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Intubating (not in the SRU)
Air Care Orientation Curriculum, Prehospital Medicine, Procedural Education Jeffery Hill, MD M.Ed Air Care Orientation Curriculum, Prehospital Medicine, Procedural Education Jeffery Hill, MD M.Ed

Intubating (not in the SRU)

Logistics are pretty much everything.  A focus on logistics is what helps UPS deliver 500,000,000 during the holiday season.  A focus on logistics is what helped the Allies win World War II.  But logistics doesn’t just happen on the global, macroscopic scale.  Logistics plays a role in every procedure we do in the ED and in the prehospital environment.  If you only focus on learning the mechanics of physically performing a procedure, you are neglecting crucial steps that will help ensure your success.  In this our latest podcast in the Air Care and Mobile Care Online Flight MD Orientation, Dr. Steuerwald and Dr Hill discuss some of the complicating factors for prehospital airways, focusing on both some of the logistical issues that come into play and some of the mechanical/physical considerations.

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Pericardiocentesis
Air Care Orientation Curriculum, Prehospital Medicine, Procedural Education Jeffery Hill, MD M.Ed Air Care Orientation Curriculum, Prehospital Medicine, Procedural Education Jeffery Hill, MD M.Ed

Pericardiocentesis

First, pericardiocentesis should be considered a temporizing procedure.  In the setting of trauma, you are hoping that the pericardiocentesis will clear a small amount of blood from the pericardial space and remove any tamponade the might be present.  It is likely, however, because of the mechanism of injury, that blood will again rapidly accumulate leading to recurrent tamponade physiology.  Ultimately (but not on Air Care — DON’T do a clamshell), these patients will need a pericardial window, exploration, and repair of whatever injury is causing the accumulation of blood. 

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Lessons in Transport - Your Friend and the Bleeding Patient's Friend: TXA in trauma
Air Care Orientation Curriculum, Prehospital Medicine, Lessons in Transport Medicine Jeffery Hill, MD M.Ed Air Care Orientation Curriculum, Prehospital Medicine, Lessons in Transport Medicine Jeffery Hill, MD M.Ed

Lessons in Transport - Your Friend and the Bleeding Patient's Friend: TXA in trauma

TXA… What can be said about TXA that hasn’t already been said.  TXA is good for what ails you.

Nosebleed? No problem.

Menorrhagia? TXA can fix that.

Involved in a motor vehicle crash with multiple pelvic fractures, a busted up spleen, hemorrhaging internally? TXA has your back.

In this podcast, Dr. Hill, Dr. Steuerwald, and Dr. Gerecht sit down and talk through the indications for using TXA in the prehospital environment and briefly discuss some of the evidence for its use.

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