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 MoreWe kicked off the month of March with a jam-packed Morbidity and Mortality Conference with Dr. Meaghan Frederick highlighting some of our amazing cases from downstairs including features on high sensitivity troponin, stridor and complicated alcohol withdrawal. Next up, Dr. Katherine Connelly walked us through how to troubleshoot in-transport alarms and failures of cardiac assist devices. Lastly, Dr. Bill Hinckley shared pearls of wisdom from his years at Air Care.
Read MoreDr. Wosiski-Kuhn takes us through the initial rescue of a drowning victim, life saving interventions, and expected clinical course.
Read MoreCardiogenic Shock can humble the finest of critical care crew. Knowing the physiology and new adjuncts that can be a critical part of resuscitation can salvage the sickest LVs out there. Take a deep dive into cardiogenic shock and Impella support with Dr. Adam Gottula
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 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 MoreAs a general rule, mechanical ventilation of obese patients is more complex and difficult than in those with a normal body habitus. Obese patients have decreased chest wall compliance due to increased truncal adiposity, amongst other factors. They are also predisposed to other comorbidities that can lead to more involved physiologic challenges.
Critical Care Transport teams commonly transport patients who are intubated and mechanically ventilated. These patients are intubated for a variety of reasons, from altered mental status to hypercapnea to hypoxia. One of the more common challenges we face in our patients who are mechanically ventilated is difficulty with oxygenation – whether the patient is suffering primary or secondary hypoxemic respiratory failure.
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 MoreHypokalemia 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 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 MoreIn this edition of the Air Care series we take a look at the LVAD via post and podcast, introducing you to the meeting of man and machine. Adam Gottula, MD interviews Liz Powell, MD and Paige Barger, NP covering the spectrum of LVAD basics from common functions to life threatening complications.
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.
