FlightCrit Podcast – Details, episodes & analysis

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

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

In this episode Dr. Shinar shares with us:

• The history of ECPR including results from some of the very first cases
• How ECPR is changing the culture of cardiac arrest resuscitation worldwide
• What EMS, and Critical Care Transport Teams, can do to help optimize the delivery of ECPR therapy to eligible patients.
• and how ECMO therapy can be applied in other peri-arrest settings.

Links discussed in this podcast:

• www.edecmo.org
• Reanimate Conference
• ARREST Trial 
• ECPR AND Resuscitative ECMO textbook

Support the show

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

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

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

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

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

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

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

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

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

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

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

Nebulized nitro from the American Academy of Emergency Physicians - https://www.aaem.org/UserFiles/file/CS21_MarAprCCMS.pdf
 
Nebulized Nitro - https://rc.rcjournal.com/content/57/3/444

Support the show

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

In this episode of the podcast, I'm joined by my co-host Huster as we discuss the physiology of Oxygenation, Ventilation, and Driving Pressures as they related to the Mechanically Ventilated patient.

https://academy.flightcrit.com/courses/oxygenation-ventilation-and-driving-pressure

Support the show

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

Support the show

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

For year EMS providers have relied on certain clinical signs and symptoms to predict clinically unstable trauma patients and the need for emergent transport for definitive surgical care. Commonly EMS providers have used HR>120, systolic BP<90mmHg, and MAP’s <60mmHg as benchmarks for clinically unstable patients. However, these indicators can frequently be misleading if not carefully evaluated in the context of a patient’s overall clinical presentation leading prehospital providers to underestimate the severity of our patient's injuries or illness.  The Shock Index and Modified Shock Index can help providers make better decisions about prehospital trauma care.

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

There’s a severe lack of evidence about how to best utilize the drug Ketamine in the out of hospital environment. Any “research” that’s done comes from either the OR, ICU, or if we’re lucky the ED. We’re forced to extrapolate from those studies what we can about how to best apply their findings to the out of hospital environment.

Support the show

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

This week on the podcast we're reviewing a lesson from the Burn Section of the EPICC Review Course concerning fluid resuscitation.  Listen in as I discuss the most current recommendations from the American Burn Association on the Prehospital and Early Hospital management of IV fluids in the burn patient.  I also give you 1 easy tip to simplify the ABA's recommendation even further, as well as review what you need to know about determining Total Body Surface Area burned and Fluid Resuscitation for the FP-C, CCP-C, and CFRN exam.

Support the show

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

Spend any amount of time working in the air medical environment and you'll absolutely hear people talk about the gas laws.  In this episode, I discuss what I believe to be the 5 essential gas laws any air medical professional must understand to work in this industry.

Listen in as we discuss Boyle's Law, Dalton's Law, Charles Law, Henry's Law and Fick's Law.

Support the show

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

There are 8 different stressors of flight that you as a Flight Paramedic or Flight Nurse must be familiar with.  In this episode of the podcast, I discuss the most important of these flight stressors: hypoxia.

I discuss the 4 different types of hypoxia and the most common causes of each.  I also share with you the three guidelines that regulate when we, as air medical professionals, must utilize oxygen ourselves during transport.

Support the show

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

Being thrust into a survival situation as a result of an accident or unplanned event while on duty can be unnerving, to say the least. But being both mentally and physically prepared for the unexpected can go along way towards making sure we make it home.

In this, the third episode in my series 52 weeks of EPICC I'm sharing with you some of the most important lessons on Survival from the EPICC Review Course.

It is my belief that with the proper mindset, a little planning, and a few pieces of equipment, we can drastically improve our chances of survival if the unthinkable happens.

Support the show

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