The Synapse Critical Care & Emergency Medicine Podcast

Send us Fan Mail A review of Albumin through a case study, applying the basics of the pharmacology so you can break it down, simplify your understanding, and apply this agent to future cases!

Send us Fan Mail The world of interfacility transports is not as simple as throwing a patient in the back of an ambulance and heading off into the sunset, hoping everything stays ok, and matching numbers from the ED/ICU etc. There are significant challenges, considerations, stressors, and other factors to be aware of. Transport medicine at the ALS and Critical Care levels is all about pre-planning...

Send us Fan Mail What is the difference between serum calcium and ionized calcium?  When do we want to request that iCal be added to the labs? What do we do with that information when we have it, and how does this apply back to our trauma and other patients?

Send us Fan Mail No, this is not a harkening back to the days of your schooling with the Krebs Cycle, stand down. This episode looks at a simplified explanation of the Oxyhemoglobin Dissociation Curve, its importance in our medicine practice, and how we can apply it in real time to our patients to troubleshoot what we are seeing. 

Send us Fan Mail Trauma deaths continue to be a problem within the United States, particularly deaths from torso trauma that is non-compressible externally. What advances have been made, and what can we do to change outcomes? Does the "Golden Hour" really have any merit?

Send us Fan Mail What should we keep in mind when preparing for emergent intubations? What process keeps us in line to minimize the possibility of mistakes? How do we identify potential risks and mitigate them? In this podcast we examine the various steps we can take to cognitively offload during preparations for emergent intubations, tips and tricks, and PEARLS. 

Send us Fan Mail In this episode we will explore a case review and delve into the world of toxicology. While this medication is not as widely prescribed as it used to be, there is still the chance that we can run into it. This medication, when at toxic levels, can lead us to the road where treating with the right agents for the right reasons can be the wrong thing.

Send us Fan Mail Tips for reviewing medical studies, how to read between the lines, and the paradox of practicing medicine when there is little evidence from studies to back up decisions. We will explore this concept and apply it to the world of parachutists. Weird? Maybe. But let's dive in and see how this ties in to our practice of medicine!

Send us Fan Mail A dive into the world of push-dose pressors, vasopressor infusions, and thoughts surroundings these treatment options with special guest Robin Abeles, PA-C. 

Send us Fan Mail Brief overview of some of the "danger signs/danger times" for transport, ED, ICU, and Med Surg providers to be aware of when patients are on mechanical ventilators and Respiratory Therapy staff is not present.  Conditions covered include: -Acute unexplained hypoxic desaturation; -Acute Hypotension in the Vented Pt; -High Airway Pressure Alarm; -Low Airway Pressure Alarm;...

Send us Fan Mail This podcast episode covers the "When/When Not To," Why, How, and troubleshooting tips and tricks for arterial line placement and monitoring. We explore the tough topics like Allen's Test, Phlebostatic Axis (PSA), and square wave tests, and more. This episode is intended to coincide with competency reviews and check-off's for arterial line monitoring set-up and...