Grand Rounds Recap 11.15.23
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We had another excellent Wednesday at UC Grand Rounds. Dr. Lewis kicked us off with ear emergencies and their ED management.
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Grand Rounds Recap 9.14.22
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This week, Dr. Joshi walks us through body stuffers, packers and pushers. Next, Dr. Bryant provides an evidence based overview of rib fracture management. Air Care Grand rounds features OB pathology and RSI pearls. We end with a discussion of non-accidental trauma with Dr. Hartwell.
Read MoreAir Care Series: Acute Gastric Volvulus
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Dr. Winslow digs deep into a case of an unsuspecting twist. Learn more about gastric volvulus from the presentation, and management.
Read MoreAir Care Series: Electrocution
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Electruction 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 MoreAir Care Series: Status Epilepticus Update
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The 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 MoreGrand Rounds Recap 05.20.20
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This week we used two papers addressing implicit biases in healthcare as a platform to discuss systematic reviews and meta-analyses in Journal Club. Dr. Dave Thompson then led us through the latest installment of the quality improvement series with insights for how to lead QI initiatives. Dr. Crawford reviewed tick-borne illnesses in her R1 clinical knowledge presentation, and Dr. Modi discussed highlights of management and prognostication of refractory v-fib arrest. Finally, the Air Care team brought us up to speed on a wealth of topics in this edition of the Air Care Grand Rounds series.
Read MoreAir Care Series: Refractory Hypoxemia & ARDS
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Transport 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 MoreAir Care Series: Acute Ischemic Stroke Updates
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The 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 MoreAir Care / Annals of B Pod Series: Hypokalemia
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Hypokalemia is a commonly seen laboratory abnormality which is often unappreciated in the emergency department. Join us as we take a deep dive into the presentation and life threatening consequences of a patient with severe hypokalemia as we review a previous case from an international leader in critical care transport medicine, Air Care.
Read MoreAir Care Series: No Lung No Problem - VV ECMO
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No 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 MoreAir Care Series: Machines Inside of Machines - CPR in flight
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While 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 MoreAir Care Series: Ideal Resuscitation Pressure in Polytrauma with TBI
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Damage 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 MoreAir Care Series: Long QT Syndrome
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Not 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 MoreAir Care Series: Burns Management
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Severely burned patients can be intimidating for even the most seasoned critical care transport providers. These patients often require aggressive resuscitation and multiple procedures in a relatively short period of time. It is often easy for providers to become overwhelmed, necessitating an algorithmic approach to the patient, similar to traumatically injured patients, is crucial. By advancing through the primary survey and stabilizing the patient while starting aggressive but goal directed crystalloid resuscitation, critical care transport providers can bring ICU level care to one of the sickest pre-hospital patient populations.
Read MoreAir Care Series: Balloon Tamponade of Variceal Hemorrhage
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In HEMS, there are rare instances where ‘stay and play’ is the safest thing for the patient. Exsanguinating variceal bleed is one of those conditions. This week Dr. Whitford takes us step-by-step through the placement and confirmation of balloon tamponade placement (Minnesota Tube) for stabilization of these bleeds. We hope by reading this, it gives you another 6 months of this not happening on your next transport or ED shift...
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