The FlightBridgeED Podcast

Calcium administration to trauma patients has become a hot topic with the rise of the “Lethal Diamond." While evidence exists regarding the association between hypocalcemia and mortality, it remains unclear whether hypocalcemia is the problem or simply a finding secondary to critical injury. In this podcast, Dr. Lauria reviews the evidence behind calcium administration in trauma and identifies which patients, given the available evidence, might benefit from calcium administration. Don't miss another FlightBridgeED Podcast feature episode of the MDCast! So much good stuff! Please like, subscribe, and leave any questions or comments. References for the use of Calcium in Severe Trauma Anesth AnalgJ Paramed PracTransfusionJ Trauma Acute Care SurgJ Surg ResTransfusionResusc PlusResusc PlusJ Trauma Acute Care SurgMedicines (Basel)Crit CareAnn Emerg MedJAMAResuscitationJ Trauma Acute Care SurgJ Pers MedAm J Emerg MedPLoS OneSee omnystudio.com/listener for privacy information.

Join FlightBridgeEDs new Chief Medical Director, Mike Lauria, as we launch the FlightBridgeED MDCast. Dr. Lauria will hijack these episodes for a new perspective on current topics in critical care medicine. In this episode, Dr. Lauria looks at Eric's previously published podcast [episode 224] on ASA Overdose and gives his insight, practical application, and overall thoughts on these difficult-to-manage patients. Don't miss this episode! So much good stuff! Please like, subscribe, and leave any questions or comments. References for Acute Salicylate Intoxication Ann Intern MedClin Toxicol (Phila)Emerg Med JAm J Case RepDrug Saf Case RepJ Pharmacol Exp TherAnn Emerg MedClin Toxicol (Phila)Am J Emerg MedBiochem JAMA J Dis ChildArch PediatrN Engl J MedBiochim Biophys ActaClin Toxicol (Phila)Acad Emerg MedJ Clin InvestSee omnystudio.com/listener for privacy information.

In this podcast, Eric discusses the art of having a "Resuscitative Mindset" when performing advanced airway management with guest host Kevin Collopy. When is it ok to perform advanced airway management rapidly? Is it ever ok? When do we deploy delayed sequence strategies? Should we always use a "Resuscitative" sequence intubation mindset regardless of our assessment findings? So much good conversation about all things airway and decision-making. Please like, subscribe, and leave any questions or comments. Contact information for Kevin Collopy Twitter: @ktcollopy Email: Kevin.Collopy@novanthealth.org See omnystudio.com/listener for privacy information.

In this podcast, Eric takes a look at a very difficult case of multifactorial resuscitation within ASA overdose. We dive deep into all things resuscitation and analyze factors that drive our decision-making. This takes the "acidosis rodeo podcast series to another level. Don't miss this episode! So much good stuff! Please like, subscribe, and leave any questions or comments. See omnystudio.com/listener for privacy information.

Eric is joined by Joe Hylton, a respiratory therapist, flight paramedic, and Hamilton RT, as they dive into all things Volume Control [Adaptive], ASV, and Pressure Control (Biphasic) ventilation. There are many misconceptions and questions answered within this information-packed podcast. We use the Hamilton simulator to show the differences between patients and accompanying interactions while in Volume Control [Adaptive] ventilation. We discuss when it's best to use Pressure Control [Biphasic] over Volume Control [Adaptive] and the hazards associated with this common mistake. We dive into the long-discussed debate of Assist Control vs. SIMV. Lastly, we discuss the topic of ASV and the technology around this method/mode of delivery. This is an audio version only. For the best experience, we highly recommend watching the full video version. Please visit the YouTube link below or the FlightBridgeED channel. Episode Link: https://youtu.be/nhlll1hI7XU See omnystudio.com/listener for privacy information.

The "Pandemic Immunity Gap" is likely behind the massive surge in respiratory syncytial virus (RSV), with current CDC data showing a 275% increase from 2020-2021 to 2022-2023. The most vulnerable population is between 0-6 months old, which often raises the stress level for providers across all spectrums. Join Eric for a deep dive into a case study involving a 4-month-old male in acute respiratory compromise. We break down the progression of RSV and its association with bronchiolitis. Dive deep into the current evidence on fluid management, bronchodilators, corticosteroids, NS 0.9%, Hypertonic 3%, racemic epinephrine, HFNC, NiPPV, intubation, and much more. Recommended flow settings and cannula sizes for high-flow nasal cannula therapy in pediatric patients https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7027347/table/t1-kjp-2019-00626/?report=objectonly Corticosteroid Therapy During Acute Bronchiolitis in Patients Who Later Develop Asthma: Hosp Pediatr (2017) 7 (7): 403–409. https://doi.org/10.1542/hpeds.2016-0211 Efficacy of 3% hypertonic saline in bronchiolitis: A meta‑analysis, Received May 10, 2018; Accepted August 22, 2018. DOI: 10.3892/etm.2019.7684 Respiratory syncytial virus: diagnosis, prevention and management: Ther Adv Infectious Dis 2019, Vol. 6: 1–9 DOI: 10.1177/2049936119865798 https://journals.sagepub.com/doi/epdf/10.1177/2049936119865798 Gadomski AM, Brower M. Bronchodilators for bronchiolitis. Cochrane Database Syst Rev. 2010;12CD001266. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001266.pub4/full Steroids and bronchodilators for acute bronchiolitis in the first two years of life: systematic review and meta-analysis https://www.bmj.com/content/342/bmj.d1714 High-dose inhaled corticosteroids’ effect on wheezing in infants after respiratory syncytial virus infection: a randomized, double-blind placebo-controlled trial. Ermers MJ, Rovers MM, van Woensel JB, Kimpen JL, Bont LJ; RSV Corticosteroid Study Group. High-dose inhaled corticosteroids’ effect on wheezing in infants after respiratory syncytial virus infection: a randomized, double-blind placebo-controlled trial. BMJ. 2009;338:b897. Heliox inhalation therapy for bronchiolitis in infants Liet JM, Ducruet T, Gupta V, Cambonie G. Heliox inhalation therapy for bronchiolitis in infants. Cochrane Database Syst Rev. 2010;4:CD006915. See omnystudio.com/listener for privacy information.

Join Eric and Miles Dunagan, President of the National Pilots Association at AMTC ELEVATE 2022, to discuss Just Culture, safety, risk, past air medical accidents, and much more. Just culture has become the foundation for organizational learning, transparency, and the overall safety initiative within the industry we all serve. The evaluation of risk is always part of our collective jobs. Whether you are a pilot, a paramedic, or a nurse, we have all experienced risk. Risk is always around us. How can risk be mitigated? It starts with open communication, transparency, each team member feeling like they have a voice, and a company culture that drives this message from the top down. Join us for this information-packed podcast highlighting how Just Culture collides with risk, which drives awareness and good decision-making. See omnystudio.com/listener for privacy information.

In this episode, Eric is joined by Kevin Collopy at Elevate 2022 to discuss his team's recent research on TBI and 3% hypertonic saline. The conversation quickly progressed to overall resuscitation in TBI, with a focus on decision-making in airway management, ICP management, herniation, and the secondary injuries that impact TBI patients. This is a must-listen, with many great discussion points. Prehospital Hypertonic Saline Administration After Severe Traumatic Brain Injury https://doi.org/10.1016/j.amj.2022.04.004 Abstract "A 25-year-old male patient was critically injured in a high-speed motor vehicle collision over an hour from the nearest trauma center. Paramedics diagnosed the patient with a traumatic brain injury and increased intracranial pressure and transported the patient to a predesignated landing zone for helicopter intercept. During transport, paramedics initiated a severe traumatic brain injury protocol which included the administration of 3% hypertonic saline." See omnystudio.com/listener for privacy information.

As healthcare providers, much of what we struggle with is not what we take with us to the scene (our equipment, medications, and techniques) it's what we take back home with us after we have helped others in the most terrible situations of their lives. We are empathetic creatures, and we share in other people's pain. In addition, we may find ourselves struggling with our own terrible situations at work or outside of work. In either case, those traumatic events take a little piece of us with them every time we encounter them. Dave Olvera shared an incredibly impactful talk at FAST22 detailing his struggles with post-traumatic stress disorder (PTSD) and how he continues to overcome it daily. If there is something that you struggle with, it's important for you to find someone to help you move forward in a healthy way. You don't have to suffer, and you aren't alone. If you need help, FlightBridgeED can connect you with a mental health professional. If you didn't make it out to FAST22 in Las Vegas, you won't want to miss FAST23! We are returning to Planet Hollywood Resort and Casino in Las Vegas this year, which promises to be bigger and better than last year! Tickets go on sale soon, so be sure to find out more information at FASTSYMPOSIUM.COM. Also, please share this content with your friends and rate and review it wherever you get your podcasts. Thanks so much for listening! See omnystudio.com/listener for privacy information.

The critical care transport industry is constantly changing, and it can be hard to keep up with the latest news and trends. FlightBridgeED has always been dedicated to providing the best education possible for our students, but we know that we can't do it alone. We need your help to continue to learn and grow as an industry. In this second part of The State of Things series, Eric, Ashley, and Evan sit down for a conversation about the latest news and trends in the critical care transport industry. We have always believed that education should come without labels and that we can all learn from each other as we work together to care for the sick and injured. See omnystudio.com/listener for privacy information.

The FlightbridgeED Podcast has been taken over! Chris Meeks joins us to discuss how the devil is in the details of our RSI procedures! Tune in to learn how applying a high-flow nasal cannula can significantly improve patient outcomes and your workload! Be sure to listen to the end for a huge announcement! See omnystudio.com/listener for privacy information.

The last few years have been trying for the medical transport industry, making us wonder about the industry's future. In part 1 of this podcast series, Eric, Ashley, and Evan discuss the good and the bad of the trends happening in the industry. If you really want some fun listening, just wait until you hear the outtake episode! In the mean time, we hope you learn from and enjoy this very open conversation. Thank you so much for listening! We couldn't make this podcast without the support of our incredible community! See omnystudio.com/listener for privacy information.

In the final Hangar Talk episode, Eric and Evan discuss the concept of Just Culture as part of their survey of the air medical industry. This concept is hugely divisive in the industry and is unlikely to change anytime soon. Just Culture is a large topic, and it has many dimensions. In most organizations, employees must complete mandatory Just Culture training modules. The RaDonda Vaught case captured the healthcare industry's attention after the judge handed down her sentence. How does Just Culture apply to this case? Does it apply? Did it apply? Did someone decide that Just Culture didn't apply in this case, and if so, does that instill a great deal of confidence in you that your next blunder (and you will make blunders... we all do) will also result in bypassing Just Culture and putting you in prison for your job? It will be hard to unpack this concept in a short period of time! Don't forget to like and subscribe wherever you found our podcast. Thanks so much for listening! We couldn't make The FlightBridgeED Podcast without you! See omnystudio.com/listener for privacy information.

Picking up from our last episode, Eric Bauer and Evan Claunch continue their discussion. Getting a job in the air medical industry is exciting, but that shouldn't be your final destination. Critical care medicine is always evolving, and you must stay current with how things are changing in this fast-paced career. In part 2 of Hangar Talk, Eric and Evan reveal some pivotal moments in their careers that may help you as you navigate your way through your own. There are so many great tips and pearls in this episode. We invite you to listen wherever you get your podcasts, and if you like the content, please don't forget to share it. Thanks so much for listening, and don't forget to listen to episode 3, which is coming soon! See omnystudio.com/listener for privacy information.

A new mini-series from FlightBridgeED! In this episode, Eric Bauer and Evan Claunch tackle a couple of difficult conversations, share some of the milestones they passed as they grew as critical care providers, and lay breadcrumbs for those seeking a path forward toward accomplishing their own goals. Nothing worth doing is simple, and there are always obstacles in our way. Being successful isn't a destination; it's a journey, and determination is the fuel that moves you along your journey. We invite you to listen wherever you get your podcasts, and if you like the content, please don't forget to share it. Thanks so much for listening! See omnystudio.com/listener for privacy information.

We are starting off the FAST22 Rewind series with one of the most powerful talks we have ever heard. In fact, we are still getting feedback almost two months after the conference about the positive impact this talk had. Mike Verkest pitched the idea of a presentation in which...he never spoke. In a symbolic way, he would take the stage with tape across his mouth, only to remove it in the last seconds of the talk to encourage others to take the proverbial tape off of their mouths and talk about our shared experiences. You could feel the emotion in the room, hear the tears and experience the permission to feel the way we feel. It was extraordinarily dramatic and culminated with a standing ovation. We are pleased to present to you, "That One Day"! See omnystudio.com/listener for privacy information.

Pediatric patients are just tiny adults, right? Isn't that what we have always been taught? It is what was taught, but we flatly reject the concept. Why? Because we have seen the reports and results of that flawed logic and the tragic results that follow. For example, if you treat a pediatric patient with diabetic ketoacidosis (DKA) the same way as you would an adult patient with DKA then you can bet your favorite pair of flight boots that their outcome will suffer. That's what this podcast episode is all about! Among many concepts, you will learn why it's wrong to bolus your pediatric DKA patients with tons of fluid and why sodium bicarbonate is not your friend in these cases. Also, check out the show notes! These are incredible resources that you can use in your own practice! Show Notes: https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/Bicarb_DKA_Pediatrics.pdf https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/DKA-pathway.pdf https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/Kupperman+NEJM+2018_Fluids.pdf https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/NEJM.pdf https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/Neonatal_DKA+case+report.pdf https://f001.backblazeb2.com/file/flightbridgeed-podcast/shownotes/episode210/peds_protecting+the+brain.pdf See omnystudio.com/listener for privacy information.

In this episode, Eric breaks down some of the changes that were made to the new sepsis protocols in 2021. Sepsis is one of the most common illnesses that we see in critical care medicine. It's important to understand the many dimensions of sepsis and how to treat it as a critical care provider. A 30-minute transport could make the difference in your patient's outcome; maybe even life, or death. Arm yourself with the latest information and ensure that you are providing the right care for your septic patients. See omnystudio.com/listener for privacy information.

In this video podcast, Eric discussed the acronym developed by Jared Patterson, an educator for FOAMfrat. This clever memory aid is used to identify the atypical 12 lead tracings that often go unnoticed or missed. Join us for this information-packed episode on evidence-based 12 lead interpretation. So much good stuff! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more. See omnystudio.com/listener for privacy information.

In this video podcast, Eric dives into all things neuro and ischemic stroke pathophysiology. We discuss brain physiology, circulation, common thrombotic and embolic stroke etiology, recognition, assessment, and management based on current evidence-based practice. Don't miss this episode! So much good stuff! Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many more. See omnystudio.com/listener for privacy information.