Advertise on podcast: Air Methods Prehospital EDucation Podcast

When a patient experiences profound cardiogenic shock, a patient might receive an intra-aortic balloon pump, a device that is timed directly to the cardiac cycle that inflates and deflates to augment coronary profusion. Or they might receive an impella, an axial flow archimedes screw that continuously pulls blood forward through the aortic valve. Both devices share the same ultimate objective: Keeping a failing heart alive. But they do this in fundamentally distinct ways. So what happens when a patient is a true clinical unicorn a deeply unstable cardiac patient that has both devices running simultaneously? This episode of the AMPED podcast answers this very question, so listen in as our team discusses their analytical process and how they navigated this unusual situation.   Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Madison O'Connor BSN, RN, CFRN     Marcie Day, RN, BSN, CCRN, CFRN, CES-A   Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

One of the most basic skills an Air Methods team member should have is knowing how to intubate properly. Understanding how to do that properly is a prerequisite for the job. But knowing when to intubate, and in the particular case of this month's patient, knowing when NOT to intubate is most crucial. Our team is tasked with transferring our patient Myles who was experiencing acute respiratory distress, but in their assessment determined that despite his severe symptoms, intubating and paralyzing him could likely lead to even worse outcomes. Listen in as we hear from not only our team, but our patient, as they describe the unusual and voluminous symptoms, which are unusual for a 33 year-old. How did they make their determinations? What does Myles remember? And what has the road to recovery been like for Myles? You're not going to believe everything he's been through.    Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Chase Boyd NREMT-P Flight Paramedic   Matthew George RN Flight Nurse   Myles Dobson Patient    All seen here together with Myles's family: Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

A young man in his 20s experiences a head-on collision with a tree that leaves him in profound shock, and not exhibiting the symptoms that would seem to match his vital signs. Our team recognizes the mismatch and works quickly to get him to the hospital. Upon arriving at the hospital, the team does what our host refers to as "the ultimate hospital intervention" and performs an open resuscitative thoracotomy. After multiple surgeries and three days, the patient ultimately does not survive. But after the staggering volume of blood products and interventions performed, they wonder if he's still eligible for organ and tissue donation. In the last part of this episode, we answer that question with  an expert on the issue. The insights are fascinating.    Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Lindsey Speir, MHA, BSN, RN, CPTC Executive Vice President     Kelsey Nicks BSN, RN, CFRN Flight Nurse      Harold Englert EMT-P, FP-C     Jason Elliott RN, NRP, FP-C   Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

Transporting a newborn in distress already involves extreme logistical complexity, as you'll hear in this month's episode where our team is tasked with taking a newborn experiencing acute shortness of breath. But what happens when the mother starts to decompensate right alongside her baby? Now our team is tasked with caring for two patients, and how they tackle that complexity is the focus of this episode. How many people does our team have to talk to? How long does that process take? Tune in and hear about the thoughtful and thorough process of ensuring everyone's safety provided by Air Methods' procedures.    Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Mark Fowler NRP, FP-C   Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

At a motorcycle track, a middle-aged man suffers a massive crash off a jump. Byt the time our team arrives on scene, the man is inflating like a balloon suffering from massive structural-distorting subcutaneous emphysema. The massive air pockets completely obliterated his normal anatomy, leaving them to guess: Do we blindly plunge decompressing needles into his chest where the landmarks have completely vanished or do we prioritize and secure the airway using advanced focused techniques? Listen in as our team learns in real time that ego has no place beside the patient. How does this case turn out? Listen in!   Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Clint Pusey, BSN, RN, CFRN     William W. Wright, FP-C   Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

A man in a high speed, rollover motor vehicle crash experiences a multitude of symptoms including hemorrhagic shock and profound respiratory distress. As our team assesses him, they attempt multiple needle decompressions to relieve pressure and improve breathing. None are successful. Having recently received training and approval to do a finger thoracostomy, they talk with their lead clinician and decide that is the best course of action. Listen in as we hear from the team on the ground, experience their decisionmaking, and find out what happens.    Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Matthew Corban NRP, FPC Air Methods Float Paramedic      Jacqlyn Murray - Flight Paramedic / RN, FP-C , CFRN   Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

On this episode of AMPED, when our team arrives on scene for a pediatric head trauma case in a 10-month old, everything at first seems normal and under control. But in that calm, something feels off to one of our clinicians and he believes our patient faces imminent peril. Does he defer to the doctor on scene who has given assurances that everything is fine, or does he listen to his intuition and communicate his concerns to his partner in order to take action? Listen in and find out how this case unfolds, and hear how this particular case affected our clinicians greatly after the fact.    Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Holly Prather, RN, CEN, CFRN, CTRN     JM Walker, EMT-P   Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

When our crew is dispatched to an extremely rural location, they find our patient has fallen off an a-frame ladder and been impaled in the chest by a large piece of rebar on the ground. We know that in dealing with impalements, removal or jostling of the object can cause a host of problems for the patient, so the team must take great care in transporting him to a location where removal and treatment can occur in a safe and controlled environment. Listen in as our team coordinates with other first responders, readies their equipment mise en place, and communicates to ensure the best outcome for our patient. You'll find he is simultaneously very unlucky, and extraordinarily lucky in his unusual case.    Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Jennifer A. Beckett NREMT-P AAS      Cole Diercks BSN, RN, CFRN     Steven Johnson NREMT-P    Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

Our crew was dispatched to a high energy, rollover MVC with a patient ejection, which usually demands aggressive trauma protocols. But what happens when the patient is equipped with a HeartMate II, a Left Ventricular Assist Device (LVAD) that pumps blood for failing hearts. The irony is that this extremely sophisticated medical device that keeps our patient alive, also precludes our team from gathering regular vital signs, like a palpable pulse or traditional blood pressure measurements. How does the team manage a trauma resuscitation when the patient's circulation is a continuous flow rather than a beat? The trick is going to back to the basics of trauma care. Listen in and find out how this case unfurled.   Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Chelsea Putman, FP-C     Robert Steele, RN   Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

On this show we have espoused the general guiding principal of "when you hear hoofbeats, think horses, not zebras." Sometimes the hoofbeats actually are those of zebras. But what if sometimes there not even zebras, they're unicorns? On this episode of AMPED, our patient has been bitten by a Jameson's Mamba, one of the deadliest snakes in the world. Thankfully, he is an expert herpetologist who is able to talk our team through the steps needed to save his life. But what our team learns is that sometimes that which seems extremely rare results in care that isn't rare at all.    Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:     Samuel Hall MD (Picture)     Jim Harrison (patient) and Kristen Harrison     Courtney Martin NREMT-P   Sarah Crabrtree RN   Kristen Wiley   Kentucky Reptile Zoo Links:    Official site Facebook Instagram   Youtube channel Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

A brutal incident where a woman gets hit by a truck leaves her with a multitude of injuries, most notably both of her legs bent into a position best described as "frog legs." She's in good spirits and her vitals are good, but her legs bent at that angle means that she cannot fit into our team's helicopter. How does our team get her legs back into place without causing further trauma or risking her stable vitals? Complicating factors is the extremely uneven ground because they're in a cow pasture and the risk of infection is extremely high because the team and the patient are surrounded by cow patties. There is no training for this exact scenario, so how does our team adapt and apply the training they have to this unique situation? This episode of AMPED digs in.   Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Aaron Botzow, NRP, FP-C     Drew Gill, BSN, RN, CEN     Michael Eastman DO   Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

In an incredible twist of irony, this month's case focuses on our flight crew loading into their helicopter to be dispatched to... a patient who has fallen out of a helicopter. From a height of approximately 40 feet and at a speed of 30 knots, our patient has an abundance of injuries, which requires our team to remember their axiom: "Slow is smooth, and smooth is fast." This episode also introduces an important question: How do we intervene in different kinds of shock? Our patient had three different kinds: Hemorrhagic, neurogenic, and obstructive shock. Listen in as our guest, along with our panel, deconstructs one of the rarest cases in AMPED history.    Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Matthew Habbe NREMT-P.   Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

A common aphorism in the medical community comes from Dr. Theodore Woodward who said in the 1940s, "When you hear hoofbeats behind you, think of horses, not zebras." It's a way of reminding medical practitioners that the most common explanation is usually correct. In other words, Occam's Razor is usually correct. But what happens when the most common explanation isn't correct? What happens when you turn around and find a zebra looking at you? In this month's episode, our team finds a pediatric patient who seems to have had a stroke. Stroke is very uncommon in children, but that doesn't mean it never happens. Listen in as our team starts with the basics, analyzes the feedback, and arrives at their conclusion.   Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Maria Milagros Galardi, MD     William McCray, RN   Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

Extreme weather once again plays an important factor in this month's case where our team comes upon a car accident victim who has a litany of injuries that make care extremely challenging, even in optimal conditions. Featuring a pilot for the first time ever in AMPED history, we hear from our clinicians about how to give our patient the best shot at survival, and from our pilot about the many considerations he has to make in order to expedite his arrival at a care facility. Hear these unique insights in this fascinating episode of AMPED.   Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Danica Mainridge RN, BSN, CEN, CPEN, CCRN, CFRN     Megan Thompson, RN, MSN, MBA, CEN, CFRN, TCRN, TNS, CES-A    Mikaele Kerner Helicopter PIlot Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

A severely ill Flu A patient, fully intubated, and fighting for every breath requires the AMPED team for transport for possible ECMO. Under even the best of circumstances, this type of patient requires extensive care and presents many challenges. But what happens when extreme weather causes problems with the team's equipment, making care even more challenging? Find out how our team dealt with and overcame these challenges to help ensure our patient's recovery and survival.   Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits.    We are joined by:   Matt Johnson, NRP Flight Paramedic     Anna Schmick, BSN, RN, CFRN Flight Nurse    Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN