Tamingthesru
Crew Resource Management: Lessons from the World of #FOAMed
On Monday we published our first post in the Air Care and Mobile Care Online Flight Physician Orientation on Crew Resource Management. Also on Monday afternoon we were able to tweet with some of the leaders in Prehospital Medicine and Helicopter EMS from around the globe. We'll try to do this throughout the course so we can leverage the full power of free online access to medical education. If you follow on twitter you may have caught the conversation, but in case you missed it, I've storify'd the tweets (embedded below) for you.
Crew Resource Management
We kick off the Air Care & Mobile Care Online Orientation with posts on some of the most important aspects of helicopter EMS - safety, survival and the basics of operating around the helicopter as a crew member. We’ll start off by talking about Crew Resource Management (CRM). In this first podcast, chief pilot Bob Francis, flight nurse Dennis Schmidt, and Dr. Ryan Gerecht sit down and talk about the basics of CRM and what it means to pilots and flight crew.
Trouble with Trachs - Recannulating the Stenosed Trach Site
TracheOTOMY sites can close up rapidly (within hours). Why is this? Essentially, there is (usually) no missing tissue with this procedure. Occasionally the procedure does involve cutting a small section of the tracheal ring out but this is much less common now that percutaneous techniques are more in vogue The percutaneous technique involves, essentially, dilation of the skin, soft tissue, and trachea and, as such, these sites can close up very rapidly.
TracheOSTOMYsites are less of of problem as they do involve the removal of tissue. If they are fresh, however, these sites can also close relatively quickly.