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Ultrasound in HEMS
Air Care Orientation Curriculum, Prehospital Medicine Jeffery Hill, MD M.Ed Air Care Orientation Curriculum, Prehospital Medicine Jeffery Hill, MD M.Ed

Ultrasound in HEMS

Critics out there may slight the use of ultrasound in the prehospital environment, saying it is just going to delay patient transfer and won’t add much to your decision making.  However, when used properly, the ultrasound should never delay patient care and, when used in the correct patient population, it could help greatly in both decision making and treatment. Let’s first talk about when to use it.  The logistics of this may be a bit tricky. 

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Finger Thoracostomy
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

Finger Thoracostomy

We talked about needle thoracostomy a while back and when we did, we talked about the propensity for the needle to fail.  There are a lot of reasons why the needle could fail to relieve a tension pneumothorax (or to only temporarily relieve a tension pneumothorax).  The needle may be too short to enter the thorax in the first place* or the catheter could kink, allowing reaccumulation of air in the thorax.

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The Decision to Intubate
IC Cordes, Procedural Education Steven Carleton, MD PhD IC Cordes, Procedural Education Steven Carleton, MD PhD

The Decision to Intubate

The I.C. Cordes College of Airway Knowledge, written by Dr. Steven Carleton, is known to many who have passed through our doors.  Today, however, we begin to set them free to the #FOAMed world starting off with I.C. Cordes #1 - The Decision to Intubate.  I felt like I had found a mint copy of the Amazing Fantasy Introducing Spiderman comic book or a Honus Wagner baseball card receiving these collected cases by email from Dr. Carleton earlier today. - Jeffery Hill, MD

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