Air Methods Prehospital EDucation Podcast

A car accident on the highway sees the vehicle rollover nine times and ejects our patient out of the vehicle with a multitude of life threatening injuries. Our team refers to our patient as the sickest trauma patient any of them had ever seen. The outlook is very bleak, but our team perseveres and gives every effort to help increase the patient's odds of survival. While not ultimately successful, this episode provides critical insight and valuable lessons learned from our team about how important providing the very best care is, even when the cause appears lost.    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

A motorcycle accident leaves our patient with a litany of serious injuries and severe bleeding, yet he remains alert and talking to the team... but that's not the only one he talks to. Our patient puts his life in the hands of a higher power and our Air Methods crew as they work to address his numerous injuries and ailments and get him to a hospital. Hear from the patient himself through this harrowing experience.   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:   Sarah Baker, RN, PHRN, CEN, CCRN, CFRN   Jesse Weller, NRP, FPC   Kyle Hoover     Here is everyone reunited as our patient continues his recovery. 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

As our team is out saving lives, we're excited to revisit one of the most harrowing episodes in our archives from January 2023. This remarkable story has a multitude of valuable lessons and insights you're going to love. See you next month with fresh content! It's a different type of episode today on AMPED. We're joined by Ridley Barron, a Senior Pastor at Grove Hill Church in Chapel Hill, TN, and motivational speaker. He tells an incredible story about how his life was changed in a split second via car accident, shares the harrowing journey in the hospital that happened with his youngest son, and the aftermath that followed. Our hosts also discuss Air Methods' MACC Checklist, which stands for Medication Administration Cross Check. It's a story of tragedy, of forgiveness, and of making the most out of the impossibly difficult situations life presents you with.    Ridley Barron, Senior Pastor and Motivational Speaker. You can learn more about him at his website.   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 Joseph Hill RN BSN CMTE CFRN

  Our team is dispatched to a scene where they understand a pregnant woman is experiencing footling breech during the birthing process. When they arrive, they find the baby already delivered and being tended to with Basic Life Support practices, although she is in rough shape. How does the team pivot? What steps do they take as the baby is in cardiac arrest? The answer, as it frequently is, is to go back to basics. Listen in on this incredible story with an unexpected ending.   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:     Breanna Bingel RN, BSN, PHRN, TNS, CFRN, CEN, TCRN, CTRN 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 two flight teams are dispatched to a scene, usually the first to arrive takes the sicker of the patients. What happens when circumstances on the ground change that? How do the teams tag in and tag out with one another? On this episode of the AMPED Podcast, a high speed highway collision sees patients with a litany of maladies including traumatic brain injuries. Our team identifies and handles Beck's triad, tension pnuemothorax, flail chest and a lot more in an eventful transport to the medical facility. Listen in on how our team, with a special guest ride along visitor, handles everything.    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:     Breanna Bingel RN, BSN, PHRN, TNS, CFRN, CEN, TCRN, CTRN     Kayce Thompson, BSN, RN, Flight Nurse    Shawnee Trindle, ER RN  Kayce, Shawnee and Breanna together Spenser Rich, RN-Paramedic, CFRN, FPC Christopher Wright, BSN, RN, CFRN, etc 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 pinkie promise is a promise you cannot break, and it's one our patient in this month's episode made to his wife when he was stricken with a life-threatening COVID infection. She made him promise that he would pull through the ordeal, and he did... but not without many bumps in the road.    Our team not only battled our patient's COVID, but also a nasty case of pneumonia that ultimately led to him needing to be placed on ECMO, which, as you know, is usually a last resort. Listen in as they transported him prone, which our team had never done before in 20+ years of experience, dealt with an unexpected hailstorm during transport and find out how our patient ended up doing after a lung transplant.   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:     Jeff Dickson, NRP, FP-C     The Wilkins 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

The holidays are a time for hope, a time for believing in the extraordinary. Remember that classic holiday film, Miracle on 34th Street? Just when everyone's lost faith, a series of unexpected events bring about the impossible. Well, this week on the Air Methods Prehospital Education Podcast, we bring you a real-life story that echoes that same spirit. It's a case of resilience, determination, and the power of preparation in the face of a life-threatening pediatric emergency.   Picture this: a child in cardiac arrest, the festive joy replaced by the urgent need to save a life. Our crew, faced with a medical mystery and a young life hanging in the balance, refused to give up. Like Kris Kringle himself, they needed more than just skill – they needed a touch of magic, a sprinkle of the extraordinary.   Join us as our AMPED crew, Medical Director Dr. Wilmas, Flight Nurse Nyssa Hattaway, and I, delve into this heartwarming case, exploring how preparation, quick thinking, and a series of fortunate events intertwined to save a child's life. It's a story that reminds us that even in the darkest of moments, hope, like the spirit of the holidays, can prevail.   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:     Nick Grindeland, RN, NREMT-P, CFRN     Derek Hughes, Flight Paramedic/Clinical Base Lead      Alberto Sauceda, Dad   Logan Sauceda, our patient 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 gruesome head-on motorcycle accident causes this month's patient a litany of injuries. He has bilateral femur fractures, a large open wound on his abdomen and much more... and he's awake the whole time. He is cognizant, lucid, and chatting with our team through the entire ordeal. Is he experiencing neurogenic shock? And if he is experiencing neurogenic shock, can he be electrically paced? There's no standard guidance on this exact scenario. Tune into this episode of AMPED to find out what our team did and what the ultimate result is.    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:     Veronica Huskey, RN, NREMT-P, CFRN, FP-C     Alaina Armstrong-Cain, NREMT-P, FP-C     Our team together 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 seemingly simple heart attack gives our team pause because the patient presents a litany of conflicting symptoms. Should our team send him to have a stent put in right away - as is standard procedure - or do they wait to address the other symptoms and risk muscle damage? What would you do if you were in their position? Our hosts consider the symptoms and give their own recommendations while our team shares what actually unfolded. The lesson is that if something feels a bit off, it's important to listen to your intuition.    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:     Liz Lashley RN, CFRN      Jorden Dick, OMS-1, 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

A motorcycle accident victim faces dire circumstances and our team has to execute a new procedure that is rarely done in the field and has a high degree of risk if not done correctly. They are one of the only teams in the region equipped to even do such a procedure, and our team is concerned about doing it correctly because a lot can go wrong. Could you do a procedure you don't normally do with an audience? Because in addition to having to execute for the good of the patient, our team had the patient's family, other first responders and more watching them. Listen in as our team tackles another fascinating case on this 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:     Veronica Huskey, RN, NREMT-P, CFRN, FP-C     Alaina Armstrong-Cain, NREMT-P, FP-C     Our team together 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

Presented with a patient whose symptoms seem contradictory then flip, change and remain unclear, our team must continue to work to keep the patient alive. What's causing the duress for our patient? Is it an aneurysm? Is it neoplastic process? Cardiac arrest? Some combination of these factors? Our team remains nimble, attentive, and diligent in their work. What lessons can we learn from this case? Tune in and find out.   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:     Liz Lashley RN, CFRN      Jorden Dick, OMS-1, 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

Summer season has our clinicians busy and therefore we are re-sharing Episode 35 featuring the harrowing journey of a brave 10 year-old boy. See you next month with fresh content!   As first responders, the odds of patient survival are not always in our favor. But that does not stop us from working quickly to provide the highest level of care for the chances of defying those odds. In this episode, a 10 year-old boy wrecks on his bicycle, a fairly common occurrence and one that rarely requires air transport, yet when our team arrives on scene, his vitals crash in front of their very eyes. What's going on? And what actions do they take to save his life? An inspirational, harrowing and odds-defying episode of AMPED awaits you this holiday season.   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:     Zachary Fica, MD   Amy Marquez, RN, Air Methods Flight Nurse (pictured with Declan, our patient)     Mercy Air Team     Chris (our patient's father) and Declan (our patient) 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

Sometimes the hardest part is the waiting. When our team is dispatched to a scene where a man who does not speak English is trapped inside a confined space with possible crush injuries, hypothermia and hyperkalemia, they must wait for him to be extricated. How do you stand that interminable time? How do you stay ready? And then how do you switch from inaction to action once it's time? Our team tackles yet another unique case in this month's episode.   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:     Nissa Hattaway, Flight Nurse BA, BSN, RN, CEN, CPEN, CFRN     Justin Brown, Flight Paramedic 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

When our team is dispatched in the middle of the night to a hospital that almost never calls them requesting air transport for a case of an obstructed airway that doesn't, at first blush, seem like it warrants it, our team approaches with caution and curiosity. When they arrive, something doesn't add up and they first opt to phone the on-call doctor to explain the situation, and then dig deep into their bag of tricks - a la famous, resourceful TV character MacGyver - to improvise a unique solution.    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:     Robert Pringle, MD     Jamie Hogue, MSN, RN, TCRN, CEN, CFRN      Greg Denz - NRP, FP-C, BS  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

Any pediatric case comes with a higher degree of tension due to a variety of factors including compensatory responses to distress leading to a precarious "cliff" when those compensatory efforts cease. When our team is dispatched to a 5 year-old child struggling to breathe, yet still shows strong vital signs, how will the AMPED team respond? This episode discusses at great length understanding that even though we should strive for perfection in every action we take, sometimes "good" is good enough because recovery is a long road and there are skilled and caring teams awaiting us when we hand off our patients.    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, CFRN     Kevin Dominic 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

By necessity, our teams are dispatched to most extreme, most rare, most complex, and sometimes most hopeless-seeming cases any patient could ever experience. It would be easy to look at certain cases - like say, a man whose legs are stuck in a concrete augur on a precarious platform with injuries that are intermingled and devastating - and assess that he's not going to make it. Our Air Methods team uses creativity, determination, skill and compassion to exhaust every possible method to help our patients achieve even the slimmest possibility of survival. This month's story is one such story of going the distance no matter what.    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:     Sarah Padesky RN, BSN, CCRN, CFRN     Caitlyn Binz 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

When an infant patient faces seemingly insurmountable odds over the course of several hours, one of our clinicians suffers a mental health breakdown over the ensuing shifts, days and weeks. Thankfully her team recognized changes in her behavior and mood and offered abundant help. This episode covers not only the case involving the infant patient, but the aftermath and care for our clinicians. If you, or someone you work with, is struggling with your mental health, please reach out to Shatterproof, part of FHE Health on the web or at (833) 591-1536.   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:     Christa Tribble RN Flight Nurse Air Methods     Alex Menas Outreach Coordinator for Shatterproof   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

Our profession requires extensive and exhaustive training. Much of it can seem esoteric and possibly unnecessary at the time, but we train on all of these things for a reason. When our team comes upon a severely burned patient, they extent of the burns causes a melange of difficulties. Could an obscure, and rarely used, procedure ultimately help and provide the patient more time? The AMPED team discusses this little-used technique and we discuss the importance of remaining familiar with the abundance of techniques and treatments we learn during our training.   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 Niewoehner RN, BSN, CFRN, CCRN-CMC, CES-A   Lindsey Greenfield 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

As first responders, the odds of patient survival are not always in our favor. But that does not stop us from working quickly to provide the highest level of care for the chances of defying those odds. In this episode, a 10 year-old boy wrecks on his bicycle, a fairly common occurrence and one that rarely requires air transport, yet when our team arrives on scene, his vitals crash in front of their very eyes. What's going on? And what actions do they take to save his life? An inspirational, harrowing and odds-defying episode of AMPED awaits you this holiday season.   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:     Zachary Fica, MD   Amy Marquez, RN, Air Methods Flight Nurse (pictured with Declan, our patient)     Mercy Air Team     Chris (our patient's father) and Declan (our patient) 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

Things are not as they seem on this month's episode of AMPED. Our team arrives on scene to find first responders dealing with a chemical burn and administering CPR. But something is amiss. This episode is a stark reminder that no matter the time of day, no matter the other circumstances, our role as clinicians is to stay vigilant in our analysis and always to assess every aspect of the situation thoroughly.   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:   Amy Merritt, BSN RN CFRN   Allen Walworth 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

In a Florida nature park, a woman is bitten by a snake, which is not terribly uncommon in this part of the country. What is unusual is her reaction to it, which is severely anaphylactic. With limited resources in the sprawling park, a closing window for treatment, and critical decisions to be made instantly, how will the team assess, handle and treat our patient in this week's episode? And why such a severe reaction? Find out when you tune 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:     Thomas Young, NPFR FF/PM EMS FTO   Matthew Johnson RN, Flight Paramedic FSR, FP-C, D​MT, NREMT-P & Joshua Webster Flight Paramedic FSR, FP-C, D​MT, NREMT-P     Evan Schwarz, MD FACEP FACMT FASAM 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

Our teams at Air Methods have many checklists they follow to ensure optimal care for each patient. What happens when our teams have to pivot their approach and their treatments because of the uniqueness of each individual? On this episode, our team tends to a car crash victim whose injuries make traditional methods of care impossible, and the team is forced to pivot multiple times to provide treatment. This episode also tackles the question of when it's appropriate to give the patient's family the gift of a goodbye.   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:     Jacqlyn Murray FPC NREMTP    Teresa Click BSN, RN, EMTP, CEN 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

Hot on the heels of Ep. 31, which featured the Air Methods team taking care of one of their own, we return with bonus content. It's rare that we get to talk to the patient of one of our cases, and even rarer that the patient is also one of our clinicians. In this bonus interview, we share more of our conversation with Jeff Chesleigh as he divulges what it was like to code multiple times, his thought process during the ordeal, how his approach to patients going through a similar experience has changed, and the aftermath of the event. The conversation is riveting and informative.   We are joined by:   Jeff Chesleigh (pictured center), FP-C. Area Manager, Southern Arizona, South Central Region 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

Our Air Methods crew always pride themselves on providing the highest level of care to each and every patient they encounter. But what happens when the patient is one of their own? What happens when he codes multiple times from a myocardial infarction? Further compounding the issue is that many of the resources used to treat MI are unavailable in this rural area.   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:   In order from left to right:    Amy Milner, BSN, RN, CEN, CFRN, Flight Nurse; Jeff Chesleigh, FP-C. Area Manager, Southern Arizona, South Central Region Chad Clark, CEP,FP-C Flight Paramedic   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 Joseph Hill RN BSN CMTE CFRN

Click HERE for CE credits!   Building on the conclusion of Episode 29, the AMPED team sticks with the patients and works to figure out why our patient has not delivered her placenta, why she's bleeding, and how to ensure both she and her baby thrive in the crucial time after childbirth. If you're unfamiliar with postpartum care, ask yourself these questions: What do you need to brush up on? What should you review? And what should be ready for when this situation arises? The AMPED team is joined by:   James Mills, NRP, CCEMT-P, FP-C   Berry Campbell, MD 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 Joseph Hill RN BSN CMTE CFRN

How up to date are you, as a first responder, on all things neonatal? Are you prepared to take care of and assess a newborn in the very first minutes of their lives? What tools should you have at the ready? How do you improvise the solutions you need? And what key things should you be looking for? This episode of AMPED examines a recent case where our team had to do just that. The AMPED team is joined by:   Matthew Milligan, Flight Nurse CCRN   Joseph Finney MD Pediatric Emergency Medicine Physician EMS Physician Podcast host of the Pediatric EMS Podcast 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 Joseph Hill RN BSN CMTE CFRN

Sometimes during a medical event, a team can make all the correct choices and still lose a patient. In this episode, a patient experiencing angioedema presents our team with choices that are all undeniably fraught and filled with risk. As they relive the event, they discuss how they cope when things don't work out as they hoped, how they try to use the experience for future cases, and the importance of the support and communication of your colleagues. The AMPED team is joined by:   Joan Noelker, MD, MACM, FACEP (pronouns: she/her/hers) Associate Vice Chair of Education for Emergency Medicine Washington University School of Medicine    Nichole Ojala BSN, RN, CEN, CCRN 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 Joseph Hill RN BSN CMTE CFRN

This episode is about the challenges of transporting a highly complex patient with multiple medications and life-saving technologies.  In this episode, Critical care paramedic Jordan Stone encountered a malfunctioning transvenous pacemaker causing the patient to move putting at risk his multiple connections and balloon pump placement.  With the help of his medical director Dr. Weir, hear how our team dealt with this tenuous situation. The AMPED team is joined by:   Jordan Stone NRP, FP-C, CCP-C, Clinical Base Supervisor Brad Weir, MD, FACEP, FAEMS, FAMPA Carle AirLife & Critical Care Transport Medical Director 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 Joseph Hill RN BSN CMTE CFRN

An impromptu knock at the door shortly before our flight crew's safety nap turns into an unexpected potential mass casualty incident via skydiving accident. Our crew had multiple victims and complex injuries to deal with along with a growing crowd. Quick thinking, resourcefulness, and taking things one small step at a time are the key themes in this month's episode. The AMPED team is joined by:   Mike Dvorak B.S., CFRN, FP-C   Noah Bernhardson, MD NRP EMS Physician/Medical Director 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 Joseph Hill RN BSN CMTE CFRN

When the Air Methods first responder team encounters a 19-year-old man with a litany of injuries due to a car accident involving a concrete barricade, a complicated extrication process, crush injuries, and possible amputation, quick analysis, and action are required. Listen in to hear the incredibly quick timeline of events, the complexity of the solutions needed to save the patient, and the assertive decision-making by the Air Methods team in this week's episode. The AMPED team is joined by:     Louise Moeck, RN, Clinical Lead     Renee Struwig, 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 Joseph Hill RN BSN CMTE CFRN

It's a different type of episode today on AMPED. We're joined by Ridley Barron, a Senior Pastor at Grove Hill Church in Chapel Hill, TN, and motivational speaker. He tells an incredible story about how his life was changed in a split second via car accident, shares the harrowing journey in the hospital that happened with his youngest son, and the aftermath that followed. Our hosts also discuss Air Methods' MACC Checklist, which stands for Medication Administration Cross Check. It's a story of tragedy, of forgiveness, and of making the most out of the impossibly difficult situations life presents you with.    Ridley Barron, Senior Pastor and Motivational Speaker. You can learn more about him at his website.   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 Joseph Hill RN BSN CMTE CFRN

Pregnancy complications are always difficult to manage.  Managing these complications in the air puts a whole new spin on the topic.  In this episode the AMPED team discusses a case in which Air Methods crew members had to transfer a patient with an abrupted placenta AND an open abdomen.  We discuss the similarities in how treating a patient with an abruptio placentae is like treating a trauma patient.  But we also discuss how treating a patient with aburptio placentae is different than treating a trauma patient.  Check out this episode where we discuss these subtle diagnostic and treatment differences with our special guest:    Dr. Berry Campbell, OB/GYN physician and Medical Director for Air Methods.    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 Joseph Hill RN BSN CMTE CFRN

WARNING: This episode features discussion of depression and suicide. If you, or someone you know is suffering from depression or considering suicide, please seek professional help or call the National Suicide Hotline by dialing 988. Remember, you matter. A mantra of the Navy SEALS is, "Slow is smooth. Smooth is fast." It's a reminder to approach any situation with deliberate and careful consideration and that the quickest route to complete a task is to be methodical and slow. When presented with a patient who attempted suicide via shotgun to the face, the team is faced with difficult, complex choices that require steady nerves, quick decision-making, and reliance on preparation and teamwork. Our team is joined by: Brian Harrison EMT-P Zak Saxton, RN   Brian Gremminger, 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 Joseph Hill RN BSN CMTE CFRN

In the movie Jurassic Park, Dr. Ian Malcolm (played by Jeff Goldblum) says this about the butterfly effect as it relates to chaos theory, "A butterfly can flap its wings in [Beijing], and in Central Park, you get rain instead of sunshine.” The metaphor is used to describe how seemingly minor events can have grand consequences much further down the line. On this episode of AMPED, an accident on a rural farm, a seemingly banal scheduling happenstance, and a series of decisions borne out of circumstance result in remarkable change for the state of New York, and a policy that affects the ability of first responders to do their jobs. Our team is joined by: Rich Mosher BS, NRP, FP-C, Flight Paramedic - Guthrie Air Larissa Colton, CFRN, Clinical Base Lead   Christopher Berry MD, Medical Director 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 Joseph Hill RN BSN CMTE CFRN

We have talked on this show before about the complexity that can arise after suffering a stroke... but what if the patient also goes into pre-term labor while suffering the stroke? What interventions do you do? Which issue do you tackle first? What if your transport occupancy doubles mid-flight? Our team is joined by: Jeffrey Cutright EMT-P, Clinician for Air Methods, Dr. Nida Jamal, Stroke Medical Director for Mercy Hospital in Saint Louis,   Dr. Barry Campbell, Air Methods OB/GYN consultant, 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 Joseph Hill RN BSN CMTE CFRN

Sometimes the solution seems like it should be simple: Just stop the bleeding. But what happens when the injury is the internal jugular vein and the usual interventions either won't work, will cause other damage, or are simply impractical? The AMPED team discusses this case with unique and perplexing challenges, and how they ultimately overcame them. Our team is joined by: Ashley Howe, RN, Flight Nurse for Air Methods Dr. Michelle Mclean, MD, Medical Director at Air Methods   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 Joseph Hill RN BSN CMTE CFRN

First responders see the unique, the unusual, the horrifying and the heartbreaking on a regular basis. On some calls, all the breaks go your way. On other calls, anything that can go wrong, will go wrong. That's the cost of experience. On this episode of AMPED, our team discusses an accident involving a rock crusher in a quarry with complex, interlocking problems, and unusual circumstances that led to lessons hard-earned. Our team is joined by: Amber George, RN Brian Gremminger, EMT-P     Here are a handful of photos from the scene:   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 Joseph Hill RN BSN CMTE CFRN

What do you do when you receive a patient who is in critical cardiac condition after being in jail? Did they already have a heart disease that is getting worse? Or was it something they took? Or was it a prescribed medicine that they couldn't take? Regardless, it can be a struggle to find an answer.  At this point you better know your basics to keep the patient alive.  In this episode, the AMPED team is joined by flight nurse Chelsea Fehring to delve into another AMPED case that presents some unique and unexpected challenges. Chelsea Fehring, RN, Flight nurse Rebecca Tracy, DO, Emergency Physician and EMS Physician     Evan Schwarz, MD, Emergency Physician, Toxicologist, Addiction Medicine   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 Joseph Hill RN BSN CMTE CFRN

Did you misread that title? Maybe you did and maybe you didn't. Emergency medicine requires our professionals to work from limited information and rely on instincts and assessment to diagnose and treat a patient. This usually leads our team down the right path, but sometimes leads them astray and takes them down the wrong clinical pathway for a patient. This episode takes the listener through these biases and discusses how to combat them, as we are joined by flight nurse, and host of The Q Word Podcast, Nyssa Hattaway. Nyssa Hattaway, 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 Joseph Hill RN BSN CMTE CFRN

First responders and clinicians often see things that are unimaginable to the average person as a part of their jobs. Yes, this is the nature of the work, but first responders and clinicians are human, and sometimes what they see affects them deeply. First responders have a 2.5x increased risk of suicide compared to other jobs. How do we help our colleagues handle trauma? How do we care for our caregivers. We discuss that in this episode as we are joined by: Stephanie Queen, RN, Taylor McRoy, RN, If you need mental health or trauma support services, here are two resources for your reference. Please click the links for more information. ECHO FAST The Code Green Campaign 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 Joseph Hill RN BSN CMTE CFRN

When a tornado strikes and causes a mass casualty incident (MCI), how does the team integrate itself into a larger team of first responders doing a variety of different jobs? How does the team arrive on scene when flight is impossible? And upon successfully saving one life, how does the team reconcile that success with the multiple other lives lost? These questions and a harrowing story await in this edition of the podcast. We are joined by: Amy Boultinghouse, RN, Chase Niewoehner, RN, Kasia Hampton, MD, Rebecca Tracy, DO, Click here to download today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

Air Methods Prehospital EDucation Podcast  Pediatric airway management is always a stressful procedure, particularly during transport when the risk of dislodgement increases.  That fear of dislodging the airway can quickly change from securing the device to a "rat's nest" of methods.  In this episode the AMPED team dive into a case where that unfolds at the wrong time. We are joined by flight nurse, Jennifer Kucan and flight paramedic, Tom Bradtke Click here to download today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

Air Methods Prehospital EDucation Podcast  The second of a two part series, our team recaps the pertinent data from our flight team, discusses where their assumptions were wrong, prescribes solutions for avoiding similar mistakes in the future, and wraps up what was a fascinating case. Did you figure out where the team figured things wrong? We are joined by Dr. Kevin Baumgartner, Dr. Michelle McLean, Shannon Duggar, RN, and Steve Piper, EMT-P. Click here to download today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN  

Air Methods Prehospital EDucation Podcast  The anchoring effect is a cognitive bias that describes the common human tendency to rely too heavily on the first piece of information offered (the “anchor”) when making decisions. On this first of a two-part episode of AMPED, our team discusses treating a possible overdose, uncovers data that doesn't seem quite right, and invites you to discover where things might have gone wrong. We are joined by Dr. Kevin Baumgartner, Dr. Michelle McLean, Shannon Duggar, RN, and Steve Piper, EMT-P. Click here to download today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN  

Air Methods Prehospital EDucation Podcast  Severely burned patients are a clinical challenge from many angles. In this month's episode, we examine and discuss how the patient care challenge is compounded in this transport by the remoteness of the request and the limited local resources. We are joined by flight paramedic, Orlando Marquez EMT-P burn nurse Kelly Marquez RN and Dr. Brett Hartman DO who directs the adult and pediatric burn units at Riley Hospital for Children Speedway Burn Unit and Richard M. Fairbanks Burn Center. Click here to download today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN  

Air Methods Prehospital EDucation Podcast  Episode 9: DK A(LL) Messed Up In this episode, we discuss the many facets of diabetes, providing useful background, context and understanding about this health condition. Listen as our team discusses the treatment steps for a woman experiencing severe diabetic ketoacidosis, unpacking the multitude of problems she experienced, and the needed treatments that seemed to be oppositional to one another. The AMPED team is joined by guests: Dr. Alexis Mckee  Endocrinologist & Diabetologist Dr. Joan Noelker Emergency Medicine Physician & Medical Education Specialist Click here to download today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN  

Air Methods Prehospital EDucation Podcast  Episode 8: No Mistakes, Just Opportunities In the world of medicine, great clinicians and organizations are always learning from their patients.  In this episode, we talk about a patient experience that changed the way the clinicians and Air Methods perform needle decompressions.   The AMPED team is joined by guests:  Dr. Timothy Lenz  Emergency Physician and Medical Director Dr. Jillian Theobald Emergency Physician and Toxicologist Dr. Jeremy Juern Trauma Surgeon and Critical Care Physician Will Scott-Smith FP-C Flight Paramedic and Clinical Education Manager of the North Central Region for Air Methods Click here to download today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN  

Air Methods Prehospital EDucation Podcast  Episode 7: It Takes a Village In this episode, as our crews approach the scene (below) we discuss a compelling case of a critically ill patient treated in a mass casualty situation.  We cover crucial triage decisions, a rare but severe traumatic injury, and stress the importance of falling back to our training.  The AMPED team is joined by guests: Russell Haight MBA, CCRN Lanika Tucker RN Thomas Crain Clinical Director at Air Methods & Bryan E. Love MD Trauma Surgeon  Click here to download today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN  

Air Methods Prehospital EDucation Podcast  Episode 6:  MO' ECMO! In this episode, we discuss another ECMO case that will get your critical thinking skills a run for their money!  Get your thinking caps on because we will be dealing with all types of shock and lifesaving devices that depend on your fundamental knowledge of physiology and anatomy to save a life. The AMPED team is once again joined by our guests: Chase Niewoehner RN Flight Nurse and ECMO Specialist & Christina Creel MD @critcreelMD Critical Care Nurse/Emergency Physician/Critical Care Physician at Emory University Hospital.  Click here to download today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN  

Air Methods Prehospital EDucation Podcast Episode 5: C'mon little stitch! This episode will follow our team during one of these cases where a patient on an ECMO device was one of many challenges.  The AMPED team is joined by: Chase Niewoehner RN flight nurse and ECMO specialist & Dr. Christina Creel-Bulos @critcreelMD Critical Care Nurse/Emergency Physician/Critical Care Physician at Emory University Hospital.  Click here to download today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN P.S.  Here is the image we promised we would post! Works Cited 1. Dance, Don't Delay by Twin Musicom is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/ Source: http://www.twinmusicom.org/song/303/dance-dont-delay Artist: http://www.twinmusicom.org

Air Methods Prehospital EDucation Podcast Episode 4: The ol' bait and switch Have you ever had one of those calls dispatched as one issue and you arrive and it's something else?  Yup! We have as well!  In this episode, we dissect such a transfer call where the Eric Wheeler EMT-P and Danielle Flamm RN prepared for a STEMI transfer, but what lay in store for them at the sending facility was something much deadlier.  In this episode, we have special guests: Kevin Baumgartner MD Evan Schwarz MD   Click here to download today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN