For year EMS providers have relied on certain clinical signs and symptoms to predict clinically unstable trauma patients and the need for emergent transport for definitive surgical care. Commonly EMS providers have used HR>120, systolic BP<90mmHg, and MAP’s <60mmHg as benchmarks for clinically unstable patients. However, these indicators can frequently be misleading if not carefully evaluated in the context of a patient’s overall clinical presentation leading prehospital providers to underestimate the severity of our patient's injuries or illness. The Shock Index and Modified Shock Index can help providers make better decisions about prehospital trauma care.
There’s a severe lack of evidence about how to best utilize the drug Ketamine in the out of hospital environment. Any “research” that’s done comes from either the OR, ICU, or if we’re lucky the ED. We’re forced to extrapolate from those studies what we can about how to best apply their findings to the out of hospital environment.
This was a lecture I gave at the Estes Park Critical Care Conference on February 6, 2019 in Estes Park Colorado. The purpose of this lecture was to dispel some of the fears prehospital and transport providers have about Ketamine, and to hopefully spark further conversations about how we should be utilize this medication in the out of hospital environment.
This week on the podcast we're reviewing a lesson from the Burn Section of the EPICC Review Course concerning fluid resuscitation. Listen in as I discuss the most current recommendations from the American Burn Association on the Prehospital and Early Hospital management of IV fluids in the burn patient. I also give you 1 easy tip to simplify the ABA's recommendation even further, as well as review what you need to know about determining Total Body Surface Area burned and Fluid Resuscitation for the FP-C, CCP-C, and CFRN exam.
There are 8 primary stressors of flight that you need to be aware of when working as a Flight Paramedic or Flight Nurse. This week on the podcast I’m discussing the most important one, hypoxia. I share the 4 types of hypoxia and what you need to know about each for your clinical practice and for your professional certification exam.
I also discuss the 3 regulations that dictate when crew members should utilize oxygen during Air Medical Transport.
How many have actually read through the CAMTS standards in preparation for the Flight Paramedic or Critical Care Paramedic exam? My guess is not many. In the, the second week of 52 weeks of EPICC I dug deep into the newly released CAMTS 11th edition standards to find the good stuff. From Duty Shift Times and Crew Fatigue to Part 135 requirements to Ambulance Operations, this episode gives you the most important topics from each section of the CAMTS standards so you can feel confident you’re ready when you sit down for your exam.
In this, the 6th episode of the podcast I answer a question from a listener who's a new flight nurse and wants to improve her skills at reading 12-lead ECG's quickly while on a call.
Listen in as I share my process for reading 12-lead ECG's and share some tips on how you can improve your skills at reading ECG's no matter how long you've been working in the field.
Very few paramedics have ever actually performed a surgical airway on a patient. In the past 15 years I've met only a handful of paramedics who have. I've actually met more providers who told me stories about patients they say they should have cric'ed, but didn’t, either because they were uncomfortable with the procedure, or they feared backlash from their peers and managers.
In this post I'll share with you my experience with my first surgical airway: what went right, what went wrong, and how I feel the term "Failed Airway" is killing our patients.