This episode from The FAST Archives explores a rare and high-stakes medical emergency: amniotic fluid embolism (AFE). Allison Herman, a seasoned RN with seventeen years of experience across ER, ICU, and helicopter EMS, shares a remarkable case involving this critical obstetrical complication. Allison, who spent a decade flying with a hospital-based helicopter EMS program in California, has recently returned to the ER as the pediatric emergency care coordinator. Her passion for emergency...

Join us for an insightful episode from The FAST Archives, featuring "Stayin' Alive: Impella Device and Left Ventricular Mechanical Circulatory Support in Critical Care Transport," presented by Michael Lauria. A former USAF Pararescueman and Critical Care/Flight Paramedic, Michael is now an EMS and Critical Care Fellow at the University of New Mexico Health Science Center. He brings his extensive experience to this engaging talk on Left Ventricular Assist Devices (LVADs) and their use in...

In this episode from The FAST Archives, we explore the powerful talk, "A Difficult Pill to Swallow: 3 Unforgivable Sins in Medicine." As pressures mount to keep emergency services running smoothly, many first responders are driven to work extra shifts and put their community's needs ahead of their own. But what happens when this "rescuer" mentality seeps into our personal lives? Kris and Sara Kaull share personal stories and discuss why it's so hard to let go of the high-intensity mindset...

In this episode of The FAST Archives miniseries, we're replaying Geoff Murphy's talk from a previous FAST event, "Paramedics: The Master Multitasker... Right?" In this captivating talk, Geoff, from Master Your Medics, delves into the challenge paramedics (as well as nurses, physicians, and other medical professionals) face in multitasking, especially when they're often the most experienced provider. How well do we juggle life-saving skills while making critical decisions? And is multitasking...

Catch our latest episode with Brian Behn sharing his talk from a previous FAST event entitled, 'The Folk Science of Sepsis.' Brian explores and exposes possible gaps in the understanding of sepsis by EMS and critical care transport providers because of poor/incomplete education about it. He offers essential insights and practical advice to enhance our understanding and management of this deadly condition. Tune in to transform your approach to sepsis treatment and join us at FAST24 in...

Welcome to the second episode of the FAST Archives mini-series! In this episode, we dive into a crucial conversation with Ginger Locke titled "Finding Feedback," where she examines the culture of feedback in EMS and Critical Care Transport. Unlike other professions, feedback in EMS usually comes only after extraordinary events. Ginger proposes a shift towards a continuous feedback loop that fosters growth and learning from every call/situation, not just the emergencies. This talk is a...

Welcome to the FlightBridgeED Podcast! We're kicking off this special mini-series, "The FAST Archives," replaying some of our favorite talks from past FAST conferences. These moments made us laugh, think twice, and gave us the tools to be better providers. First up:  Pediatric patients on ventilators... it's a high-stakes game where small changes mean everything. In this essential talk, "Silent Killers in Pediatric Mechanical Ventilation", our very own Eric Bauer takes center stage breaking...

In this gripping episode of "Mind Over Medicine," we dive deep into the critical, often unseen world of cognitive bias in emergency medicine. With the clock ticking and lives in the balance, emergency room professionals make split-second decisions that can mean the difference between life and death. But what happens when the human mind's inherent biases seep into these critical judgments? Join Ashley as she explores the various forms of cognitive bias - from anchoring bias to confirmation...

Mechanical Ventilation and ARDS – Podcast Summary and References This is the sixth of a special podcast series on obstetric critical care.  I am joined on this series by Dr. Elizabeth Garchar, MD, FACOG.  She is an OB/GYN and Maternal Fetal Medicine (MFM) specialist who has a particular interest in obstetric critical care.  She is also unique in that she flies regularly with our critical care transport teams as a retrieval OBGYN/MFM and is one of our Assistant Medical Directors for the flight...

In this episode, we uncover the enigmatic world of refractory shock in prehospital trauma patients. Shock, often recognized as a critical condition, becomes even more complex when it resists conventional treatment. Join Eric as he discusses resuscitation in vasoplegic patients refractory to fluids and blood products. Tune in to "Hidden Harms" and embark on a journey to unveil the complexities of refractory shock in prehospital trauma patients. Please like and review on your current podcast...

In this episode, we delve into the complexities surrounding a challenging COPD patient scenario, focusing on treatment considerations and the broader scope of mechanical ventilation management. We underscore essential lessons gleaned from this case, emphasizing the significance of adopting an obstructive approach, the nuanced application of I:E ratio, and the comprehensive management strategies for hypercapnic patients. Join us as we navigate through this intricate medical terrain, shedding...

This is the fifth of a special podcast series on obstetric critical care.  I am joined on this series by Dr. Elizabeth Garchar, MD, FACOG.  She is an OB/GYN and Maternal Fetal Medicine (MFM) specialist who has a particular interest in obstetric critical care.  She is also unique in that she flies regularly with our critical care transport teams as a retrieval OBGYN/MFM and acts as one of our Assistant Medical Directors for the flight program. The topic of this podcast is Amniotic Fluid...

Disseminated Intravascular Coagulation    This is the fourth of a special podcast series on obstetric critical care.  I am joined on this series by Dr. Elizabeth Garchar, MD, FACOG.  She is an OB/GYN and Maternal Fetal Medicine (MFM) specialist who has a particular interest in obstetric critical care.  She is also unique in that she flies regularly with our critical care transport teams and acts as one of our Assistant Medical Directors for the flight program.  So, Dr. Garchar has unique...

Join Eric and Will Heuser, PharmD, discussing "The Influence of Low pH on Efficacy of Critical Care Pharmacology." Changes in acid-base balance have a profound influence on many aspects of the action of drugs. This is illustrated by data on the absorption of drugs from the stomach and intestine, changes in the distribution of drugs between plasma and cells, and the effect of changes in pH. Join us as Will breaks down the pathophysiology and decision-making in these low pH states. When do we...

Since the 2012 Berlin Definition of the Acute Respiratory Distress Syndrome (ARDS), several developments have supported the need for an expansion of the definition, including the use of high-flow nasal oxygen (HFNO), expanding the use of pulse oximetry in place of arterial blood gases, use of ultrasound for chest imaging, and the need for applicability in resource-limited settings. Join Eric as he dives into the previous ARDS definitions, the pathophysiology around "PseudoARDS," and the new...

This is the third episode of a special podcast series on obstetric critical care.  Although I am the sole host of this podcast, the content was reviewed and edited by Dr. Elizabeth Garchar, MD, FACOG.  She is an OB/GYN and Maternal Fetal Medicine (MFM) specialist who has a particular interest in obstetric critical care.  She is also unique in that she flies regularly with our critical care transport teams and acts as one of our Assistant Medical Directors for the flight program.  So, Dr....

In this episode, Eric looks at warm fluids... or lack thereof in resuscitation. We will cover the current evidence around hypothermia in resuscitation secondary to the infusion of cold IV fluids. We discuss current strategies in warming fluids before administration in warm and cold ambient environments and the impact on body systems that ultimately contribute to increased mortality. Please like and review on your current podcast app, including Spotify, Google Play, iTunes, PodBean, and many...

This is the second of a special podcast series on obstetric critical care.  I am joined on this series by Dr. Elizabeth Garchar, MD, FACOG.  She is an OB/GYN and Maternal Fetal Medicine (MFM) specialist who has a particular interest in obstetric critical care.  She is also unique in that she flies regularly with our critical care transport teams and acts as one of our Assistant Medical Directors for the flight program.  So, Dr. Garchar has unique insight into managing this population in...

This is the first of a special podcast series on obstetric critical care.  I am joined on this series by Dr. Elizabeth Garchar, MD, FACOG.  She is an OB/GYN and Maternal Fetal Medicine (MFM) specialist who has a special interest in obstetric critical care.  She is also unique in that she flies regularly with our critical care transport teams and acts as one of our Assistant Medical Directors for the flight program.  So, Dr. Garchar has unique insight into managing this population in...

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...

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...

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...

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...

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...