The FlightBridgeED Podcast provides convenient, easy-to-understand critical care medical education and current topics related to the air medical industry. Each topic builds on another and weaves together a solid foundation of emergency, critical care, and prehospital medicine.
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Join Mike Verkest, Paramedic and EMS Training Officer, alongside World-Famous EMS Physician Dr. Ritu Sahni, MD, MPH as they talk about everything EMS. Current topics and trends, EMS advocacy, sports and everything in between. Mike and Ritu welcome the occasional special guest and are going to tackle some non-traditional EMS topics. So, sit back, relax and get ready to punch in for your SecondShift.
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EMS Cast: Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers
Ross Orpet, Paramedic turned EMS Physician
We all graduated paramedic school realizing the training wasn’t enough. Emergency Medicine is too broad and the crisis we deal with in the field are too complex and chaotic for just 6 months and 500 hours to teach us everything we need to know. We finish training and are left to our own devices to fill in the gaps that exist. Unfortunately continuing education targeted specifically to the prehospital provider doesn’t teach anymore than the basics we learned in school. We aim to fix that. EMS ...
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PHACTORS: Impacting the "Platinum 10" Post-Intubation
1:27:07
1:27:07
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In this engaging and insightful episode of the FlightBridgeED Podcast, Eric Bauer is joined by Dr. Michael Lauria as they delve into the intricacies of post-intubation care and the critical factors that impact patient outcomes during the first 10 minutes after intubation. Building on the well-established concepts of airway management and resuscitat…
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Poisons of the Sea: Not Just a Coastal Problem
1:04:19
1:04:19
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Think you only need to worry about toxicities that exist in the sea if you live by an ocean? Think again. No matter where you are fish may be on the menu, or there may be a zoo nearby, or a marine enthusiast with an elaborate home aquarium. These toxicities can be seen in Colorado. They can be in Australia or in the US. No matter where you are you …
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PART 2 of 2 In this episode, Dr. Michael Lauria is joined by several EM/Critical Care and Transport/Retrieval physicians as we discuss the management of acute respiratory distress syndrome (ARDS) in the critical care transport setting. We cover the pathophysiology of ARDS, the criteria for diagnosis, and the basics of lung protective ventilation. W…
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The Critically Sick Runner: Unraveling the Mystery at an Ultra-endurance Event with Dr. Whitney Barrett
54:25
54:25
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Understanding and Managing the Sick Runner: Key Insights for EMS ProvidersWelcome to EMS Cast! Join hosts Ross Orpet and Will Berry as they dive into an essential conversation . The team discusses, with Dr. Whitney Barrett, the Medical Director of the Highlonsome 100 mile ultra endurance race, the critical considerations for EMS providers when enco…
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PREOXI Trial Crossover Episode w/ Dr. Jeff Jarvis
29:45
29:45
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This is a must-listen! What’s the best way to pre-oxygenate our patients prior to intubation? The evidence for this question has been mixed for some time. Dr Jarvis discusses the PREOXI Trial, which directly compares preoxygenation with non-invasive ventilation compared to a face mask to see which provides the best protection against peri-intubatio…
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EMCRITs Scott Weingart on How to Master the Resuscitation
22:18
22:18
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EMCRIT's Scott Weingart discusses the concept of being a true resuscitationist. The mindset necessary for providing aggressive, excellent care outside hospital boundaries and the emphasis on the importance of preparation, critical thinking, and meticulous attention to detail in emergency medical situations. Dr. Weingart shares insights on mental si…
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Every Breath They Take: ARDS Part 1
1:01:52
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PART 1 of 2 In this episode, Dr. Michael Lauria is joined by several EM/Critical Care and Transport/Retrieval physicians as we discuss the management of acute respiratory distress syndrome (ARDS) in the critical care transport setting. We cover the pathophysiology of ARDS, the criteria for diagnosis, and the basics of lung protective ventilation. W…
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Building Better Providers: Eric Bauer, Lessons from FlightBridgeED
28:01
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Will and I recently attended FAST24, an educational conference hosted by FlightBridgeED in Wilmington, North Carolina. We had a fantastic time meeting industry top speakers, including Eric Bauer, one of the original founders of FlightBridgeED. In today's episode, we delve into Eric's journey in EMS education, how FlightBridgeED was conceived, and t…
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MDCast: Refractory Vasodilatory Septic Shock with Dr. Brittney Bernardoni
44:10
44:10
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In this episode of the FlightBridgeED MDCast, Dr. Mike Lauria and Dr. Brittney Bernardoni discuss the management of refractory hypotension in septic patients. They explore the use of norepinephrine as the initial pressor of choice and the benefits of vasopressin as a second-line agent. They also discuss the use of inotropes, such as epinephrine and…
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Mushrooms: The Perils and Pleasures with Toxicologist Dr. Nik Matsler
47:40
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In this episode, we delve into the fascinating and often perilous world of mushrooms. Join us as we explore with Dr. Nik Matsler how these fungi can be a culinary delight, a source of psychedelic experiences, or a deadly hazard. We discuss the challenges of identifying mushrooms, even for experts, and why toxicologists rely on mycologists for accur…
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Electrical Injuries and Lightning strikes
1:05:27
1:05:27
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Derek Miller, outreach coordinator for the UNC JC Burn Center, joins us again to explore electrical injuries and lightning strikes. We discuss the various types of electrical injuries, the mechanisms behind these injuries, and the essential steps EMS providers must take to ensure their safety and provide effective patient care. Through real-life ca…
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Nightmare Series: The DKA Dilemma with Jean-Francois Couture
42:26
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As night falls, a critical medical battle against Diabetic Ketoacidosis (DKA) begins. This formidable foe, hidden within the body's chemistry, pushes patients towards peril. In this thrilling installment of the FlightBridgeED Nightmare Series, EMS providers face a relentless race against time, striving to subdue the devastating effects of DKA befor…
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Stroke Care on the Streets, What Actually Matters? Bridging Research and Real-World EMS
59:46
59:46
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Explore the nuances of stroke assessments, the challenges EMS professionals face in the field, and the impact of prehospital interventions on patient outcomes. Coco Wham, a former paramedic who's transitioned to a physician, and Dr. Layne Dylla, an associate professor of emergency medicine join us to dive into their ongoing research efforts aimed a…
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In this final episode of The FAST Archives miniseries, we're thrilled to present a talk from Chris Meeks. Chris is not just any paramedic and educator; he's a veteran with a knack for making complex medical topics approachable. Today, he's breaking down "Oxygenation Assassin," a deep dive into the world of hypoplastic left heart syndrome—a challeng…
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FAST Archives: Air Rescue During WEF: Special Conditions and Problems
17:04
17:04
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In this episode of The FAST Archives, we explore a unique challenge in emergency medical planning from Helge Junge, who leads a team specialized in air rescue operations. Helge shares the intricate details of developing a comprehensive care and transport system for the World Economic Forum, held in the challenging and mountainous terrain of the Swi…
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In this enlightening episode of The FAST Archives, we feature a compelling talk by Bruce Hoffman titled "A Change of Heart." Bruce, a seasoned critical care nurse and paramedic with a rich background in ICU, ER, trauma, and cardiology, challenges conventional wisdom in the treatment of STEMI patients. Drawing on the latest evidence, he questions th…
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FAST Archives: Equity in Emergency Care: What Does That Even Mean?
14:49
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In this episode of The FAST Archives, Ritu Sahni explores the essential topic of equity in emergency care. With a background that includes EMS Medical Director roles, emergency medicine, and air ambulance experience, Ritu provides a comprehensive look at what it means to care for entire communities. In his talk, "Equity in Emergency Care: What Does…
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In this deeply impactful episode of The FAST Archives, we focus on the tragic events of the Parkland school shooting on February 14, 2018, through the lens of Peter Antevy, who served as the EMS Medical Director on the scene that day. With his vast expertise in pre-hospital pediatrics and emergency medicine, Peter offers a detailed and respectful r…
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FAST Archives: Do Any of These Medications Work in Cardiac Arrest? Demystifying the Controversies!
24:00
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In this episode of The FAST Archives, William Heuser brings his extensive experience as a clinical critical care pharmacist, clinical toxicologist, and certified Flight Paramedic to demystify the controversial world of resuscitative medicine. In his dynamic talk, "Do Any of These Medications Work in Cardiac Arrest? Demystifying the Controversies!",…
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FAST Archives: Teaching, Trusting, and Teen Driving
17:59
17:59
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Welcome back to The FAST Archives! In this episode, Ashley Liebig delivers a compelling talk, "Teaching, Trusting, and Teen Driving," where she explores the nuanced realities of learning, teaching, and belonging. Through her insights into psychological safety, cognitive learning theory, and feedback culture, Ashley opens up how the intricacies of h…
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Civilian Trauma Training: Lessons From Wartime Civilian Training with Kevin Collopy
31:52
31:52
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In this compelling episode of the FlightBridgeED podcast, recorded at CCTMC24, we dive deep with Kevin Collopy, a distinguished figure in trauma care and awarded Best Research for his poster during the conference's Scientific Assembly. Kevin shares his groundbreaking work with just-in-time prehospital trauma training in Ukraine, a project that has …
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The Critically Burned Patient Part 2- What You learned About Fluids Was Wrong, A Simpler Approach
55:03
55:03
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This is Part 2. Derek, an experienced clinician in burn care, joins us to delve into the intricacies and challenges of treating burn patients. This discussion provides valuable insights into the unique aspects of burn injuries, the importance of a comprehensive assessment, and the latest trends in burn treatment. Enter to Win a FREE Pair of Frontli…
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FAST Archives: ECPR Across The Twin Cities
25:21
25:21
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In this episode of The FAST Archives, we explore an innovative approach to cardiac arrest treatment with Jason Bartos, a leading figure in the field of cardiology and critical care at the University of Minnesota. Jason delves into the world of extracorporeal cardiopulmonary resuscitation (ECPR), a lifesaving technique that has shown significant pro…
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FAST Archives: Hey, Katamine... You're Not That Special!
18:33
18:33
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In this episode of The FAST Archives, join one of our favorite Kiwis, Rob Bryant as he takes a critical look at Ketamine, a drug that's as much a star in the medical field as it is a subject of debate. Rob, who has an extensive background in Emergency and Critical Care Medicine, explores the not-so-glamorous side of Ketamine, including its cardiova…
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This episode from The FAST Archives explores a rare and high-stakes medical emergency: amniotic fluid embolism (AFE). Allison Herman, a seasoned RN with seventeen years of experience across ER, ICU, and helicopter EMS, shares a remarkable case involving this critical obstetrical complication. Allison, who spent a decade flying with a hospital-based…
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FAST Archives: Stayin' Alive - Impella Device and Left Ventricular Mechanical Circulatory Support in in Critical Care Transport
29:19
29:19
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Join us for an insightful episode from The FAST Archives, featuring "Stayin' Alive: Impella Device and Left Ventricular Mechanical Circulatory Support in Critical Care Transport," presented by Michael Lauria. A former USAF Pararescueman and Critical Care/Flight Paramedic, Michael is now an EMS and Critical Care Fellow at the University of New Mexic…
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FAST Archives: A Difficult Pill to Swallow: 3 Unforgiveable Sins in Medicine
24:12
24:12
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In this episode from The FAST Archives, we explore the powerful talk, "A Difficult Pill to Swallow: 3 Unforgivable Sins in Medicine." As pressures mount to keep emergency services running smoothly, many first responders are driven to work extra shifts and put their community's needs ahead of their own. But what happens when this "rescuer" mentality…
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FAST Archives: Paramedics: The Master Multitasker... Right?
14:19
14:19
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In this episode of The FAST Archives miniseries, we're replaying Geoff Murphy's talk from a previous FAST event, "Paramedics: The Master Multitasker... Right?" In this captivating talk, Geoff, from Master Your Medics, delves into the challenge paramedics (as well as nurses, physicians, and other medical professionals) face in multitasking, especial…
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FAST Archives: The Folk Science of Sepsis
23:42
23:42
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Catch our latest episode with Brian Behn sharing his talk from a previous FAST event entitled, 'The Folk Science of Sepsis.' Brian explores and exposes possible gaps in the understanding of sepsis by EMS and critical care transport providers because of poor/incomplete education about it. He offers essential insights and practical advice to enhance …
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Welcome to the second episode of the FAST Archives mini-series! In this episode, we dive into a crucial conversation with Ginger Locke titled "Finding Feedback," where she examines the culture of feedback in EMS and Critical Care Transport. Unlike other professions, feedback in EMS usually comes only after extraordinary events. Ginger proposes a sh…
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FAST Archives: Silent Killers in Pediatric Mechanical Ventilation
21:47
21:47
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Welcome to the FlightBridgeED Podcast! We're kicking off this special mini-series, "The FAST Archives," replaying some of our favorite talks from past FAST conferences. These moments made us laugh, think twice, and gave us the tools to be better providers. First up: Pediatric patients on ventilators... it's a high-stakes game where small changes me…
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The Critically Burned Patient - Part 1
1:11:53
1:11:53
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Derek, an experienced clinician in burn care, joins us to delve into the intricacies and challenges of treating burn patients. This discussion provides valuable insights into the unique aspects of burn injuries, the importance of a comprehensive assessment, and the latest trends in burn treatment. Enter to Win a FREE Pair of Frontline Optics Sungla…
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Rethinking Priorities in Out-of-Hospital Cardiac Arrest - Which Comes First Epi or Airway?
38:31
38:31
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Which comes first epinephrine or airway? Out of hospital cardiac arrests involve critical and often complex decisions with sequence and timing of various procedure. What should you prioritize? We examine the nuances of advanced interventions, such as epinephrine and advanced airway placement, through the lens of recent studies, including a notable …
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Mind Over Medicine: Navigating Cognitive Bias in Emergency Medicine w/ Ashley Bauer
32:29
32:29
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In this gripping episode of "Mind Over Medicine," we dive deep into the critical, often unseen world of cognitive bias in emergency medicine. With the clock ticking and lives in the balance, emergency room professionals make split-second decisions that can mean the difference between life and death. But what happens when the human mind's inherent b…
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Toxic Alcohols: Hidden Danger in Everyday Products and an Everyday Call
52:16
52:16
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Toxicologist Dr. Nik Matsler teaches us the critical topic of toxic alcohol poisoning. The discussion sheds light on the dangers lurking in everyday household and industrial products that contain methanol, ethylene glycol, and isopropyl alcohol—substances not far removed from the alcohol found in beverages yet capable of causing severe, sometimes f…
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MDCast w/ Dr. Michael Lauria - Mechanical Ventilation and ARDS in Critical Care Obstetrics
42:17
42:17
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Mechanical Ventilation and ARDS – Podcast Summary and References This is the sixth of a special podcast series on obstetric critical care. I am joined on this series by Dr. Elizabeth Garchar, MD, FACOG. She is an OB/GYN and Maternal Fetal Medicine (MFM) specialist who has a particular interest in obstetric critical care. She is also unique in that …
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Art of Laryngoscopy- The SALAD technique (Suction-Assisted Laryngoscopy and Airway Decontamination)
47:20
47:20
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In the high-stakes environment of prehospital medicine, the ability to perform a successful intubation on the first attempt is critical. The complexity of prehospital airway management cannot be understated, given the challenging conditions and the acuity of patients encountered. This episode delves into the strategies and techniques that can signi…
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Hidden Harms: Refractory Shock in Prehospital Trauma Patients
17:53
17:53
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In this episode, we uncover the enigmatic world of refractory shock in prehospital trauma patients. Shock, often recognized as a critical condition, becomes even more complex when it resists conventional treatment. Join Eric as he discusses resuscitation in vasoplegic patients refractory to fluids and blood products. Tune in to "Hidden Harms" and e…
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The Truth about Mechanical CPR Devices: What the Data Really Says
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17:41
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Despite the allure of consistent compressions and reduced provider fatigue, does the data actually show that mechanical CPR devices improve outcomes? Tune in for a nuanced exploration of evidence-based practice in emergency medical services. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Bl…
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The Nightmare Patient: COPD Induced Respiratory Failure
25:22
25:22
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In this episode, we delve into the complexities surrounding a challenging COPD patient scenario, focusing on treatment considerations and the broader scope of mechanical ventilation management. We underscore essential lessons gleaned from this case, emphasizing the significance of adopting an obstructive approach, the nuanced application of I:E rat…
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Neonatal Resuscitation: Conquering the Fear, Step By Step Guide For Emergency Providers
48:47
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Overcoming Fear in Neonatal Resuscitation: A Step-by-Step Guide Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Blog post: Neonatal Resuscitation Introduction: Welcome to another episode of EMScast, where high-level education meets real-world emergency medical scenarios. Today, we have Dr. A…
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Crush Injury and Crush Syndrome- Is What You Learned Folklore?
1:07:09
1:07:09
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Dr. Nik Matsler is back to discuss the treatment of patients with crush injuries and crush syndrome. Dr. Matsler's insight as an emergency physician and a toxicologist are put to work helping us understand the pathophysiology of crush related injuries. We also try to discuss very practical approaches to these situations which are complex. No two cr…
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Lessons From a Sage: Interview with Jim Barrick
1:42:41
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Jim Barrick has more than 37 years of experience in Emergency Medical Services and Helicopter Emergency Medical Services (EMS and HEMS). His humble approach makes him a wealth of wisdom for anyone in this career field. As kickoff for 2024 we depart from our normal format of short education topics to long term reflection. If you work in and around E…
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MDCast w/ Dr. Michael Lauria - Amniotic Fluid Embolism
46:07
46:07
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This is the fifth of a special podcast series on obstetric critical care. I am joined on this series by Dr. Elizabeth Garchar, MD, FACOG. She is an OB/GYN and Maternal Fetal Medicine (MFM) specialist who has a particular interest in obstetric critical care. She is also unique in that she flies regularly with our critical care transport teams as a r…
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Postpartum Hemorrhage- What To Do When the Bleeding Won't Stop
22:01
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We delve into the high-stakes world of postpartum hemorrhage management with the esteemed Dr. Maria Moreira. Joins us to demystify the management of postpartum hemorrhage in the pre-hospital setting. Dr. Moreira presents a systematic approach to intervention. Learn about the four T's of postpartum hemorrhage and on-field strategies like tranexamic …
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Delivering Nuchal Cords, Breech Presentations, Shoulder Dystocias- Field Obstetrics, What To Do When Things Go Sideways
47:35
47:35
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In this episode Dr. Maria Moreira joins us to talk us through prehospital pregnancy difficult deliveries. We'll discuss how to handle nuchal cords, cord prolapse, breech presentations, and shoulder dystocias. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Videos of each technique- https://e…
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MDCast w/ Dr. Michael Lauria - DIC in Pregnancy
34:39
34:39
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Disseminated Intravascular Coagulation This is the fourth of a special podcast series on obstetric critical care. I am joined on this series by Dr. Elizabeth Garchar, MD, FACOG. She is an OB/GYN and Maternal Fetal Medicine (MFM) specialist who has a particular interest in obstetric critical care. She is also unique in that she flies regularly with …
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In this episode we look at a recent observational study out of the journal of neurology looking at the effectiveness of midazolam when comparing the IV vs IM vs IN routes. We'll discuss the study as well as other studies involving status epilepticus to tease out best practices for your next shift. Enter to Win a FREE Pair of Frontline Optics Sungla…
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Non-Invasive Ventilation - Do You Understand the Physiology?
34:14
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There are few treatments in our tool box that can have more of a positive impact than non-invasive ventilation. This episode is designed to help you better understand the physiology of how it works and how to use it more effectively. Dr. Bo Burns, the Chair of Emergency Medicine at the University of Oklahoma School of Community Medicine, joins us a…
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Can End Tidal CO2 Predict Mortality in Hemorrhagic Shock? Part 2 with Paramedic Courtney ”Coco” Wham
27:35
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Coco Wham is a paramedic at the Denver Health Paramedic Division. She is also a 4th year medical student and has a masters in integrated sciences. She is an author on a recent study in the American Journal of Surgery with our previous guest, Dr. Eric Campion. Their latest study looked at prehospital ETCO2 values and if they were predictive of death…
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