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Grey Matters - Flights Case 3
Prehospital Medicine, Air Care Orientation Curriculum Andrew Latimer, MD Prehospital Medicine, Air Care Orientation Curriculum Andrew Latimer, MD

Grey Matters - Flights Case 3

It is late on a blustery grey and rainy day in November and you are the dedicated flight doc on Air Care One (the “UH”) nearing the end of your shift. Your pilot has had to turn down two flights already due to high winds and reduced visibility as bands of storms moved through the area. Against your better judgment, you are standing in the sushi line in the hospital cafeteria to grab dinner when you hear “Air Care One Pilot, weather check for a patient coming back to the U” squawk out over your portable radio. Your excitement rises as “we can do that” echoes over the radio and you hear the tones drop for your flight. You grab the blood cooler and meet your crew for takeoff on the roof...

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A Look into the Code STEMI - Flights Case 2 Recap
Prehospital Medicine, Air Care Orientation Curriculum Jeffery Hill, MD M.Ed Prehospital Medicine, Air Care Orientation Curriculum Jeffery Hill, MD M.Ed

A Look into the Code STEMI - Flights Case 2 Recap

It’s true that sometimes critical care transport missions to transport STEMI patients to PCI are fairly uneventful.  But if we allow ourselves to get lulled into a “Milk Run” mindset, it will most definitely come back to bite us.  The jovial, normotensive, fairly comfortable-appearing STEMI patient may be only a couple of minutes away from V Fib arrest or florid cardiogenic shock.  When that occurs, if we have expected and prepared for such a complication, it’s likely that we’ll be able to manage it successfully.

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Seeing is Believing...
Grand Rounds Ryan LaFollette, MD Grand Rounds Ryan LaFollette, MD

Seeing is Believing...

You settle in to your 6th of 6 shifts in a row in B Pod in your tertiary referral center when you sign up for your first patient. Ms. Circling is an 86 year old female who presents with abdominal pain and altered mental status. She presents with her family who gives most of the history that for the last 2 days the patient has been complaining of abdominal pain and has not been eating or as active as normal...

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