of 30 knots, our patient has an abundance of injuries, which requires our team to remember their axiom: "Slow is smooth, and smooth is fast." This episode also introduces an important question: How do we intervene in different kinds of shock? Our patient had three different kinds: Hemorrhagic, neurogenic, and obstructive shock. Listen in as our guest, along with our panel, deconstructs one of the rarest cases in AMPED history. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Matthew Habbe NREMT-P. Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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A common aphorism in the medical community comes from Dr. Theodore Woodward who said in the 1940s, "When you hear hoofbeats behind you, think of horses, not zebras." It's a way of reminding medical practitioners that the most common explanation is usually correct. In other words, Occam's Razor is usually correct. But what happens when the most common explanation isn't correct? What happens when you turn around and find a zebra looking at you? In this month's episode, our team finds a pediatric patient who seems to have had a stroke. Stroke is very uncommon in children, but that doesn't mean it never happens. Listen in as our team starts with the basics, analyzes the feedback, and arrives at their conclusion. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Maria Milagros Galardi, MD William McCray, RN Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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Extreme weather once again plays an important factor in this month's case where our team comes upon a car accident victim who has a litany of injuries that make care extremely challenging, even in optimal conditions. Featuring a pilot for the first time ever in AMPED history, we hear from our clinicians about how to give our patient the best shot at survival, and from our pilot about the many considerations he has to make in order to expedite his arrival at a care facility. Hear these unique insights in this fascinating episode of AMPED. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Danica Mainridge RN, BSN, CEN, CPEN, CCRN, CFRN Megan Thompson, RN, MSN, MBA, CEN, CFRN, TCRN, TNS, CES-A Mikaele Kerner Helicopter PIlot

Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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A severely ill Flu A patient, fully intubated, and fighting for every breath requires the AMPED team for transport for possible ECMO. Under even the best of circumstances, this type of patient requires extensive care and presents many challenges. But what happens when extreme weather causes problems with the team's equipment, making care even more challenging? Find out how our team dealt with and overcame these challenges to help ensure our patient's recovery and survival. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Matt Johnson, NRP Flight Paramedic Anna Schmick, BSN, RN, CFRN Flight Nurse Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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A car accident on the highway sees the vehicle rollover nine times and ejects our patient out of the vehicle with a multitude of life threatening injuries. Our team refers to our patient as the sickest trauma patient any of them had ever seen. The outlook is very bleak, but our team perseveres and gives every effort to help increase the patient's odds of survival. While not ultimately successful, this episode provides critical insight and valuable lessons learned from our team about how important providing the very best care is, even when the cause appears lost. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Mark Fowler NRP, FP-C Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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A motorcycle accident leaves our patient with a litany of serious injuries and severe bleeding, yet he remains alert and talking to the team... but that's not the only one he talks to. Our patient puts his life in the hands of a higher power and our Air Methods crew as they work to address his numerous injuries and ailments and get him to a hospital. Hear from the patient himself through this harrowing experience. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Sarah Baker, RN, PHRN, CEN, CCRN, CFRN Jesse Weller, NRP, FPC Kyle Hoover Here is everyone reunited as our patient continues his recovery. Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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As our team is out saving lives, we're excited to revisit one of the most harrowing episodes in our archives from January 2023. This remarkable story has a multitude of valuable lessons and insights you're going to love. See you next month with fresh content!

It's a different type of episode today on AMPED. We're joined by Ridley Barron, a Senior Pastor at Grove Hill Church in Chapel Hill, TN, and motivational speaker. He tells an incredible story about how his life was changed in a split second via car accident, shares the harrowing journey in the hospital that happened with his youngest son, and the aftermath that followed. Our hosts also discuss Air Methods' MACC Checklist, which stands for Medication Administration Cross Check. It's a story of tragedy, of forgiveness, and of making the most out of the impossibly difficult situations life presents you with. Ridley Barron, Senior Pastor and Motivational Speaker. You can learn more about him at his website. Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

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Our team is dispatched to a scene where they understand a pregnant woman is experiencing footling breech during the birthing process. When they arrive, they find the baby already delivered and being tended to with Basic Life Support practices, although she is in rough shape. How does the team pivot? What steps do they take as the baby is in cardiac arrest? The answer, as it frequently is, is to go back to basics. Listen in on this incredible story with an unexpected ending. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Breanna Bingel RN, BSN, PHRN, TNS, CFRN, CEN, TCRN, CTRN Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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When two flight teams are dispatched to a scene, usually the first to arrive takes the sicker of the patients. What happens when circumstances on the ground change that? How do the teams tag in and tag out with one another? On this episode of the AMPED Podcast, a high speed highway collision sees patients with a litany of maladies including traumatic brain injuries. Our team identifies and handles Beck's triad, tension pnuemothorax, flail chest and a lot more in an eventful transport to the medical facility. Listen in on how our team, with a special guest ride along visitor, handles everything. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Breanna Bingel RN, BSN, PHRN, TNS, CFRN, CEN, TCRN, CTRN Kayce Thompson, BSN, RN, Flight Nurse Shawnee Trindle, ER RN

Kayce, Shawnee and Breanna together

Spenser Rich, RN-Paramedic, CFRN, FPC

Christopher Wright, BSN, RN, CFRN, etc

Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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A pinkie promise is a promise you cannot break, and it's one our patient in this month's episode made to his wife when he was stricken with a life-threatening COVID infection. She made him promise that he would pull through the ordeal, and he did... but not without many bumps in the road. Our team not only battled our patient's COVID, but also a nasty case of pneumonia that ultimately led to him needing to be placed on ECMO, which, as you know, is usually a last resort. Listen in as they transported him prone, which our team had never done before in 20+ years of experience, dealt with an unexpected hailstorm during transport and find out how our patient ended up doing after a lung transplant. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Jeff Dickson, NRP, FP-C The Wilkins Family Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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The holidays are a time for hope, a time for believing in the extraordinary. Remember that classic holiday film, Miracle on 34th Street? Just when everyone's lost faith, a series of unexpected events bring about the impossible. Well, this week on the Air Methods Prehospital Education Podcast, we bring you a real-life story that echoes that same spirit. It's a case of resilience, determination, and the power of preparation in the face of a life-threatening pediatric emergency. Picture this: a child in cardiac arrest, the festive joy replaced by the urgent need to save a life. Our crew, faced with a medical mystery and a young life hanging in the balance, refused to give up. Like Kris Kringle himself, they needed more than just skill – they needed a touch of magic, a sprinkle of the extraordinary. Join us as our AMPED crew, Medical Director Dr. Wilmas, Flight Nurse Nyssa Hattaway, and I, delve into this heartwarming case, exploring how preparation, quick thinking, and a series of fortunate events intertwined to save a child's life. It's a story that reminds us that even in the darkest of moments, hope, like the spirit of the holidays, can prevail. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Nick Grindeland, RN, NREMT-P, CFRN Derek Hughes, Flight Paramedic/Clinical Base Lead Alberto Sauceda, Dad Logan Sauceda, our patient

Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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A gruesome head-on motorcycle accident causes this month's patient a litany of injuries. He has bilateral femur fractures, a large open wound on his abdomen and much more... and he's awake the whole time. He is cognizant, lucid, and chatting with our team through the entire ordeal. Is he experiencing neurogenic shock? And if he is experiencing neurogenic shock, can he be electrically paced? There's no standard guidance on this exact scenario. Tune into this episode of AMPED to find out what our team did and what the ultimate result is. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Veronica Huskey, RN, NREMT-P, CFRN, FP-C Alaina Armstrong-Cain, NREMT-P, FP-C Our team together Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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A seemingly simple heart attack gives our team pause because the patient presents a litany of conflicting symptoms. Should our team send him to have a stent put in right away - as is standard procedure - or do they wait to address the other symptoms and risk muscle damage? What would you do if you were in their position? Our hosts consider the symptoms and give their own recommendations while our team shares what actually unfolded. The lesson is that if something feels a bit off, it's important to listen to your intuition. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Liz Lashley RN, CFRN Jorden Dick, OMS-1, NRP, FP-C Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

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A motorcycle accident victim faces dire circumstances and our team has to execute a new procedure that is rarely done in the field and has a high degree of risk if not done correctly. They are one of the only teams in the region equipped to even do such a procedure, and our team is concerned about doing it correctly because a lot can go wrong. Could you do a procedure you don't normally do with an audience? Because in addition to having to execute for the good of the patient, our team had the patient's family, other first responders and more watching them. Listen in as our team tackles another fascinating case on this episode of AMPED. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Veronica Huskey, RN, NREMT-P, CFRN, FP-C Alaina Armstrong-Cain, NREMT-P, FP-C Our team together Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

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Presented with a patient whose symptoms seem contradictory then flip, change and remain unclear, our team must continue to work to keep the patient alive. What's causing the duress for our patient? Is it an aneurysm? Is it neoplastic process? Cardiac arrest? Some combination of these factors? Our team remains nimble, attentive, and diligent in their work. What lessons can we learn from this case? Tune in and find out. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Liz Lashley RN, CFRN Jorden Dick, OMS-1, NRP, FP-C Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

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Summer season has our clinicians busy and therefore we are re-sharing Episode 35 featuring the harrowing journey of a brave 10 year-old boy. See you next month with fresh content! As first responders, the odds of patient survival are not always in our favor. But that does not stop us from working quickly to provide the highest level of care for the chances of defying those odds. In this episode, a 10 year-old boy wrecks on his bicycle, a fairly common occurrence and one that rarely requires air transport, yet when our team arrives on scene, his vitals crash in front of their very eyes. What's going on? And what actions do they take to save his life? An inspirational, harrowing and odds-defying episode of AMPED awaits you this holiday season. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Zachary Fica, MD Amy Marquez, RN, Air Methods Flight Nurse (pictured with Declan, our patient) Mercy Air Team Chris (our patient's father) and Declan (our patient) Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

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Sometimes the hardest part is the waiting. When our team is dispatched to a scene where a man who does not speak English is trapped inside a confined space with possible crush injuries, hypothermia and hyperkalemia, they must wait for him to be extricated. How do you stand that interminable time? How do you stay ready? And then how do you switch from inaction to action once it's time? Our team tackles yet another unique case in this month's episode. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Nissa Hattaway, Flight Nurse BA, BSN, RN, CEN, CPEN, CFRN Justin Brown, Flight Paramedic NREMT-P Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

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When our team is dispatched in the middle of the night to a hospital that almost never calls them requesting air transport for a case of an obstructed airway that doesn't, at first blush, seem like it warrants it, our team approaches with caution and curiosity. When they arrive, something doesn't add up and they first opt to phone the on-call doctor to explain the situation, and then dig deep into their bag of tricks - a la famous, resourceful TV character MacGyver - to improvise a unique solution. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Robert Pringle, MD Jamie Hogue, MSN, RN, TCRN, CEN, CFRN Greg Denz - NRP, FP-C, BS Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

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Any pediatric case comes with a higher degree of tension due to a variety of factors including compensatory responses to distress leading to a precarious "cliff" when those compensatory efforts cease. When our team is dispatched to a 5 year-old child struggling to breathe, yet still shows strong vital signs, how will the AMPED team respond? This episode discusses at great length understanding that even though we should strive for perfection in every action we take, sometimes "good" is good enough because recovery is a long road and there are skilled and caring teams awaiting us when we hand off our patients. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Danica Mainridge RN, BSN, CEN, CPEN, CFRN Kevin Dominic NRP, FP-C Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

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By necessity, our teams are dispatched to most extreme, most rare, most complex, and sometimes most hopeless-seeming cases any patient could ever experience. It would be easy to look at certain cases - like say, a man whose legs are stuck in a concrete augur on a precarious platform with injuries that are intermingled and devastating - and assess that he's not going to make it. Our Air Methods team uses creativity, determination, skill and compassion to exhaust every possible method to help our patients achieve even the slimmest possibility of survival. This month's story is one such story of going the distance no matter what. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Sarah Padesky RN, BSN, CCRN, CFRN Caitlyn Binz RN Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

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When an infant patient faces seemingly insurmountable odds over the course of several hours, one of our clinicians suffers a mental health breakdown over the ensuing shifts, days and weeks. Thankfully her team recognized changes in her behavior and mood and offered abundant help. This episode covers not only the case involving the infant patient, but the aftermath and care for our clinicians. If you, or someone you work with, is struggling with your mental health, please reach out to Shatterproof, part of FHE Health on the web or at (833) 591-1536. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Christa Tribble RN Flight Nurse Air Methods Alex Menas Outreach Coordinator for Shatterproof Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

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Our profession requires extensive and exhaustive training. Much of it can seem esoteric and possibly unnecessary at the time, but we train on all of these things for a reason. When our team comes upon a severely burned patient, they extent of the burns causes a melange of difficulties. Could an obscure, and rarely used, procedure ultimately help and provide the patient more time? The AMPED team discusses this little-used technique and we discuss the importance of remaining familiar with the abundance of techniques and treatments we learn during our training. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Chase Niewoehner RN, BSN, CFRN, CCRN-CMC, CES-A Lindsey Greenfield Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

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As first responders, the odds of patient survival are not always in our favor. But that does not stop us from working quickly to provide the highest level of care for the chances of defying those odds. In this episode, a 10 year-old boy wrecks on his bicycle, a fairly common occurrence and one that rarely requires air transport, yet when our team arrives on scene, his vitals crash in front of their very eyes. What's going on? And what actions do they take to save his life? An inspirational, harrowing and odds-defying episode of AMPED awaits you this holiday season. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Zachary Fica, MD Amy Marquez, RN, Air Methods Flight Nurse (pictured with Declan, our patient) Mercy Air Team Chris (our patient's father) and Declan (our patient) Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

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Things are not as they seem on this month's episode of AMPED. Our team arrives on scene to find first responders dealing with a chemical burn and administering CPR. But something is amiss. This episode is a stark reminder that no matter the time of day, no matter the other circumstances, our role as clinicians is to stay vigilant in our analysis and always to assess every aspect of the situation thoroughly. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Amy Merritt, BSN RN CFRN Allen Walworth NREMT-P Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

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In a Florida nature park, a woman is bitten by a snake, which is not terribly uncommon in this part of the country. What is unusual is her reaction to it, which is severely anaphylactic. With limited resources in the sprawling park, a closing window for treatment, and critical decisions to be made instantly, how will the team assess, handle and treat our patient in this week's episode? And why such a severe reaction? Find out when you tune in. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Thomas Young, NPFR FF/PM EMS FTO Matthew Johnson RN, Flight Paramedic FSR, FP-C, D​MT, NREMT-P & Joshua Webster Flight Paramedic FSR, FP-C, D​MT, NREMT-P Evan Schwarz, MD FACEP FACMT FASAM Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

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Our teams at Air Methods have many checklists they follow to ensure optimal care for each patient. What happens when our teams have to pivot their approach and their treatments because of the uniqueness of each individual? On this episode, our team tends to a car crash victim whose injuries make traditional methods of care impossible, and the team is forced to pivot multiple times to provide treatment. This episode also tackles the question of when it's appropriate to give the patient's family the gift of a goodbye. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Jacqlyn Murray FPC NREMTP Teresa Click BSN, RN, EMTP, CEN Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

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Hot on the heels of Ep. 31, which featured the Air Methods team taking care of one of their own, we return with bonus content. It's rare that we get to talk to the patient of one of our cases, and even rarer that the patient is also one of our clinicians. In this bonus interview, we share more of our conversation with Jeff Chesleigh as he divulges what it was like to code multiple times, his thought process during the ordeal, how his approach to patients going through a similar experience has changed, and the aftermath of the event. The conversation is riveting and informative. We are joined by: Jeff Chesleigh (pictured center), FP-C. Area Manager, Southern Arizona, South Central Region Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

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Our Air Methods crew always pride themselves on providing the highest level of care to each and every patient they encounter. But what happens when the patient is one of their own? What happens when he codes multiple times from a myocardial infarction? Further compounding the issue is that many of the resources used to treat MI are unavailable in this rural area. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: In order from left to right: Amy Milner, BSN, RN, CEN, CFRN, Flight Nurse; Jeff Chesleigh, FP-C. Area Manager, Southern Arizona, South Central Region
Chad Clark, CEP,FP-C Flight Paramedic
Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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Click HERE for CE credits! Building on the conclusion of Episode 29, the AMPED team sticks with the patients and works to figure out why our patient has not delivered her placenta, why she's bleeding, and how to ensure both she and her baby thrive in the crucial time after childbirth. If you're unfamiliar with postpartum care, ask yourself these questions: What do you need to brush up on? What should you review? And what should be ready for when this situation arises? The AMPED team is joined by: James Mills, NRP, CCEMT-P, FP-C Berry Campbell, MD Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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How up to date are you, as a first responder, on all things neonatal? Are you prepared to take care of and assess a newborn in the very first minutes of their lives? What tools should you have at the ready? How do you improvise the solutions you need? And what key things should you be looking for? This episode of AMPED examines a recent case where our team had to do just that. The AMPED team is joined by: Matthew Milligan, Flight Nurse CCRN Joseph Finney MD Pediatric Emergency Medicine Physician EMS Physician Podcast host of the Pediatric EMS Podcast Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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Sometimes during a medical event, a team can make all the correct choices and still lose a patient. In this episode, a patient experiencing angioedema presents our team with choices that are all undeniably fraught and filled with risk. As they relive the event, they discuss how they cope when things don't work out as they hoped, how they try to use the experience for future cases, and the importance of the support and communication of your colleagues. The AMPED team is joined by: Joan Noelker, MD, MACM, FACEP (pronouns: she/her/hers) Associate Vice Chair of Education for Emergency Medicine Washington University School of Medicine Nichole Ojala BSN, RN, CEN, CCRN Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

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This episode is about the challenges of transporting a highly complex patient with multiple medications and life-saving technologies. In this episode, Critical care paramedic Jordan Stone encountered a malfunctioning transvenous pacemaker causing the patient to move putting at risk his multiple connections and balloon pump placement. With the help of his medical director Dr. Weir, hear how our team dealt with this tenuous situation. The AMPED team is joined by: Jordan Stone NRP, FP-C, CCP-C, Clinical Base Supervisor

Brad Weir, MD, FACEP, FAEMS, FAMPA Carle AirLife & Critical Care Transport Medical Director Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

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An impromptu knock at the door shortly before our flight crew's safety nap turns into an unexpected potential mass casualty incident via skydiving accident. Our crew had multiple victims and complex injuries to deal with along with a growing crowd. Quick thinking, resourcefulness, and taking things one small step at a time are the key themes in this month's episode. The AMPED team is joined by: Mike Dvorak B.S., CFRN, FP-C

Noah Bernhardson, MD NRP EMS Physician/Medical Director

Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

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When the Air Methods first responder team encounters a 19-year-old man with a litany of injuries due to a car accident involving a concrete barricade, a complicated extrication process, crush injuries, and possible amputation, quick analysis, and action are required. Listen in to hear the incredibly quick timeline of events, the complexity of the solutions needed to save the patient, and the assertive decision-making by the Air Methods team in this week's episode. The AMPED team is joined by: Louise Moeck, RN, Clinical Lead Renee Struwig, RN Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

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It's a different type of episode today on AMPED. We're joined by Ridley Barron, a Senior Pastor at Grove Hill Church in Chapel Hill, TN, and motivational speaker. He tells an incredible story about how his life was changed in a split second via car accident, shares the harrowing journey in the hospital that happened with his youngest son, and the aftermath that followed. Our hosts also discuss Air Methods' MACC Checklist, which stands for Medication Administration Cross Check. It's a story of tragedy, of forgiveness, and of making the most out of the impossibly difficult situations life presents you with. Ridley Barron, Senior Pastor and Motivational Speaker. You can learn more about him at his website. Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

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Pregnancy complications are always difficult to manage. Managing these complications in the air puts a whole new spin on the topic. In this episode the AMPED team discusses a case in which Air Methods crew members had to transfer a patient with an abrupted placenta AND an open abdomen. We discuss the similarities in how treating a patient with an abruptio placentae is like treating a trauma patient. But we also discuss how treating a patient with aburptio placentae is different than treating a trauma patient. Check out this episode where we discuss these subtle diagnostic and treatment differences with our special guest: Dr. Berry Campbell, OB/GYN physician and Medical Director for Air Methods. Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

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WARNING: This episode features discussion of depression and suicide. If you, or someone you know is suffering from depression or considering suicide, please seek professional help or call the National Suicide Hotline by dialing 988. Remember, you matter.

A mantra of the Navy SEALS is, "Slow is smooth. Smooth is fast." It's a reminder to approach any situation with deliberate and careful consideration and that the quickest route to complete a task is to be methodical and slow. When presented with a patient who attempted suicide via shotgun to the face, the team is faced with difficult, complex choices that require steady nerves, quick decision-making, and reliance on preparation and teamwork. Our team is joined by:

 **Brian Harrison EMT-P**

**Zak Saxton, RN**

**Brian Gremminger, EMT-P**   **Click here to download this episode today!**

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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In the movie Jurassic Park, Dr. Ian Malcolm (played by Jeff Goldblum) says this about the butterfly effect as it relates to chaos theory, "A butterfly can flap its wings in [Beijing], and in Central Park, you get rain instead of sunshine.” The metaphor is used to describe how seemingly minor events can have grand consequences much further down the line. On this episode of AMPED, an accident on a rural farm, a seemingly banal scheduling happenstance, and a series of decisions borne out of circumstance result in remarkable change for the state of New York, and a policy that affects the ability of first responders to do their jobs. Our team is joined by:

 **Rich Mosher BS, NRP, FP-C, Flight Paramedic - Guthrie Air**

Larissa Colton, CFRN, Clinical Base Lead

 Christopher Berry MD, Medical Director    **Click here to download this episode today!**

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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We have talked on this show before about the complexity that can arise after suffering a stroke... but what if the patient also goes into pre-term labor while suffering the stroke? What interventions do you do? Which issue do you tackle first? What if your transport occupancy doubles mid-flight? Our team is joined by:

**Jeffrey Cutright EMT-P, Clinician for Air Methods,**   **Dr. Nida Jamal, Stroke Medical Director for Mercy Hospital in Saint Louis,**     **Dr. Barry Campbell, Air Methods OB/GYN consultant,**    **Click here to download this episode today!**

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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We have talked on this show before about the complexity that can arise after suffering a stroke... but what if the patient also goes into pre-term labor while suffering the stroke? What interventions do you do? Which issue do you tackle first? What if your transport occupancy doubles mid-flight? Our team is joined by:

**Jeffrey Cutright EMT-P, Clinician for Air Methods,**   **Dr. Nida Jamal, Stroke Medical Director for Mercy Hospital in Saint Louis,**     **Dr. Barry Campbell, Air Methods OB/GYN consultant,**    **Click here to download this episode today!**

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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Sometimes the solution seems like it should be simple: Just stop the bleeding. But what happens when the injury is the internal jugular vein and the usual interventions either won't work, will cause other damage, or are simply impractical? The AMPED team discusses this case with unique and perplexing challenges, and how they ultimately overcame them. Our team is joined by:

**Ashley Howe, RN, Flight Nurse for Air Methods**   **Dr. Michelle Mclean, MD,** **Medical Director at Air Methods**   **Click here to download this episode today!**

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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First responders see the unique, the unusual, the horrifying and the heartbreaking on a regular basis. On some calls, all the breaks go your way. On other calls, anything that can go wrong, will go wrong. That's the cost of experience. On this episode of AMPED, our team discusses an accident involving a rock crusher in a quarry with complex, interlocking problems, and unusual circumstances that led to lessons hard-earned. Our team is joined by:

**Amber George, RN**  **Brian Gremminger, EMT-P**   **Here are a handful of photos from the scene:**      **Click here to download this episode today!**

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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What do you do when you receive a patient who is in critical cardiac condition after being in jail? Did they already have a heart disease that is getting worse? Or was it something they took? Or was it a prescribed medicine that they couldn't take? Regardless, it can be a struggle to find an answer. At this point you better know your basics to keep the patient alive. In this episode, the AMPED team is joined by flight nurse Chelsea Fehring to delve into another AMPED case that presents some unique and unexpected challenges.

**Chelsea Fehring, RN, Flight nurse**  **Rebecca Tracy, DO, Emergency Physician and EMS Physician**   **Evan Schwarz, MD, Emergency Physician, Toxicologist, Addiction Medicine**   **Click here to download this episode today!**

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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Did you misread that title? Maybe you did and maybe you didn't. Emergency medicine requires our professionals to work from limited information and rely on instincts and assessment to diagnose and treat a patient. This usually leads our team down the right path, but sometimes leads them astray and takes them down the wrong clinical pathway for a patient. This episode takes the listener through these biases and discusses how to combat them, as we are joined by flight nurse, and host of The Q Word Podcast, Nyssa Hattaway.

Nyssa Hattaway, RN,

Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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First responders and clinicians often see things that are unimaginable to the average person as a part of their jobs. Yes, this is the nature of the work, but first responders and clinicians are human, and sometimes what they see affects them deeply. First responders have a 2.5x increased risk of suicide compared to other jobs. How do we help our colleagues handle trauma? How do we care for our caregivers. We discuss that in this episode as we are joined by:

Stephanie Queen, RN,

Taylor McRoy, RN,

If you need mental health or trauma support services, here are two resources for your reference. Please click the links for more information.

ECHO FAST

The Code Green Campaign

Click here to download this episode today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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When a tornado strikes and causes a mass casualty incident (MCI), how does the team integrate itself into a larger team of first responders doing a variety of different jobs? How does the team arrive on scene when flight is impossible? And upon successfully saving one life, how does the team reconcile that success with the multiple other lives lost? These questions and a harrowing story await in this edition of the podcast. We are joined by:

Amy Boultinghouse, RN,

Chase Niewoehner, RN,

Kasia Hampton, MD,

Rebecca Tracy, DO,

Click here to download today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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Air Methods Prehospital EDucation Podcast Pediatric airway management is always a stressful procedure, particularly during transport when the risk of dislodgement increases. That fear of dislodging the airway can quickly change from securing the device to a "rat’s nest" of methods. In this episode the AMPED team dive into a case where that unfolds at the wrong time. We are joined by flight nurse, Jennifer Kucan

and flight paramedic, Tom Bradtke

Click here to download today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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Air Methods Prehospital EDucation Podcast

The second of a two part series, our team recaps the pertinent data from our flight team, discusses where their assumptions were wrong, prescribes solutions for avoiding similar mistakes in the future, and wraps up what was a fascinating case. Did you figure out where the team figured things wrong? We are joined by

Dr. Kevin Baumgartner,

Dr. Michelle McLean,

Shannon Duggar, RN,

and Steve Piper, EMT-P.

Click here to download today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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Air Methods Prehospital EDucation Podcast

The anchoring effect is a cognitive bias that describes the common human tendency to rely too heavily on the first piece of information offered (the “anchor”) when making decisions. On this first of a two-part episode of AMPED, our team discusses treating a possible overdose, uncovers data that doesn't seem quite right, and invites you to discover where things might have gone wrong. We are joined by

Dr. Kevin Baumgartner,

Dr. Michelle McLean,

Shannon Duggar, RN,

and Steve Piper, EMT-P.

Click here to download today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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Air Methods Prehospital EDucation Podcast

Severely burned patients are a clinical challenge from many angles. In this month's episode, we examine and discuss how the patient care challenge is compounded in this transport by the remoteness of the request and the limited local resources. We are joined by flight paramedic,

Orlando Marquez EMT-P

burn nurse

Kelly Marquez RN

and

Dr. Brett Hartman DO

who directs the adult and pediatric burn units at Riley Hospital for Children Speedway Burn Unit and Richard M. Fairbanks Burn Center.

Click here to download today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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Air Methods Prehospital EDucation Podcast

Episode 9: DK A(LL) Messed Up

In this episode, we discuss the many facets of diabetes, providing useful background, context and understanding about this health condition. Listen as our team discusses the treatment steps for a woman experiencing severe diabetic ketoacidosis, unpacking the multitude of problems she experienced, and the needed treatments that seemed to be oppositional to one another.

The AMPED team is joined by guests:

Dr. Alexis Mckee

Endocrinologist & Diabetologist

Dr. Joan Noelker

Emergency Medicine Physician & Medical Education Specialist

Click here to download today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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Air Methods Prehospital EDucation Podcast

Episode 8: No Mistakes, Just Opportunities

In the world of medicine, great clinicians and organizations are always learning from their patients. In this episode, we talk about a patient experience that changed the way the clinicians and Air Methods perform needle decompressions.

The AMPED team is joined by guests:

Dr. Timothy Lenz

Emergency Physician and Medical Director

Dr. Jillian Theobald

Emergency Physician and Toxicologist

Dr. Jeremy Juern

Trauma Surgeon and Critical Care Physician

Will Scott-Smith FP-C

Flight Paramedic and Clinical Education Manager of the North Central Region for Air Methods

Click here to download today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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Air Methods Prehospital EDucation Podcast

Episode 7: It Takes a Village

In this episode, as our crews approach the scene (below) we discuss a compelling case of a critically ill patient treated in a mass casualty situation. We cover crucial triage decisions, a rare but severe traumatic injury, and stress the importance of falling back to our training.

The AMPED team is joined by guests:

Russell Haight MBA, CCRN

Lanika Tucker RN

Thomas Crain Clinical Director at Air Methods

&

Bryan E. Love MD Trauma Surgeon

Click here to download today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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Air Methods Prehospital EDucation Podcast

Episode 6: MO' ECMO!

In this episode, we discuss another ECMO case that will get your critical thinking skills a run for their money! Get your thinking caps on because we will be dealing with all types of shock and lifesaving devices that depend on your fundamental knowledge of physiology and anatomy to save a life.

The AMPED team is once again joined by our guests:

Chase Niewoehner RN

Flight Nurse and ECMO Specialist

&

Christina Creel MD

@critcreelMD

Critical Care Nurse/Emergency Physician/Critical Care Physician at Emory University Hospital.

Click here to download today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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Air Methods Prehospital EDucation Podcast

Episode 5: C'mon little stitch!

This episode will follow our team during one of these cases where a patient on an ECMO device was one of many challenges. The AMPED team is joined by:

Chase Niewoehner RN

flight nurse and ECMO specialist

&

Dr. Christina Creel-Bulos

@critcreelMD

Critical Care Nurse/Emergency Physician/Critical Care Physician at Emory University Hospital.

Click here to download today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

P.S. Here is the image we promised we would post!

Works Cited

1. Dance, Don't Delay by Twin Musicom is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/

Source: http://www.twinmusicom.org/song/303/dance-dont-delay

Artist: http://www.twinmusicom.org

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Air Methods Prehospital EDucation Podcast

Episode 4: The ol' bait and switch

Have you ever had one of those calls dispatched as one issue and you arrive and it's something else? Yup! We have as well! In this episode, we dissect such a transfer call where the Eric Wheeler EMT-P and Danielle Flamm RN prepared for a STEMI transfer, but what lay in store for them at the sending facility was something much deadlier.

In this episode, we have special guests:

Kevin Baumgartner MD

Evan Schwarz MD

Click here to download today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

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Air Methods Prehospital EDucation Podcast

Episode 3: "What are my next steps: Part 2"

In our previous episode, flight nurse Christopher Becker recounted his transport of a sick patient in shock. The AMPED Podcast crew, with the help of ICU docs Dr. Brian Fuller and Dr. Amjad Musleh, discussed the different types of shock and diagnosing shock states.

In this episode, we address how to treat this patient's shock. The AMPED team with Dr. Brian Fuller, Dr. Amjad Musleh, and our new guest, Dr. Eliza Dunn, discusses which vasopressors, inotropes, or inodilators would help this patient.

Eliza Dunn MD

Toxicologist

Click here to download today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

Works Cited

Unfoldment, Revealment, Evolution, Exposition, Integration by Chris Zabriskie is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/

Source: http://chriszabriskie.com/reappear/

Artist: http://chriszabriskie.com/

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A*ir Methods Prehospital EDucation Podcast***

Episode 2: "What are my next steps?"

What is causing this patient's shock?

Why is my patient dying?

These critical questions arise when your typical solutions for shock aren't working and the patient is dying. It is crucial to have a systematic approach based on a fundamental understanding of the types of shock, figuring out the cause of shock, and choosing the right treatment.

In this episode, we hear Air Methods clinicians figure out the complicated mix shock state their patient is dying from and what treatments they chose to provide.

In this podcast, we get advice from critical care physicians:

Brian Fuller MD MSCI FCCM

&

Amjad Musleh MD

Click here for Dr. Musleh's video on arterial line/pulse ox variation.

For tips and tricks on how to do this, click here!

Click here to download today!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

Works Cited

  1. Intuit256 by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/ Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1100193 Artist: http://incompetech.com/
  2. Americana - Aspiring by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/ Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1200092 Artist: http://incompetech.com/

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AMPED (Air Methods Prehospital EDucation) Podcast

Episode 1: "So We're Doing this..."

There comes a time in every clinician's career where you have to risk life, limb, and expert advice to save a patient.

The AMPED podcast team discusses such a case in which the Air Methods Flight team, sending Trauma Surgeon, and Medical Director were faced with such a decision. Listen to the AMPED podcast team, Flight clinicians, and trauma surgeon dissect HOW they made such a critical decision in this month's episode: So We're Doing This.

Click here to download now!

As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS
John Wilmas MD FACEP FAEMS
Joseph Hill RN BSN CMTE CFRN

Works Cited

https://www.youtube.com/watch?v=L8SBovDAFFo&ab_channel=AlecKoff-BackgroundMusic

Brandenburg Concerto No4-1 BWV1049 - Classical Whimsical by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/

Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1100303

Artist: http://incompetech.com/