show episodes
 
"Heavy lies the crown" is a common misquote of "uneasy lies the head that wears a crown" from Shakespeare's Henry IV, Part 2. It refers to the responsibility and insecurity of governing an entire kingdom. Likewise, "heavy lies the helmet" refers to the responsibility we face as critical care transport providers working in an autonomous and often unpredictable environment. Our minds are eased with education that better prepares us for any situation that we may encounter. That is exactly what ...
 
Two cups of black girl magic, nearly 30 years of collective nursing experience from labor and delivery and the wonderful world of breastfeeding, laced with a keen sense of humor and a dash of petty. Prepare to be empowered, educated and entertained! #ConsciousSedation #RNLife #RN #BlackGirlMagic #BlackGirlsRock #Podcast #BlackPodcast #IndyNurse #BlackNursesRock #BlackExcellence #Nursing #NursingPodcast #Health #Healthcare #Humor #Lifestyle #Consciousness #Tasha #Ryan #Tiffany
 
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show series
 
Whether it's radio or bedside reporting, communication is a requirement of safely handing off patients. How do we build confidence in our ability to communicate about our patients? How do we develop qualities such as professionalism, accuracy, and conciseness that are essential to our reports? And if we experience interpersonal conflict, how do we …
 
Having an appropriate mindset is crucial when it comes to airway management, particularly in a prehospital and/or emergency setting. Whether it's team dynamics or the tools at our disposal, we need to have a different outlook when it comes to addressing the A in ABC's. If you are looking for a comprehensive guide on how to RSI, this is not the epis…
 
Traumatic Brain Injury (TBI) is always in the back of our minds when treating polytrauma patients. Unfortunately, the evidence has a controversial history. More and more, we are reminded of how a basic approach is much more important than other therapies that have little evidence to support their effectiveness. In fact, some may even cause harm. Tu…
 
Heat illness is prevalent around this time of year. And compared to hypothermia, hyperthermia has a lower threshold for danger. From heat cramps to heat stroke, clinicians need to know how to identify and treat each stage appropriately. But what contributes to severe heat illness? How do we treat each stage of illness? And how much time do we have …
 
It's no secret that we as emergency and critical care professionals are expected to perform highly in high pressure situations. Unfortunately, none of us are immune to limited cognitive capacity, task saturation/fixation, time pressure, negative team dynamics, and poor communication. How can we mitigate these variables, so that we can continue to e…
 
What should you carry in your flight suit as an American-based HEMS provider? In our opinion, no one can definitively tell you that. But we can attempt to share some ideas based on our personal experiences and training. In this vodcast, Mike shares what he currently carries in his flight suit; from survival gear to medical equipment. Watch the vodc…
 
Mores lies! But this time, we focus on empirical use of spinal immobilization devices and the harm associated with them. The dogma surrounding this topic is staggering, to say the least. From EMS agencies to Level 1 tertiary centers, cervical collars and long spine boards (LSB) remain a "standard" predicated on a lack of evidence. What evidence DO …
 
Diabetic Ketoacidosis (DKA) is a common metabolic disorder, particularly in the pediatric population. If treated inappropriately, these patients can quickly decompensate to the point of hypovolemic shock, acute respiratory failure, and even cerebral herniation. What are the physiological differences behind DKA verses HHS (Hyperglycemic Hyperosmolar…
 
This Nurse is not checking the box, she is meeting the PURPOSE! On this Episode of TobiTalks, Krystal Brown shares her journey to becoming a certified nurse midwife. From shining light to the lack of diversity in nursing school to becoming an owner of one of the only two black-owned birthing centers in Texas, Krystal is paving the way for change in…
 
There are a lot of "lies"/misunderstandings surrounding appropriate use of paralytics AKA neuromuscular blocking agents (NMBAs). When are these medications truly indicated? How do we appropriately administer them? How do we accurately monitor these patients? And how do we reverse the effects of NMBAs? Tune in to another pharmacologically driven pod…
 
The clotting cascade, particularly in the context of anti-coagulation reversal can be complex to understand. Unfortunately, many of our patients are on anti-coagulation agents that require reversal in the presence of life-threatening hemorrhage. How do we choose the most appropriate agent based on which step of the coagulation cascade that it antag…
 
When giving up on your dreams is not an option, you dream BIGGER! On this Episode of TobiTalks, Shacarra Briscoe shares the ups and downs of her 10 year journey to becoming a nurse. From failing out of nursing school to becoming one of the highly sought after new graduate for two of the largest hospitals in North Texas, Shacarra is redefining what …
 
On this episode of TobiTalks, Tobi discusses what life has been for her during a two year hiatus from podcasting in the midst of the pandemic. She talks about how her platform will be highlighting health equity, diversity and inclusion in healthcare. From becoming a new mother to sharing details about her non-profit foundation, this Nurse is on a m…
 
Which is the lesser evil, opioid or naloxone overdose? To avoid adverse effects, how should we be administering naloxone in the presence of opioid overdose? In this podcast episode, we are joined by Dr. Arne Skulberg, anesthesiologist and lead author, to discuss his recently published RCT comparing intranasal with intramuscular naloxone. We highlig…
 
An incapacitated pilot scenario is an unfortunate but potential reality of working in rotor and fixed wing EMS. What do you do as medical crew members if your pilot becomes incapacitated? What training and capabilities do you have to revive the pilot and/or get the aircraft on the ground? Do some Controlled Flight Into Terrain (CFIT) incidents actu…
 
Transport of patients with ongoing CPR to the correct treatment center is a high risk but potentially lifesaving intervention. Mechanical CPR (mCPR) devices are recommended to reduce risk and maintain chest compression quality. However, such transports have inherent pitfalls to both patient and provider safety. This is a poorly studied field of our…
 
Ventricular Assist Devices (VAD) come in many shapes and sizes. From right to left, extracorporeal to intracorporeal, pulsatile to continuous - It can be confusing. Join us for a podcast episode where Allen Wolfe clarifies the confusion and gives us the maximum amount of knowledge we need to succeed while taking care of these patients. Get CE hours…
 
If "you can't handle the truth", you can't handle a mentor. Mentors come in the form of leaders, educators, guides, and advisors to help you with honest self-reflection in order to improve yourself and your practice. Join us from AMTC21 where we discuss the importance of this arrangement with our close friends and fellow mentors, Adam Tresidder and…
 
Thyroid Storm and Thyrotoxicosis are often misdiagnosed due to presenting similarly to many other disease processes. How do we identify this condition? What are the standard treatment options? And how do we treat a patient who is refractory to conventional therapy? Joined by EM pharmacist, Chase Turner, we discuss all things hyperthyroidism in this…
 
"Kung" means "skillful work" and "Fu" means "time spent". "Resus Kung Fu" refers to the resuscitation skills we acquire over time to become a true master. But how do we achieve mastery of these cognitive abilities and technical skills? And what role does stress inoculation play in training? Join us and Dr. Michael Lauria in this podcast episode whe…
 
Have you ever been hiking in the woods and wondered what emergency medical services are available in case you got injured? The level of scope varies greatly across the country for wilderness emergency medical and SAR technicians. From first aid to critical care, in this podcast episode, we discuss who is coming, what their capabilities are, and how…
 
Sometimes, we're wrong. And when it comes to normal saline, we might be. Tune in to a breaking news podcast of sorts where we discuss the recently published BaSICS Randomized Clinical Trial, and how it affects our practice in regard to balanced fluid resuscitation. Get CE hours for our podcast episodes HERE! ----------------------------------------…
 
Though the incidents of crush injuries may be low in frequency, major crush injury syndrome is associated with a high mortality rate. In this podcast episode, we sit down with regular guest, Chris Stevenson, to discuss the "why". We highlight the pathophysiology behind re-perfusion injury and pre- and post-treatment options. Get CE hours for our po…
 
How do you decide between non-invasive and invasive ventilation? If you decide on non-invasive ventilation (NIV), how do you choose between heated high flow nasal cannula (HFNC), C-pap, or Bipap? And what critical decision-making tools do you utilize when escalating to intubation? In this podcast episode, we are joined by Flight Respiratory Therapi…
 
Managing Acute Myocardial Infarction (AMI) patients is a concept that many of us learn early on in our careers. Because of that, we can potentially underestimate the importance of our interventions. In this podcast episode, we are joined by Dr. Gottula and Dr. Skrobut to discuss timely management of AMI's, when coronary intervention (PCI) is indica…
 
There are a lot of misconceptions surrounding the meaning of certain lab values and what a positive truly is. Are these numbers as black and white as they are perceived? In this podcast episode, we discuss sensitivity versus specificity, define some of the most common labs and how to avoid tunnel vision when it comes to your clinical interpretation…
 
Taking care of the High Risk OB patient is outside the comfort zone of many of us. The third trimester, specifically, presents unique challenges both pregnancy-related and otherwise. Why are normal physiologic changes related to pregnancy ABNORMAL in the third trimester? How do we determine if the pregnant patient is sick or not sick? And how do yo…
 
Has administration ever made a decision that you didn't agree with and/or understand? Of course! As much as we don't like to admit it, the medical industry is a business. For that reason, finances play a significant factor in decision-making. How do we maintain balance between profit and patient care? How do we bridge the gap between leadership and…
 
Due to the popularity of Episode 68 - X-Ray Vision, we've decided to extend our radiology series and focus on computerized tomography (CT) scans. Head CT scans, specifically, are often viewed by emergency and transport clinicians when patients require tertiary neurovascular services. Tune in to another visually-guided episode as we discuss this ext…
 
Due to the popularity of Episode 68 - X-Ray Vision, we've decided to extend our radiology series and focus on computerized tomography (CT) scans. Head CT scans, specifically, are often viewed by emergency and transport clinicians when patients require tertiary neurovascular services. Tune in to another visually-guided episode as we discuss this ext…
 
Some clinicians may have a tendency to neglect performing a thorough neurological exam in a comatose patient. And when a neuro patient requires an advanced airway, some clinicians may not be mindful of cerebral perfusion pressure and how to optimize it effectively. In this podcast episode, we provide you with the recording of Bryan's presentation f…
 
Pre-hospital resuscitation of the traumatic arrest patient is controversial, to say the least. Some evidence has shown our efforts to be futile. But are the studies skewed by inappropriate management and our resistance to act? When do we intervene, and when do we not? And how can we help improve these poor mortality rates? Join us as we discuss thi…
 
Though we are not Radiologists, we constantly find ourselves needing to interpret basic chest x-rays. Whether it's ETT placement or ARDS identification, it is important to know what you're looking at. Join us for a visually-assisted podcast episode where our very own Intensivist and Medical Director, Dan Rauh, helps break down this seemingly overwh…
 
Though we are not Radiologists, we constantly find ourselves needing to interpret basic chest x-rays. Whether it's ETT placement or ARDS identification, it is important to know what you're looking at. Join us for a visually-assisted podcast episode where our very own Intensivist and Medical Director, Dan Rauh, helps break down this seemingly overwh…
 
This week, we're talking about our largest organ, our skin! We welcomed Tamara Linza of Linza's Healin Hands in Indianapolis to share why skin care is important and why we all need to begin a skin care regimen. Give a listen and tell us your thoughts! Hit the thumbs up, comment, rate, subscribe and follow us on social! IG and Twitter: @conscious_se…
 
This week we're discussing the same topic that's on everyone's mind and lips. The COVID-19 vaccine! It's finally being administered and distributed worldwide. So, what's this mean? What does this mean for us? Tune in to hear our thoughts and send yours as well! Hit the thumbs up, comment, rate, subscribe and follow us on social! IG and Twitter: @co…
 
Recently, Central America was devastated by back-to-back Category 4 tropical storms including Hurricane Eta and Lota. As a Guatemalan resident, our very own Chris 'Razor' Sharpe was in the thick of it. Tune in to this podcast episode where we discuss the SAR and relief work he was a part of during that dire time. We highlight mission preparation, p…
 
Non-Convulsive Seizures (NCS) or Non-Convulsive Status Epilepticus (NCSE) is defined as cerebral ictal activity without obvious clinical signs. Altered mental status is usually the only notable deficit, so it's important to know how to identify and treat this life-threatening disorder. Tune in to find out how through a casual discussion and real-li…
 
We all have to eat to live, right? This week, we're tackling food and how we have the power to heal or hurt with every bite. We also discuss some kitchen remedies for common ailments! Enjoy and be well! Hit the thumbs up, comment, rate, subscribe and follow us on social! IG and Twitter: @conscious_sedation FB: Conscious Sedation Podcast Have a ques…
 
This week we discuss self-care especially during the holidays. It's important for us to remain grounded and set boundaries even in interactions with those who love us in order to maintain our sanity. A pandemic makes this even more important! Push yourself to the top of your list this year and every year! Be well y'all! Hit the thumbs up, comment, …
 
This week we're discussing financial wellness and literacy again! Serial entrepreneur, Tyrone Allen joined us and y'all!! This shift is packed with information essential to establishing healthy financial habits AND generating wealth for yourself and your family. We were ON again y'all and we discussed underrated ways of making passive income. Talk …
 
Acquiring a job in flight medicine is only the beginning. In this presentation to the 2020 Flight Crew Academy graduating class, Mike discusses three archetypes of new hires. He highlights positive and negative behaviors, systematically addressing incompetence, and how to ultimately get off orientation successfully. --------------------------------…
 
This week we're discussing financial wellness and literacy. Serial entrepreneur, Tyrone Allen joined us and y'all!! This shift is packed with information essential to establishing healthy financial habits AND generating wealth for yourself and your family. You'll need to listen to this one twice because, honey, it's just that good! Hit the thumbs u…
 
This week, we squeaked in at the buzzer to discuss breast cancer awareness before the end of October. Join us for a quick, yet effective chat about prevention, diagnosis and a few key elements regarding risk factors. Hit the thumbs up, comment, rate, subscribe and follow us on social! IG and Twitter: @conscious_sedation FB: Conscious Sedation Podca…
 
With the upcoming respiratory season, many of us will be caring for an increased number of pediatric and adult patients with pulmonary disease processes. Obstructive physiology, specifically, can result in an increased strain of resources to effectively care for this critically ill population. In this webinar, Mike, Bryan, and Jordan focus on statu…
 
Chris Stevenson is back for a third go-round, so I think that makes him a regular guest on the show. This time, he came at us with a non-clinical topic that peeked our interest... Likely over the years, we find ourselves giving or receiving advice related to flight medicine. As our years of experience have accumulated, so has the length of our rule…
 
This is the final week we are discussing relationships and this is yet ANOTHER interesting viewpoint. Follow along as we discuss astrology and compatibility in a romantic sense but we also touch on the topic of parent child relationships. This is a good one y'all! Hit the thumbs up, comment, rate, subscribe and follow us on social! IG and Twitter: …
 
This week we're continuing our conversation about healthy relationships and we venture into the realm of relationship with self and healing your inner child. We want to thank Ms. Jessica Gordon, licensed associate marriage and family therapist, provider of RTT (Rapid Transformational Therapy) and hypnotherapy for joining us! She enlightened us on t…
 
Join us this week as we discuss relationships and elements of a healthy relationship. Grow, learn and enjoy! Resources for this week to determine if you are in a healthy relationship are JoinOneLove.org and LoveIsRespect.org Hit the thumbs up, comment, rate, subscribe and follow us on social! IG and Twitter: @conscious_sedation FB: Conscious Sedati…
 
Due to 'The Big C', ECHO Yacht Club was cancelled... but life goes on, and so does our podcast. We decided to turn lemons into lemonade and have our friend and emergency medicine powerhouse Dr. Sal Rezaie join us for a discussion based on what-would-have-been our Yacht Club presentation. Everyone carries a card that says they know how to manage tac…
 
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