Coffee Break HEMS Podcast

In this episode we'll be following an EMS crew as they respond to a newborn that was delivered at home and is found to be pretty sick upon their arrival. Part II of this episode will follow a flight crew as they facilitate the transfer of this kiddo to a bigger NICU. I hope you enjoy it.  Sources for today's episode: https://www.abclawcenters.com/practice-areas/apnea-bradycardia-newborns/ htt...

In this episode, I'm discussing the anecdotal traits that I've seen in the EMS community that seems to define good vs poor clinicians in emergency and critical care medicine. I hope you like it!  Get in touch: kisercpr@gmail.com #HEMS #CoffeebreakHEMS #criticalcare #flightparamedic #flightnurse #foamED #Airmedical

today we're discussing pressure control ventilation. What are the advantages and disadvantages? What is it? Most importantly, if you're ventilating a patient in volume control, how do you safely switch the patient to pressure control without hypoventilating them, or blowing up their lungs? Small caveat: I apologize for the several moments of background noise, I just couldn't catch a break today......

In this episode we are reviewing a case of a nightmarish high risk OB call. We've all had these calls, where we think it's going to be totally simple... and then we walk into the room. But what happens when it's also an OB patient? How comfortable are you will the resuscitation of the pregnant woman. We did quite a bit of research to assure that we were giving you the best possible information on...

Hey everyone, in this episode we'll be talking about shock and how to fight it. when you're at the scene of a call, or at bedside and are presented with a patient who is actively dying, it can be pretty overwhelming. We'll be taking shock and dissecting it down into 4 basic priorities to hopefully take the cognitive load off of you. As always, let me know what you think, and don't forget to give u...

Hey everyone, in this episode we're going to talk about stress, hyper-vigilance, being an asshole, and much more. I want to give a huge thank you to Dave Motzkin for allowing me to use this material, as he did 90% of the work on this topic. His passion gave me passion. Also, if you love this topic, go read "Emotional Survival in Law Enforcement". It was amazing, and truly helps you to grasp these...

In today episode, we're discussing heatstrokes. Starting with the EMS response, ED care, ICU care, and the eventual outcomes, we'll delve into everything that you want to know about saving these patients.  If you want to get ahold of me for episode suggestions, reach out to: kisercpr@gmail.com #HEMS #coffeebreakHEMS #EMS #criticalcare #flightparamedic #flight nurse #FOAMed

Today we'll be talking about managing the intubated COVID patient on a ventilator. I know many, if not most, of our listeners are prehospital providers and they may not be super familiar with vent management. If you're interested in learning about it, go to my youtube page (kisercpr) and you can find Intro to Ventilation Parts I-IV. Then you'll have to come back and listen to this! If you are fami...

Today we'll be discussing WPW in terms of treatment options for you in the field. There are many presentations of WPW, from narrow regular, to wide complex, to afib with WPW. These all need to be treated differently, and we'll discuss that.  Don't forget to let me know what you want to hear about at kisercpr@gmail.com #HEMS #criticalcare #flightmedicine #flightnurse #flightparamedic #FOAMed #...

Hey everyone, today we'll be discussing the proper way to both treat and transport a pediatric DKA patient. We'll go over the treatments and why they matter, and talk about the dangers of inappropriate management in pediatrics with a diagnosis of DKA. Some visual info for you is below: Sample IV fluid maintenance schedule for pediatrics •  <10kg = 100ml/kg/day •  10-20kg = (1000ml + 5...

Hey everyone! In this episode we're doing a little ABG review and talking about Base Excess and why the heck we care about it in our interpretation of a blood gas. I hope you enjoy it, and don't forget, if you have topics you want to hear about, let me know! kisercpr@gmail.com #HEMS #coffeebreakhems #FOAMed #criticalcare #flightmedic #flightnurse

Note: This case is completely fictional and is not based on any real patient!!  The following case is about a fictional patient that developed a PE and eventually had a cardiac arrest in the hospital. The question posed to the audience is this: if the field personnel had PE on their differential, would the patient have survived? This case goes into utilizing the EKG as a means to identify PE'...

Hey guys! In this episode, we answer that annoying question from back in medic school... Why the hell do I give two craps about the Oxyhemoglobin Curve and what does it have to do with my patient care. Well, it turns out that it's super important. Hopefully this podcast will answer the questions that you had regarding the curve. I really want to start getting feedback on these episodes and see if...

This episode deals with the patient who is hard to ventilate or hard to bag. This can be very frustrating for our clinicians and can be very dangerous in our pediatric patient population. There are a ton of ways to help improve lung compliance, and this podcast really addresses one of them, but it's an item is very often missed, and something that most people don't fully understand. I hope you lik...

In this episode we discuss BiPAP comfort. After placing a patient on 15/5 they can still appear to be super uncomfortable, and there are several reasons that can happen. Hopefully after this 15-ish minute talk, you'll be able to confidently make adjustments for your patient to make them as comfortable as possible. You'll learn how to adjust I-Time, Rise Time, and Flow Termination. #FOAMed #Coffeeb...

Hey everyone, in this episode we'll be talking about the components of pressure support in our patients and hopefully making everyone a bit more comfortable with single level, and bi-level support. In the past I've seen flight crews not start BiPAP on patients because they simply weren't comfortable with the thought of having to titrate the settings on the ventilator, and that's just not cool. Thi...

Just taking a second to introduce myself and let everyone know what we're all about. The podcast focus's on critical care medicine in the prehospital setting. We hope that if you're new to the industry, you'll be able to greatly expand your knowledge of critical care and have a first-attempt pass on your specialty exam. If you're a grumpy old veteran to the HEMS industry, we've still got a ton of...