Ever have that critical pneumonia ARDS patient that just cannot be safely transported without a temporizing (or longer) fix? Join Dr. Ferreri on a case study and deep dive into the physiology behind Epoprostenol use in Transport Medicine.
Read MoreDr. Wosiski-Kuhn takes us through the initial rescue of a drowning victim, life saving interventions, and expected clinical course.
Read MoreDr. Hassani navigates a perilous case of a Calcium Channel Blocker overdose. Review the pathophysiology of this highly morbid ingestion and the evidence behind the available treatments.
Read MoreDr. Winslow digs deep into a case of an unsuspecting twist. Learn more about gastric volvulus from the presentation, and management.
Read MoreThis is a great paper recently presented at the Critical Care Transport Medicine Scientific Forum. It covers a subject area I have always been interested in. Over time, our understanding of critical care has evolved to show the importance of a low tidal volume strategy for ventilating patients, particularly those with lung injury/ARDS. However, even patients with normal lungs are potentially harmed by high tidal volume strategies.
Read MoreStuck in the Polar Vortex? Consider this. Hypothermia often requires unique approaches to the traditional management of classic pathology in the critical care transport environment. Take a deep dive into the classifcation and management of patients suffering from accidental hypothermia - from rewarming to cardiac arrest management and ECMO.
Read MoreElectruction is a significant cause of morbidity and mortality with a widely variable injury pattern. Join the Air Care Series and Annals of B Pod teams as we dive into the pathophysiology and literature surrounding electrocution.
Read MoreThe diagnoses and treatment of status epilepticus continutes to evolve. Review the latest evidence for status epliepticus management in the critical care transport medicine environment, including an evolving role for Ketamine!
Read MoreTransport of the ECMO patient is no small task, requiring intentional preparation. Join the UC Health Air Care & Mobile Care ECMO transport team to review VA ECMO Basics for Critical Care Transport Medicine.
Read MoreTransport of the ARDS patient is fraught with risk. These patients are at high risk of decompensation, which can be disastrous in the back of an ambulance or helicopter. The primary goal for critical care transport teams should be safe arrival of both the crew and patient to their destination. As such, if patients are achieving an adequate oxygen saturation at the referring facility, the better part of valor is to continue the current course, even if ventilator settings are suboptimal. If ventilator changes need to be made due to inadequate oxygenation, ventilation, or other factors, strong consideration should be given to LPV settings. Review the management literature behind ARDS management in 2020 with Chris Shaw, MD.
Read MoreThe treatment of Acute Ischemic Stroke is a rapidly evolving field with critical care transport medicine playing an increasing role in the treatment of these patients. Dr. Irankunda explores CCTM specific management and historical musts when treating this unique patient population. Dr. Gottula provides a brief review of the literature supporting IV alteplase and endovascular thrombectomy.
Read MoreNo Lung? No problem! Join Liz Powell, Paige Barger and Adam Gottula as they take a look at the basics of VV ECMO in the transport environment.
Read MoreWhile high-quality CPR delivers the best outcomes in cardiac arrest, this is challenging in a transport environment. Dr. Connelly reviews the evidence behind mechanical chest compression in CPR, exploring its practicality to the Helicopter EMS (HEMS) environment.
Read MoreDamage Control Resuscitation, Permissive Hypotension, Fluid Restrictive Resuscitation… Regardless of name, with all the enthusiasm surrounding permissive hypotension in the actively bleeding trauma patient, what do we do when they have a TBI? Take a dive into the literature surrounding ideal perfusion pressures of patients suffering from TBIs and traumatic injury to find out if we know what pressure is really the best.
Read MoreNot every bradycardic patient is the same, however sometimes their past history gives away their pathology and you need to manage a complex disease in the ED or in transit to the ICU. Remind yourself of the details of the cardiac action potential as Dr. Roblee walks us through a unique case of Long QT Syndrome.
Read MoreSRU (pronounced "shrew") = Shock Resuscitation Unit
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
