The FlightBridgeED Podcast

This is the first of a special podcast series on obstetric critical care.  I am joined on this series by Dr. Elizabeth Garchar, MD, FACOG.  She is an OB/GYN and Maternal Fetal Medicine (MFM) specialist who has a special interest in obstetric critical care.  She is also unique in that she flies regularly with our critical care transport teams and acts as one of our Assistant Medical Directors for the flight program.  So, Dr. Garchar has unique insight into managing this population in transport. This podcast focuses on severe postpartum hemorrhage.  We discuss the epidemiology and risk factors as well as the nuances of diagnosis, specifically how blood loss is actually quantified in this setting.  We also go through the importance of point-of-care ultrasound to help identify and manage the causes of postpartum hemorrhage.  Then, we transition to the discussion of management, focusing on the medical management of uterine atony, and also go over advanced interventions such as uterine packing, balloon tamponade devices, and REBOA.  Finally, Dr. Garchar discusses the indication and procedure for emergent hysterectomy as well as the post-procedure management critical care transport crews may have to perform.   References   Practice Bulletin No. 183: Postpartum Hemorrhage. Obstet Gynecol. Oct 2017;130(4):e168-e186. doi:10.1097/aog.0000000000002351 Abdel-Aleem H, Singata M, Abdel-Aleem M, Mshweshwe N, Williams X, Hofmeyr GJ. Uterine massage to reduce postpartum hemorrhage after vaginal delivery. Int J Gynaecol Obstet. Oct 2010;111(1):32-6. doi:10.1016/j.ijgo.2010.04.036 Abul A, Al-Naseem A, Althuwaini A, Al-Muhanna A, Clement NS. Safety and efficacy of intrauterine balloon tamponade vs uterine gauze packing in managing postpartum hemorrhage: A systematic review and meta-analysis. AJOG Glob Rep. Feb 2023;3(1):100135. doi:10.1016/j.xagr.2022.100135 Aibar L, Aguilar MT, Puertas A, Valverde M. Bakri balloon for the management of postpartum hemorrhage. Acta Obstet Gynecol Scand. Apr 2013;92(4):465-7. doi:10.1111/j.1600-0412.2012.01497.x Bagga R, Jain V, Kalra J, Chopra S, Gopalan S. Uterovaginal packing with rolled gauze in postpartum hemorrhage. MedGenMed. Feb 13 2004;6(1):50. Borger van der Burg BLS, van Dongen T, Morrison JJ, et al. A systematic review and meta-analysis of the use of resuscitative endovascular balloon occlusion of the aorta in the management of major exsanguination. Eur J Trauma Emerg Surg. Aug 2018;44(4):535-550. doi:10.1007/s00068-018-0959-y Castellini G, Gianola S, Biffi A, et al. Resuscitative endovascular balloon occlusion of the aorta (REBOA) in patients with major trauma and uncontrolled haemorrhagic shock: a systematic review with meta-analysis. World J Emerg Surg. Aug 12 2021;16(1):41. doi:10.1186/s13017-021-00386-9 Collaborators WT. Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial. Lancet. May 27 2017;389(10084):2105-2116. doi:10.1016/S0140-6736(17)30638-4 Cunningham FG, Nelson DB. Disseminated Intravascular Coagulation Syndromes in Obstetrics. Obstet Gynecol. Nov 2015;126(5):999-1011. doi:10.1097/AOG.0000000000001110 D'Alton M, Rood K, Simhan H, Goffman D. Profile of the Jada(R) System: the vacuum-induced hemorrhage control device for treating abnormal postpartum uterine bleeding and postpartum hemorrhage. Expert Rev Med Devices. Sep 2021;18(9):849-853. doi:10.1080/17434440.2021.1962288 Dildy GA, 3rd. Postpartum hemorrhage: new management options. Clin Obstet Gynecol. Jun 2002;45(2):330-44. doi:10.1097/00003081-200206000-00005 Dueckelmann AM, Hinkson L, Nonnenmacher A, et al. Uterine packing with chitosan-covered gauze compared to balloon tamponade for managing postpartum hemorrhage. Eur J Obstet Gynecol Reprod Biol. Sep 2019;240:151-155. doi:10.1016/j.ejogrb.2019.06.003 Erez O. Disseminated intravascular coagulation in pregnancy: New insights. Thrombosis Update. 2022;6doi:10.1016/j.tru.2021.100083 Erez O, Mastrolia SA, Thachil J. Disseminated intravascular coagulation in pregnancy: insights in pathophysiology, diagnosis and management. Am J Obstet Gynecol. Oct 2015;213(4):452-63. doi:10.1016/j.ajog.2015.03.054 Erez O, Othman M, Rabinovich A, Leron E, Gotsch F, Thachil J. DIC in Pregnancy - Pathophysiology, Clinical Characteristics, Diagnostic Scores, and Treatments. J Blood Med. 2022;13:21-44. doi:10.2147/JBM.S273047 Feng S, Liao Z, Huang H. Effect of prophylactic placement of internal iliac artery balloon catheters on outcomes of women with placenta accreta: an impact study. Anaesthesia. Jul 2017;72(7):853-858. doi:10.1111/anae.13895 Higgins N, Patel SK, Toledo P. Postpartum hemorrhage revisited: new challenges and solutions. Curr Opin Anaesthesiol. Jun 2019;32(3):278-284. doi:10.1097/ACO.0000000000000717 Ji SM, Cho C, Choi G, et al. Successful management of uncontrolled postpartum hemorrhage due to morbidly adherent placenta with Resuscitative endovascular balloon occlusion of the aorta during emergency cesarean section - A case report. Anesth Pain Med (Seoul). Jul 31 2020;15(3):314-318. doi:10.17085/apm.19051 Kellie FJ, Wandabwa JN, Mousa HA, Weeks AD. Mechanical and surgical interventions for treating primary postpartum haemorrhage. Cochrane Database Syst Rev. Jul 1 2020;7(7):CD013663. doi:10.1002/14651858.CD013663 Kogutt BK, Vaught AJ. Postpartum hemorrhage: Blood product management and massive transfusion. Semin Perinatol. Feb 2019;43(1):44-50. doi:10.1053/j.semperi.2018.11.008 Levi M, Toh CH, Thachil J, Watson HG. Guidelines for the diagnosis and management of disseminated intravascular coagulation. British Committee for Standards in Haematology. Br J Haematol. Apr 2009;145(1):24-33. doi:10.1111/j.1365-2141.2009.07600.x Liu C, Gao J, Liu J, et al. Predictors of Failed Intrauterine Balloon Tamponade in the Management of Severe Postpartum Hemorrhage. Front Med (Lausanne). 2021;8:656422. doi:10.3389/fmed.2021.656422 Lohano R, Haq G, Kazi S, Sheikh S. Intrauterine balloon tamponade for the control of postpartum haemorrhage. J Pak Med Assoc. Jan 2016;66(1):22-6. Maier RC. Control of postpartum hemorrhage with uterine packing. Am J Obstet Gynecol. Aug 1993;169(2 Pt 1):317-21; discussion 321-3. doi:10.1016/0002-9378(93)90082-t Makin J, Suarez-Rebling DI, Varma Shivkumar P, Tarimo V, Burke TF. Innovative Uses of Condom Uterine Balloon Tamponade for Postpartum Hemorrhage in India and Tanzania. Case Rep Obstet Gynecol. 2018;2018:4952048. doi:10.1155/2018/4952048 Natarajan A, Alaska Pendleton A, Nelson BD, et al. Provider experiences with improvised uterine balloon tamponade for the management of uncontrolled postpartum hemorrhage in Kenya. Int J Gynaecol Obstet. Nov 2016;135(2):210-213. doi:10.1016/j.ijgo.2016.05.006 Natarajan A, Kamara J, Ahn R, et al. Provider experience of uterine balloon tamponade for the management of postpartum hemorrhage in Sierra Leone. Int J Gynaecol Obstet. Jul 2016;134(1):83-6. doi:10.1016/j.ijgo.2015.10.026 Okoye HC, Nwagha TU, Ugwu AO, et al. Diagnosis and treatment of bbstetrics disseminated intravascular coagulation in resource limited settings. Afr Health Sci. Mar 2022;22(1):183-190. doi:10.4314/ahs.v22i1.24 Ordonez CA, Manzano-Nunez R, Parra MW, et al. Prophylactic use of resuscitative endovascular balloon occlusion of the aorta in women with abnormal placentation: A systematic review, meta-analysis, and case series. J Trauma Acute Care Surg. May 2018;84(5):809-818. doi:10.1097/TA.0000000000001821 Papageorgiou C, Jourdi G, Adjambri E, et al. Disseminated Intravascular Coagulation: An Update on Pathogenesis, Diagnosis, and Therapeutic Strategies. Clin Appl Thromb Hemost. Dec 2018;24(9_suppl):8S-28S. doi:10.1177/1076029618806424 Pingray V, Widmer M, Ciapponi A, et al. Effectiveness of uterine tamponade devices for refractory postpartum haemorrhage after vaginal birth: a systematic review. BJOG. Oct 2021;128(11):1732-1743. doi:10.1111/1471-0528.16819 Quandalle A, Ghesquiere L, Kyheng M, et al. Impact of intrauterine balloon tamponade on emergency peripartum hysterectomy following vaginal delivery. Eur J Obstet Gynecol Reprod Biol. Jan 2021;256:125-129. doi:10.1016/j.ejogrb.2020.10.064 Rattray DD, O'Connell CM, Baskett TF. Acute disseminated intravascular coagulation in obstetrics: a tertiary centre population review (1980 to 2009). J Obstet Gynaecol Can. Apr 2012;34(4):341-347. doi:10.1016/S1701-2163(16)35214-8 Revert M, Rozenberg P, Cottenet J, Quantin C. Intrauterine Balloon Tamponade for Severe Postpartum Hemorrhage. Obstet Gynecol. Jan 2018;131(1):143-149. doi:10.1097/AOG.0000000000002405 Sadek S, Lockey DJ, Lendrum RA, Perkins Z, Price J, Davies GE. Resuscitative endovascular balloon occlusion of the aorta (REBOA) in the pre-hospital setting: An additional resuscitation option for uncontrolled catastrophic haemorrhage. Resuscitation. Oct 2016;107:135-8. doi:10.1016/j.resuscitation.2016.06.029 Schmid BC, Rezniczek GA, Rolf N, Saade G, Gebauer G, Maul H. Uterine packing with chitosan-covered gauze for control of postpartum hemorrhage. Am J Obstet Gynecol. Sep 2013;209(3):225 e1-5. doi:10.1016/j.ajog.2013.05.055 Shimada K, Taniguchi H, Enomoto K, Umeda S, Abe T, Takeuchi I. Hospital transfer for patients with postpartum hemorrhage in Yokohama, Japan: a single-center descriptive study. Acute Med Surg. Jan-Dec 2021;8(1):e716. doi:10.1002/ams2.716 Simpson KR. Update on Evaluation, Prevention, and Management of Postpartum Hemorrhage. MCN Am J Matern Child Nurs. Mar/Apr 2018;43(2):120. doi:10.1097/NMC.0000000000000406 Singer KE, Morris MC, Blakeman C, et al. Can Resuscitative Endovascular Balloon Occlusion of the Aorta Fly? Assessing Aortic Balloon Performance for Aeromedical Evacuation. J Surg Res. Oct 2020;254:390-397. doi:10.1016/j.jss.2020.05.021 Snyder JA, Schuerer DJE, Bochicchio GV, Hoofnagle MH. When REBOA grows wings: Resuscitative endovascular balloon occlusion of the aorta to facilitate aeromedical transport. Trauma Case Rep. Apr 2022;38:100622. doi:10.1016/j.tcr.2022.100622 Soued M, Vivanti AJ, Smiljkovski D, et al. Efficacy of Intra-Uterine Tamponade Balloon in Post-Partum Hemorrhage after Cesarean Delivery: An Impact Study. J Clin Med. Dec 28 2020;10(1)doi:10.3390/jcm10010081 Stensaeth KH, Sovik E, Haig IN, Skomedal E, Jorgensen A. Fluoroscopy-free Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for controlling life threatening postpartum hemorrhage. PLoS One. 2017;12(3):e0174520. doi:10.1371/journal.pone.0174520 Suarez S, Conde-Agudelo A, Borovac-Pinheiro A, et al. Uterine balloon tamponade for the treatment of postpartum hemorrhage: a systematic review and meta-analysis. Am J Obstet Gynecol. Apr 2020;222(4):293 e1-293 e52. doi:10.1016/j.ajog.2019.11.1287 Theron GB, Mpumlwana V. A case series of post-partum haemorrhage managed using Ellavi uterine balloon tamponade in a rural regional hospital. S Afr Fam Pract (2004). May 11 2021;63(1):e1-e4. doi:10.4102/safp.v63i1.5266 Tran QK, Hollis G, Beher R, et al. Transport of Peripartum Patients for Medical Management: Predictors of Any Intervention During Transport. Cureus. Nov 2022;14(11):e31102. doi:10.7759/cureus.31102 Weir R, Lee J, Almroth S, Taylor J. Flying with a Safety Net: Use of REBOA to Enable Safe Transfer to a Level 1 Trauma Center. Journal of Endovascular Resuscitation and Trauma Management. 2022;5(3)doi:10.26676/jevtm.v5i3.214 Wu Q, Liu Z, Zhao X, et al. Outcome of Pregnancies After Balloon Occlusion of the Infrarenal Abdominal Aorta During Caesarean in 230 Patients With Placenta Praevia Accreta. Cardiovasc Intervent Radiol. Nov 2016;39(11):1573-1579. doi:10.1007/s00270-016-1418-y Zeng KW, Ovenell KJ, Alholm Z, Foley MR. Postpartum Hemorrhage Management and Blood Component Therapy. Obstet Gynecol Clin North Am. Sep 2022;49(3):397-421. doi:10.1016/j.ogc.2022.02.001  See omnystudio.com/listener for privacy information.

Calcium administration to trauma patients has become a hot topic with the rise of the “Lethal Diamond."  While evidence exists regarding the association between hypocalcemia and mortality, it remains unclear whether hypocalcemia is the problem or simply a finding secondary to critical injury.  In this podcast, Dr. Lauria reviews the evidence behind calcium administration in trauma and identifies which patients, given the available evidence, might benefit from calcium administration. Don't miss another FlightBridgeED Podcast feature episode of the MDCast! So much good stuff! Please like, subscribe, and leave any questions or comments. References for the use of Calcium in Severe Trauma Chanthima P, Yuwapattanawong K, Thamjamrassri T, et al. Association Between Ionized Calcium Concentrations During Hemostatic Transfusion and Calcium Treatment With Mortality in Major Trauma. Anesth Analg. Jun 1 2021;132(6):1684-1691. doi:10.1213/ANE.0000000000005431 D B. Prehospital administration of calcium in trauma J Paramed Prac. 2022; DeBot M, Sauaia A, Schaid T, Moore EE. Trauma-induced hypocalcemia. Transfusion. Aug 2022;62 Suppl 1:S274-S280. doi:10.1111/trf.16959 Ditzel RM, Jr., Anderson JL, Eisenhart WJ, et al. A review of transfusion- and trauma-induced hypocalcemia: Is it time to change the lethal triad to the lethal diamond? J Trauma Acute Care Surg. Mar 2020;88(3):434-439. doi:10.1097/TA.0000000000002570 Giancarelli A, Birrer KL, Alban RF, Hobbs BP, Liu-DeRyke X. Hypocalcemia in trauma patients receiving massive transfusion. J Surg Res. May 1 2016;202(1):182-7. doi:10.1016/j.jss.2015.12.036 Kronstedt S, Roberts N, Ditzel R, et al. Hypocalcemia as a predictor of mortality and transfusion. A scoping review of hypocalcemia in trauma and hemostatic resuscitation. Transfusion. Aug 2022;62 Suppl 1(Suppl 1):S158-S166. doi:10.1111/trf.16965 Leech C, Clarke E. Pre-hospital blood products and calcium replacement protocols in UK critical care services: A survey of current practice. Resusc Plus. Sep 2022;11:100282. doi:10.1016/j.resplu.2022.100282 Messias Hirano Padrao E, Bustos B, Mahesh A, et al. Calcium use during cardiac arrest: A systematic review. Resusc Plus. Dec 2022;12:100315. doi:10.1016/j.resplu.2022.100315 Moore HB, Tessmer MT, Moore EE, et al. Forgot calcium? Admission ionized-calcium in two civilian randomized controlled trials of prehospital plasma for traumatic hemorrhagic shock. J Trauma Acute Care Surg. May 2020;88(5):588-596. doi:10.1097/TA.0000000000002614 Savioli G, Ceresa IF, Caneva L, Gerosa S, Ricevuti G. Trauma-Induced Coagulopathy: Overview of an Emerging Medical Problem from Pathophysiology to Outcomes. Medicines (Basel). Mar 24 2021;8(4)doi:10.3390/medicines8040016 Steele T, Kolamunnage-Dona R, Downey C, Toh CH, Welters I. Assessment and clinical course of hypocalcemia in critical illness. Crit Care. Jun 4 2013;17(3):R106. doi:10.1186/cc12756 Stueven H, Thompson BM, Aprahamian C, Darin JC. Use of calcium in prehospital cardiac arrest. Ann Emerg Med. Mar 1983;12(3):136-9. doi:10.1016/s0196-0644(83)80551-4 Vallentin MF, Granfeldt A, Meilandt C, et al. Effect of Intravenous or Intraosseous Calcium vs Saline on Return of Spontaneous Circulation in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial. JAMA. Dec 14 2021;326(22):2268-2276. doi:10.1001/jama.2021.20929 Vallentin MF, Povlsen AL, Granfeldt A, Terkelsen CJ, Andersen LW. Effect of calcium in patients with pulseless electrical activity and electrocardiographic characteristics potentially associated with hyperkalemia and ischemia-sub-study of the Calcium for Out-of-hospital Cardiac Arrest (COCA) trial. Resuscitation. Dec 2022;181:150-157. doi:10.1016/j.resuscitation.2022.11.006 Vasudeva M, Mathew JK, Groombridge C, et al. Hypocalcemia in trauma patients: A systematic review. J Trauma Acute Care Surg. Feb 1 2021;90(2):396-402. doi:10.1097/TA.0000000000003027 Vettorello M, Altomare M, Spota A, et al. Early Hypocalcemia in Severe Trauma: An Independent Risk Factor for Coagulopathy and Massive Transfusion. J Pers Med. Dec 28 2022;13(1)doi:10.3390/jpm13010063 Wray JP, Bridwell RE, Schauer SG, et al. The diamond of death: Hypocalcemia in trauma and resuscitation. Am J Emerg Med. Mar 2021;41:104-109. doi:10.1016/j.ajem.2020.12.065 Zhang Z, Xu X, Ni H, Deng H. Predictive value of ionized calcium in critically ill patients: an analysis of a large clinical database MIMIC II. PLoS One. 2014;9(4):e95204. doi:10.1371/journal.pone.0095204 See omnystudio.com/listener for privacy information.

Join FlightBridgeEDs new Chief Medical Director, Mike Lauria, as we launch the FlightBridgeED MDCast. Dr. Lauria will hijack these episodes for a new perspective on current topics in critical care medicine. In this episode, Dr. Lauria looks at Eric's previously published podcast [episode 224] on ASA Overdose and gives his insight, practical application, and overall thoughts on these difficult-to-manage patients. Don't miss this episode! So much good stuff! Please like, subscribe, and leave any questions or comments. References for Acute Salicylate Intoxication Anderson RJ, Potts DE, Gabow PA, Rumack BH, Schrier RW. Unrecognized adult salicylate intoxication. Ann Intern Med. Dec 1976;85(6):745-8. doi:10.7326/0003-4819-85-6-745 Chyka PA, Erdman AR, Christianson G, et al. Salicylate poisoning: an evidence-based consensus guideline for out-of-hospital management. Clin Toxicol (Phila). 2007;45(2):95-131. doi:10.1080/15563650600907140 Dargan PI, Wallace CI, Jones AL. An evidence-based flowchart to guide the management of acute salicylate (aspirin) overdose. Emerg Med J. May 2002;19(3):206-9. doi:10.1136/emj.19.3.206 Delaney TM, Helvey JT, Shiffermiller JF. A Case of Salicylate Toxicity Presenting with Acute Focal Neurologic Deficit in a 61-Year-Old Woman with a History of Stroke. Am J Case Rep. Feb 15 2020;21:e920016. doi:10.12659/AJCR.920016 Espírito Santo R, Vaz S, Jalles F, Boto L, Abecasis F. Salicylate Intoxication in an Infant: A Case Report. Drug Saf Case Rep. Nov 27 2017;4(1):23. doi:10.1007/s40800-017-0065-9 Goldberg MA, Barlow CF, Roth LJ. The effects of carbon dioxide on the entry and accumulation of drugs in the central nervous system. J Pharmacol Exp Ther. Mar 1961;131:308-18. Juurlink DN, Gosselin S, Kielstein JT, et al. Extracorporeal Treatment for Salicylate Poisoning: Systematic Review and Recommendations From the EXTRIP Workgroup. Ann Emerg Med. Aug 2015;66(2):165-81. doi:10.1016/j.annemergmed.2015.03.031 Kuzak N, Brubacher JR, Kennedy JR. Reversal of salicylate-induced euglycemic delirium with dextrose. Clin Toxicol (Phila). Jun-Aug 2007;45(5):526-9. doi:10.1080/15563650701365800 McCabe DJ, Lu JJ. The association of hemodialysis and survival in intubated salicylate-poisoned patients. Am J Emerg Med. Jun 2017;35(6):899-903. doi:10.1016/j.ajem.2017.04.017 Miyahara JT, Karler R. Effect of salicylate on oxidative phosphorylation and respiration of mitochondrial fragments. Biochem J. Oct 1965;97(1):194-8. doi:10.1042/bj0970194 Oliver TK, Jr., Dyer ME. The prompt treatment of salicylism with sodium bicarbonate. AMA J Dis Child. May 1960;99:553-65. doi:10.1001/archpedi.1960.02070030555001 Oualha M, Dupic L, Bastian C, Bergounioux J, Bodemer C, Lesage F. [Local salicylate transcutaneous absorption: an unrecognized risk of severe intoxication: a case report]. Arch Pediatr. Oct 2012;19(10):1089-92. Application cutanée localisée d'acide salicylique : un risque méconnu d'intoxication : à propos d'un cas. doi:10.1016/j.arcped.2012.07.012 Palmer BF, Clegg DJ. Salicylate Toxicity. N Engl J Med. Jun 25 2020;382(26):2544-2555. doi:10.1056/NEJMra2010852 Penniall R. The effects of salicylic acid on the respiratory activity of mitochondria. Biochim Biophys Acta. Nov 1958;30(2):247-51. doi:10.1016/0006-3002(58)90047-7 Shively RM, Hoffman RS, Manini AF. Acute salicylate poisoning: risk factors for severe outcome. Clin Toxicol (Phila). Mar 2017;55(3):175-180. doi:10.1080/15563650.2016.1271127 Stolbach AI, Hoffman RS, Nelson LS. Mechanical ventilation was associated with acidemia in a case series of salicylate-poisoned patients. Acad Emerg Med. Sep 2008;15(9):866-9. doi:10.1111/j.1553-2712.2008.00205.x Thurston JH, Pollock PG, Warren SK, Jones EM. Reduced brain glucose with normal plasma glucose in salicylate poisoning. J Clin Invest. Nov 1970;49(11):2139-45. doi:10.1172/JCI106431 See omnystudio.com/listener for privacy information.

In this podcast, Eric discusses the art of having a "Resuscitative Mindset" when performing advanced airway management with guest host Kevin Collopy. When is it ok to perform advanced airway management rapidly? Is it ever ok? When do we deploy delayed sequence strategies?  Should we always use a "Resuscitative" sequence intubation mindset regardless of our assessment findings?  So much good conversation about all things airway and decision-making. Please like, subscribe, and leave any questions or comments. Contact information for Kevin Collopy Twitter: @ktcollopy Email: Kevin.Collopy@novanthealth.org See omnystudio.com/listener for privacy information.

In this podcast, Eric takes a look at a very difficult case of multifactorial resuscitation within ASA overdose. We dive deep into all things resuscitation and analyze factors that drive our decision-making. This takes the "acidosis rodeo podcast series to another level. Don't miss this episode! So much good stuff! Please like, subscribe, and leave any questions or comments.See omnystudio.com/listener for privacy information.

Eric is joined by Joe Hylton, a respiratory therapist, flight paramedic, and Hamilton RT, as they dive into all things Volume Control [Adaptive], ASV, and Pressure Control (Biphasic) ventilation. There are many misconceptions and questions answered within this information-packed podcast. We use the Hamilton simulator to show the differences between patients and accompanying interactions while in Volume Control [Adaptive] ventilation. We discuss when it's best to use Pressure Control [Biphasic] over Volume Control [Adaptive] and the hazards associated with this common mistake. We dive into the long-discussed debate of Assist Control vs. SIMV. Lastly, we discuss the topic of ASV and the technology around this method/mode of delivery. This is an audio version only. For the best experience, we highly recommend watching the full video version. Please visit the YouTube link below or the FlightBridgeED channel.  Episode Link: https://youtu.be/nhlll1hI7XU  See omnystudio.com/listener for privacy information.

The "Pandemic Immunity Gap" is likely behind the massive surge in respiratory syncytial virus (RSV), with current CDC data showing a 275% increase from 2020-2021 to 2022-2023. The most vulnerable population is between 0-6 months old, which often raises the stress level for providers across all spectrums. Join Eric for a deep dive into a case study involving a 4-month-old male in acute respiratory compromise. We break down the progression of RSV and its association with bronchiolitis. Dive deep into the current evidence on fluid management, bronchodilators, corticosteroids, NS 0.9%, Hypertonic 3%, racemic epinephrine, HFNC, NiPPV, intubation, and much more.  Recommended flow settings and cannula sizes for high-flow nasal cannula therapy in pediatric patients https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7027347/table/t1-kjp-2019-00626/?report=objectonly Corticosteroid Therapy During Acute Bronchiolitis in Patients Who Later Develop Asthma: Hosp Pediatr (2017) 7 (7): 403–409. https://doi.org/10.1542/hpeds.2016-0211 Efficacy of 3% hypertonic saline in bronchiolitis: A meta‑analysis,  Received May 10, 2018; Accepted August 22, 2018. DOI: 10.3892/etm.2019.7684 Respiratory syncytial virus: diagnosis, prevention and management: Ther Adv Infectious Dis 2019, Vol. 6: 1–9 DOI: 10.1177/2049936119865798 https://journals.sagepub.com/doi/epdf/10.1177/2049936119865798 Gadomski AM, Brower M. Bronchodilators for bronchiolitis. Cochrane Database Syst Rev. 2010;12CD001266. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001266.pub4/full Steroids and bronchodilators for acute bronchiolitis in the first two years of life: systematic review and meta-analysis https://www.bmj.com/content/342/bmj.d1714 High-dose inhaled corticosteroids' effect on wheezing in infants after respiratory syncytial virus infection: a randomized, double-blind placebo-controlled trial. Ermers MJ, Rovers MM, van Woensel JB, Kimpen JL, Bont LJ; RSV Corticosteroid Study Group. High-dose inhaled corticosteroids' effect on wheezing in infants after respiratory syncytial virus infection: a randomized, double-blind placebo-controlled trial. BMJ. 2009;338:b897. Heliox inhalation therapy for bronchiolitis in infants Liet JM, Ducruet T, Gupta V, Cambonie G. Heliox inhalation therapy for bronchiolitis in infants. Cochrane Database Syst Rev. 2010;4:CD006915.See omnystudio.com/listener for privacy information.

Join Eric and Miles Dunagan, President of the National Pilots Association at AMTC ELEVATE 2022, to discuss Just Culture, safety, risk, past air medical accidents, and much more. Just culture has become the foundation for organizational learning, transparency, and the overall safety initiative within the industry we all serve. The evaluation of risk is always part of our collective jobs. Whether you are a pilot, a paramedic, or a nurse, we have all experienced risk. Risk is always around us. How can risk be mitigated? It starts with open communication, transparency, each team member feeling like they have a voice, and a company culture that drives this message from the top down.  Join us for this information-packed podcast highlighting how Just Culture collides with risk, which drives awareness and good decision-making. See omnystudio.com/listener for privacy information.

In this episode, Eric is joined by Kevin Collopy at Elevate 2022 to discuss his team's recent research on TBI and 3% hypertonic saline. The conversation quickly progressed to overall resuscitation in TBI, with a focus on decision-making in airway management, ICP management, herniation, and the secondary injuries that impact TBI patients. This is a must-listen, with many great discussion points.  Prehospital Hypertonic Saline Administration After Severe Traumatic Brain Injury https://doi.org/10.1016/j.amj.2022.04.004 Abstract "A 25-year-old male patient was critically injured in a high-speed motor vehicle collision over an hour from the nearest trauma center. Paramedics diagnosed the patient with a traumatic brain injury and increased intracranial pressure and transported the patient to a predesignated landing zone for helicopter intercept. During transport, paramedics initiated a severe traumatic brain injury protocol which included the administration of 3% hypertonic saline."  See omnystudio.com/listener for privacy information.

This episode is a must listen. Join Eric as he sits down with an exclusive interview with American Siren author Kevin Hazzard. Do you know the true origins of emergency medical services?  This story highlights the TRUE origins of ems. A story of poverty, hope, diversity, change, success, and the forgotten. Kevin Hazzard is the author of A 1000 Naked Strangers, a 10-year veteran Paramedic in Atlanta, and current nursing student. In this podcast, we discuss the inspiration for the book, why its a must read, the history of EMS as we know it and the true origins of EMS as told in this story. We discuss the first 24 Paramedics in the United States and how this group paved the way for thousands of pre-hospital providers today. FlightBridgeED will be giving away 10 autographed copies of American Siren by author Kevin Hazzard. Like, Share, and Repost on Facebook, Twitter, and Instagram and we will select 10 people from those shares.See omnystudio.com/listener for privacy information.

As healthcare providers, much of what we struggle with is not what we take with us to the scene (our equipment, medications, and techniques) it's what we take back home with us after we have helped others in the most terrible situations of their lives. We are empathetic creatures, and we share in other people's pain. In addition, we may find ourselves struggling with our own terrible situations at work or outside of work. In either case, those traumatic events take a little piece of us with them every time we encounter them.Dave Olvera shared an incredibly impactful talk at FAST22 detailing his struggles with post-traumatic stress disorder (PTSD) and how he continues to overcome it daily. If there is something that you struggle with, it's important for you to find someone to help you move forward in a healthy way. You don't have to suffer, and you aren't alone. If you need help, FlightBridgeED can connect you with a mental health professional.If you didn't make it out to FAST22 in Las Vegas, you won't want to miss FAST23! We are returning to Planet Hollywood Resort and Casino in Las Vegas this year, which promises to be bigger and better than last year! Tickets go on sale soon, so be sure to find out more information at FASTSYMPOSIUM.COM. Also, please share this content with your friends and rate and review it wherever you get your podcasts. Thanks so much for listening!See omnystudio.com/listener for privacy information.

The critical care transport industry is constantly changing, and it can be hard to keep up with the latest news and trends. FlightBridgeED has always been dedicated to providing the best education possible for our students, but we know that we can't do it alone. We need your help to continue to learn and grow as an industry. In this second part of The State of Things series, Eric, Ashley, and Evan sit down for a conversation about the latest news and trends in the critical care transport industry. We have always believed that education should come without labels and that we can all learn from each other as we work together to care for the sick and injured.See omnystudio.com/listener for privacy information.

The FlightbridgeED Podcast has been taken over! Chris Meeks joins us to discuss how the devil is in the details of our RSI procedures! Tune in to learn how applying a high-flow nasal cannula can significantly improve patient outcomes and your workload! Be sure to listen to the end for a huge announcement! See omnystudio.com/listener for privacy information.

The last few years have been trying for the medical transport industry, making us wonder about the industry's future. In part 1 of this podcast series, Eric, Ashley, and Evan discuss the good and the bad of the trends happening in the industry. If you really want some fun listening, just wait until you hear the outtake episode! In the mean time, we hope you learn from and enjoy this very open conversation. Thank you so much for listening! We couldn't make this podcast without the support of our incredible community!See omnystudio.com/listener for privacy information.

In the final Hangar Talk episode, Eric and Evan discuss the concept of Just Culture as part of their survey of the air medical industry. This concept is hugely divisive in the industry and is unlikely to change anytime soon. Just Culture is a large topic, and it has many dimensions. In most organizations, employees must complete mandatory Just Culture training modules. The RaDonda Vaught case captured the healthcare industry's attention after the judge handed down her sentence. How does Just Culture apply to this case? Does it apply? Did it apply? Did someone decide that Just Culture didn't apply in this case, and if so, does that instill a great deal of confidence in you that your next blunder (and you will make blunders... we all do) will also result in bypassing Just Culture and putting you in prison for your job? It will be hard to unpack this concept in a short period of time! Don't forget to like and subscribe wherever you found our podcast. Thanks so much for listening! We couldn't make The FlightBridgeED Podcast without you!See omnystudio.com/listener for privacy information.

Picking up from our last episode, Eric Bauer and Evan Claunch continue their discussion. Getting a job in the air medical industry is exciting, but that shouldn't be your final destination. Critical care medicine is always evolving, and you must stay current with how things are changing in this fast-paced career. In part 2 of Hangar Talk, Eric and Evan reveal some pivotal moments in their careers that may help you as you navigate your way through your own. There are so many great tips and pearls in this episode.We invite you to listen wherever you get your podcasts, and if you like the content, please don't forget to share it. Thanks so much for listening, and don't forget to listen to episode 3, which is coming soon!See omnystudio.com/listener for privacy information.

A new mini-series from FlightBridgeED! In this episode, Eric Bauer and Evan Claunch tackle a couple of difficult conversations, share some of the milestones they passed as they grew as critical care providers, and lay breadcrumbs for those seeking a path forward toward accomplishing their own goals. Nothing worth doing is simple, and there are always obstacles in our way. Being successful isn't a destination; it's a journey, and determination is the fuel that moves you along your journey. We invite you to listen wherever you get your podcasts, and if you like the content, please don't forget to share it. Thanks so much for listening!See omnystudio.com/listener for privacy information.

We are starting off the FAST22 Rewind series with one of the most powerful talks we have ever heard. In fact, we are still getting feedback almost two months after the conference about the positive impact this talk had. Mike Verkest pitched the idea of a presentation in which...he never spoke. In a symbolic way, he would take the stage with tape across his mouth, only to remove it in the last seconds of the talk to encourage others to take the proverbial tape off of their mouths and talk about our shared experiences. You could feel the emotion in the room, hear the tears and experience the permission to feel the way we feel. It was extraordinarily dramatic and culminated with a standing ovation. We are pleased to present to you, "That One Day"!See omnystudio.com/listener for privacy information.

Pediatric patients are just tiny adults, right? Isn't that what we have always been taught? It is what was taught, but we flatly reject the concept. Why? Because we have seen the reports and results of that flawed logic and the tragic results that follow. For example, if you treat a pediatric patient with diabetic ketoacidosis (DKA) the same way as you would an adult patient with DKA then you can bet your favorite pair of flight boots that their outcome will suffer. That's what this podcast episode is all about! Among many concepts, you will learn why it's wrong to bolus your pediatric DKA patients with tons of fluid and why sodium bicarbonate is not your friend in these cases. Also, check out the show notes! These are incredible resources that you can use in your own practice! Show Notes: https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/Bicarb_DKA_Pediatrics.pdf https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/DKA-pathway.pdf https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/Kupperman+NEJM+2018_Fluids.pdf https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/NEJM.pdf https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/Neonatal_DKA+case+report.pdf https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/peds_protecting+the+brain.pdf See omnystudio.com/listener for privacy information.

In this episode, Eric breaks down some of the changes that were made to the new sepsis protocols in 2021. Sepsis is one of the most common illnesses that we see in critical care medicine. It's important to understand the many dimensions of sepsis and how to treat it as a critical care provider. A 30-minute transport could make the difference in your patient's outcome; maybe even life, or death. Arm yourself with the latest information and ensure that you are providing the right care for your septic patients.See omnystudio.com/listener for privacy information.

In this video podcast, Eric discussed the acronym developed by Jared Patterson, an educator for FOAMfrat. This clever memory aid is used to identify the atypical 12 lead tracings that often go unnoticed or missed. Join us for this information-packed episode on evidence-based 12 lead interpretation. So much good stuff! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.See omnystudio.com/listener for privacy information.

In this video podcast, Eric dives into all things neuro and ischemic stroke pathophysiology. We discuss brain physiology, circulation, common thrombotic and embolic stroke etiology, recognition, assessment, and management based on current evidence-based practice. Don't miss this episode! So much good stuff! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.See omnystudio.com/listener for privacy information.

In this video podcast, Eric takes a look at a very difficult case of multifactorial resuscitation with an adult male patient. We dive deep into all things resuscitation and analyze factors that drive our decision-making. This takes the "acidosis rodeo podcast series to another level. Don't miss this episode! So much good stuff! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.See omnystudio.com/listener for privacy information.

In this episode, Eric dives into airway assessment, research, and resuscitation. how do you assess your airway? What methods optimize your ability to predict a difficult airway. How do you anticipate resuscitation factors that impact advanced airway management and your decision-making? This is an information-packed episode. Don't miss it! So much good stuff! Please like, subscribe, and leave a review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.See omnystudio.com/listener for privacy information.

In this episode, Eric dives into an amazing case of survival and breaks down all things hypothermia. We look at the current resuscitation recommendations and evaluate this case, the decision-making, and the ultimate outcome. How should you focus your approach on working with a hypothermia patient with a long downtime? You don't want to miss this episode. So much good stuff! Please like and review your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.See omnystudio.com/listener for privacy information.

In this cross-over podcast, we are joined by our team from the Standard of Care Podcast. On 8/22/2021, a Colorado grand jury handed down a 32-count criminal indictment against the police officers and EMS personnel involved in the incident that led to Elijah McClain's death. In this episode of the Standard of Care, Nick and Samantha try to untangle what these indictments could mean for the EMS community. We reach out to our resident experts - former prosecutor (now business lawyer) Chris Timmons and defense attorney (and Samantha's law school classmate) Stephen Coxen – for answers. How do prosecutors even decide to file charges in a case like this? How does a grand jury work? What are the strengths and weaknesses of the prosecution's case, and how does a criminal defense attorney defend a client against these charges? What can EMTs and paramedics do to protect themselves from potential criminal liability? You don't want to miss this episode. So much good stuff! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.See omnystudio.com/listener for privacy information.

In this podcast, Eric and Mike are joined by special guest John Clark, the Chief Operating Officer at the International Board of Specialty Certification - IBSC. We discuss all things related to the FP-C and CCP-C board certifications and answer a lot of listener questions related to why these two board certifications are the standard in critical care medicine for paramedics. You don't want to miss this episode. So much good stuff! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.See omnystudio.com/listener for privacy information.

In this podcast, Eric is joined by Mike Verkest and our special guest, Flight Paramedic Kyle Driesse. We discuss the implementation and ongoing performance of the Minnesota mobile extracorporeal cardiopulmonary resuscitation program. This is the first program serving an entire metropolitan area designed to rapidly deliver extracorporeal membrane oxygenation (ECMO) facilitated resuscitation to patients with refractory ventricular fibrillation/ventricular tachycardia (VF/VT) out-of-hospital cardiac arrest (OHCA). Don't miss it! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.See omnystudio.com/listener for privacy information.

In this podcast, Eric is joined by Mike Verkest for our 200th episode. It has been an amazing nine years! In this podcast, we review the "Best and Most Downloaded Podcasts of All-Time", as chosen by you the listener. We review any new science and discuss the high points of each podcast. Don't miss it! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.See omnystudio.com/listener for privacy information.

In this video podcast, Eric takes a look at clinical pearls within the realm of advanced hemodynamics and cardiac physiology. He dives into the 1:5 rule and uses simulation from iSimulate, with case studies to illustrate how your hemodynamic numbers can help you in decision making. This is an information-packed episode, with a focus on current evidence-based practice and treatment guidelines. Don't miss it! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.See omnystudio.com/listener for privacy information.

Part 2: Bad information abounds. We wanted to get the band back together and give you a no-nonsense, non-political, non-biased easy to understand podcast about the COVID Vaccines (well, the mRNA versions) and talk about safety, efficacy, and everything else you wanted to know. We want you to be able to share this with your non-medical friends and family who may be on the fence when it comes to getting vaccinated. Thanks for continuing to support our podcast! Did you know many of our episodes can also be watched? Be sure to check out the FlightBridgeED channel on YouTube! We appreciate your subscriptions and views! Be sure to leave us a review and rating!See omnystudio.com/listener for privacy information.

Part 1: Bad information abounds. We wanted to get the band back together and give you a no-nonsense, non-political, non-biased easy to understand podcast about the COVID Vaccines (well, the mRNA versions) and talk about safety, efficacy, and everything else you wanted to know. We want you to be able to share this with your non-medical friends and family who may be on the fence when it comes to getting vaccinated. Thanks for continuing to support our podcast! Did you know many of our episodes can also be watched? Be sure to check out the FlightBridgeED channel on YouTube! We appreciate your subscriptions and views! Be sure to leave us a review and rating!See omnystudio.com/listener for privacy information.

In this video podcast, Eric takes a look at the concept of damage control resuscitation and the new concept of the "Lethal Trauma Diamond". In this podcast we dive into all things trauma resuscitation, focusing on current evidence-based practice as it relates to component therapy (1:1:1), whole blood administration, and the four components of the lethal diamond. We investigate the newest of the four, hypocalcemia, and look at the pathophysiology around ionized calcium and the impact on coagulopathy. This is an information-packed episode, with a focus on current evidence-based practice and treatment guidelines. Don't miss it! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more. See omnystudio.com/listener for privacy information.

Join Eric as he takes a DEEP DIVE into all things Spinal Cord Injury. Spinal cord injuries are catastrophic injuries that can be hard to manage. Each year approximately 17,000 new spinal cord injuries occur in the United States, with trauma from motor vehicle crashes as the leading cause. In this video podcast, we take a look at anatomy and physiology, injury location, and associated presentations for anterior cord, central cord, posterior and Brown-Sequard syndrome. This is an information-packed episode, with a focus on current evidence-based practice and treatment guidelines. Don't miss it! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.See omnystudio.com/listener for privacy information.

Join Dr. Zaffer Qasim for this video Podcast: "Better than the sum of its parts: Whole Blood In Trauma" This insightful video podcast will take an in-depth look at the evidence surrounding Whole Blood administration and the current practices surrounding trauma resuscitation. Join Dr. Zaffer Qasim for this excellent look at one of the hottest topics in pre-hospital and emergency medicine - Whole Blood!. Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.See omnystudio.com/listener for privacy information.

Join Dr. Peter Antevy for this exclusive FAST21 video talk: "Hail to the Receptor in Chief"! This insightful video podcast will take an in-depth look at the evidence surrounding Ketamine and its impact on MDMA receptors. Join Dr. Antevy for this excellent look at one of the hottest topics in pre-hospital and emergency medicine. Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.See omnystudio.com/listener for privacy information.

In this episode, Eric discusses our impact on our environment and the people around us. How do you come across to others? Are you a (-1), (0) or (+1)? How does this impact your ability to grow in an organization? Join Eric for: "Aim To Be A ZERO! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.See omnystudio.com/listener for privacy information.

In this episode, Eric takes a look at key elements of differential diagnosis and how being thorough in our approach will often save us from making big mistakes. One of the highest risk areas in prehospital EMS and emergency medicine is cognitive bias. You will not make a diagnosis of the disease that you didn't include in your differential. Join us for "The Eyes Don't See what the Brain Doesn't Consider"! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.See omnystudio.com/listener for privacy information.

In this episode, Eric takes a look at key elements that will help you be successful in your life, career, or any other pursuits you make seek through throughout your life. The "Rage: 5 Pillars of Mastery", takes a look at my top five areas of focus to help you be the best version of yourself! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more.See omnystudio.com/listener for privacy information.

In this episode, Eric discusses the current evidence and analysis of the RCT on Ketamine use in RSI as published in the Air Medical Journal. Does this RCT show us anything we didn't already know? How can we optimize a neutral hemodynamic response in our sickest patients? Join us for "Prehospital Ketamine Use for Rapid Sequence Intubation - RCT Review"! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean and many more.See omnystudio.com/listener for privacy information.

In this episode, Eric discusses the current evidence, approach and opinions on treating patients in metabolic acidosis w/ partial compensation. How do we determine the correct minute ventilation? Does education cause us to have calculated discrimination for these patients?  How do we best approach this type of patient and how often do we really see a patient that needs high minute ventilation? Should education focus more on critical thinking and the identification of these patients? Join us for "Blankets are for Naps, Not Medicine: Metabolic Acidosis - Calculated Discrimination"!See omnystudio.com/listener for privacy information.

In this Episode, Mike Verkest joins Eric and Dr. Dimitri Yannopoulos to discuss the role of ECMO in out of hospital cardiac arrest. Dr. Yannopoulos's research involves cardiopulmonary resuscitation, hypothermia, and myocardial salvage during acute coronary syndromes. He is considered an authority in cardiorespiratory interactions and hypothermia during CPR. His work in the laboratories of Dr. Keith Lurie (at the University of Minnesota) and Dr. Henry Halperin (at Johns Hopkins University) has helped change current CPR practices. We will discuss the ARREST trial and learn about he trails he is blazing in cardiac arrest care.See omnystudio.com/listener for privacy information.

This is a special edition podcast that was recorded from a live broadcast on September 24th 2020 featuring Sea-Long Medical Industries and their partnership with Life Link III. This discussion will cover the unique collaboration that all started with a news story on ABC Nightly News. Hear how the relationship formed and how Life Link III took on the task of implementing this nontraditional, yet ground breaking treatment modality for COVID-19.See omnystudio.com/listener for privacy information.

You are called for an 18-year-old male who was intubated at a community hospital. That is probably the best thing they could have done. Listen to Eric as he describes the challenge of this patient and the associated ventilator strategies. Join the conversation! Download, subscribe, listen and share this podcast. Don't forget to subscribe wherever you get your podcasts!See omnystudio.com/listener for privacy information.

Eric discusses a recent paper on the predictive values of POC Glucose and its relationship to hypotension in the adult trauma patient. Join the conversation! Download, subscribe, listen and share this podcast. Don't forget to subscribe wherever you get your podcasts!See omnystudio.com/listener for privacy information.

Ashley Bauer continues her COVID conversation, with a focus on the pediatric population. The number of cases involving children and changes in symptoms have sparked a world-wide discussion as to what to do with these cases. Join the conversation! Download, subscribe, listen and share this podcast. We couldn't make this podcast without you. Please rate, and review wherever you download the podcast. Thanks so much for listening!See omnystudio.com/listener for privacy information.

In this special episode, Ashley has kicked Eric out of the podcast studio and has gone solo. Join Ashley Bauer as she hosts the podcast and takes you through a Nightmare case study of a COVID-19 positive patient. She breaks down the initial presentation and moves through diagnostic studies, including labs, chest x-ray findings and much more! This is a can't miss episode! We couldn't make this podcast without you. Please rate, and review wherever you download the podcast. Thanks so much for listening!See omnystudio.com/listener for privacy information.

Join Mike Verkest, Eric Bauer and Bruce Hoffman as we discuss all things Advanced Hemodynamics. This topic can be complex and is often not used enough to get proficient. Join us as we discuss "tips and tricks" and answer your common questions. We finish with a look at the application and how to make the correct pharmacology decision based on the hemodynamic numbers you are seeing. Download, rate, and review wherever you get your podcasts. Reviews help us stay high on the chart where your friends and co-workers can find us. If you love our free podcast, help us spread the word!See omnystudio.com/listener for privacy information.

As we continue through this COVID-19 pandemic, mechanical ventilation and the available equipment needed to manage these intubated patients are dwindling fast. Join Dr. DuCanto as he introduces the Oxylator as a tool to manage intubated patients that need mechanical ventilation support. The device is simple to use and maybe a great option in this COVID-19 fight. Download, rate, and review wherever you get your podcasts. Reviews help us stay high on the chart where your friends and co-workers can find us. If you love our free podcast, help us spread the word!See omnystudio.com/listener for privacy information.

We have not seen anything like this... I would dare to say the COVID-19 pandemic will live in our memories for a lifetime. As the world watches, healthcare providers around the world are dealing with patients that have mild to severe symptom morphology. This podcast goes into the disease escalation and how the sickest patients end up in acute respiratory failure. Join me in part 1 of 2 in the COVID-19 series as we identify the disease evolution and look at the specific pathophysiology associated with the secondary effects seen with COVID-19 patients. Download, rate, and review wherever you get your podcasts. Reviews help us stay high on the chart where your friends and co-workers can find us. If you love our free podcast, help us spread the word!See omnystudio.com/listener for privacy information.

This is a retro release from the highly downloaded series on Acid Base Balance. If you missed these episodes, need to brush up on concepts or just love all things Acid Base Balance listen and sharpen your skills. In this first of a three part series, Eric Bauer unpacks a difficult critical care case scenario and begins to explain how we can better identify pH balance disturbances in our patients. Learn how to identify acidosis even without blood gasses, how to protect your patients from further sliding into a worsening state, and much more. Download, rate and review wherever you get your podcasts. Reviews help us stay high on the chart where your friends and co-workers can find us. If you love our free podcast, help us spread the word!See omnystudio.com/listener for privacy information.