The FlightBridgeED Podcast provides convenient, easy-to-understand critical care medical education and current topics related to the air medical industry. Each topic builds on another and weaves together a solid foundation of emergency, critical care, and prehospital medicine.
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In this compelling episode of the FlightBridgeED Podcast, Dr. Michael Lauria delves into one of the most critical yet underappreciated aspects of emergency and critical care medicine: maternal sepsis and septic shock. As maternal mortality rates rise across the U.S., critical care transport providers are increasingly faced with the challenge of man…
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Maternal and Fetal Physiology in Flight
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In this episode of the FlightBridgeED Podcast: MDCAST, Dr. Michael Lauria is joined by Dr. Elizabeth Garchar, MD, FACOG, an OB/GYN and Maternal Fetal Medicine (MFM) specialist who has a particular interest in obstetric critical care and is unique in that she flies regularly with our critical care transport teams as a retrieval OBGYN/MFM. They are a…
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CRASH & BURN: Airway Management in Hemodynamically Unstable Patients - Part 2
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In Episode 264 of the FlightBridgeED Podcast: MDCAST, Dr. Mike Lauria, Dr. Jeff Jarvis, and trauma anesthesiologist Dr. Chris Stevens return for Part 2 of their deep dive into airway management in profoundly hemodynamically unstable patients. In this episode, the trio explores controversial topics such as the use of pressors in trauma patients, mec…
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CRASH & BURN: Airway Management in Hemodynamically Unstable Patients - Part 1
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In this thought-provoking episode of the FlightBridgeED Podcast: MDCAST, Dr. Mike Lauria is joined by Dr. Jeff Jarvis and Dr. Chris Stevens to tackle the critical and potentially controversial topic of airway management in hemodynamically unstable patients. The discussion dives into complex scenarios, decision-making challenges, and balancing the b…
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PHACTORS: Impacting the "Platinum 10" Post-Intubation
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In this engaging and insightful episode of the FlightBridgeED Podcast, Eric Bauer is joined by Dr. Michael Lauria as they delve into the intricacies of post-intubation care and the critical factors that impact patient outcomes during the first 10 minutes after intubation. Building on the well-established concepts of airway management and resuscitat…
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PART 2 of 2 In this episode, Dr. Michael Lauria is joined by several EM/Critical Care and Transport/Retrieval physicians as we discuss the management of acute respiratory distress syndrome (ARDS) in the critical care transport setting. We cover the pathophysiology of ARDS, the criteria for diagnosis, and the basics of lung protective ventilation. W…
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PREOXI Trial Crossover Episode w/ Dr. Jeff Jarvis
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This is a must-listen! What’s the best way to pre-oxygenate our patients prior to intubation? The evidence for this question has been mixed for some time. Dr Jarvis discusses the PREOXI Trial, which directly compares preoxygenation with non-invasive ventilation compared to a face mask to see which provides the best protection against peri-intubatio…
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Every Breath They Take: ARDS Part 1
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PART 1 of 2 In this episode, Dr. Michael Lauria is joined by several EM/Critical Care and Transport/Retrieval physicians as we discuss the management of acute respiratory distress syndrome (ARDS) in the critical care transport setting. We cover the pathophysiology of ARDS, the criteria for diagnosis, and the basics of lung protective ventilation. W…
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MDCast: Refractory Vasodilatory Septic Shock with Dr. Brittney Bernardoni
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In this episode of the FlightBridgeED MDCast, Dr. Mike Lauria and Dr. Brittney Bernardoni discuss the management of refractory hypotension in septic patients. They explore the use of norepinephrine as the initial pressor of choice and the benefits of vasopressin as a second-line agent. They also discuss the use of inotropes, such as epinephrine and…
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Nightmare Series: The DKA Dilemma with Jean-Francois Couture
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As night falls, a critical medical battle against Diabetic Ketoacidosis (DKA) begins. This formidable foe, hidden within the body's chemistry, pushes patients towards peril. In this thrilling installment of the FlightBridgeED Nightmare Series, EMS providers face a relentless race against time, striving to subdue the devastating effects of DKA befor…
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FAST Archives: Oxygenation Assassin
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In this final episode of The FAST Archives miniseries, we're thrilled to present a talk from Chris Meeks. Chris is not just any paramedic and educator; he's a veteran with a knack for making complex medical topics approachable. Today, he's breaking down "Oxygenation Assassin," a deep dive into the world of hypoplastic left heart syndrome—a challeng…
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FAST Archives: Air Rescue During WEF: Special Conditions and Problems
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In this episode of The FAST Archives, we explore a unique challenge in emergency medical planning from Helge Junge, who leads a team specialized in air rescue operations. Helge shares the intricate details of developing a comprehensive care and transport system for the World Economic Forum, held in the challenging and mountainous terrain of the Swi…
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In this enlightening episode of The FAST Archives, we feature a compelling talk by Bruce Hoffman titled "A Change of Heart." Bruce, a seasoned critical care nurse and paramedic with a rich background in ICU, ER, trauma, and cardiology, challenges conventional wisdom in the treatment of STEMI patients. Drawing on the latest evidence, he questions th…
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FAST Archives: Equity in Emergency Care: What Does That Even Mean?
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In this episode of The FAST Archives, Ritu Sahni explores the essential topic of equity in emergency care. With a background that includes EMS Medical Director roles, emergency medicine, and air ambulance experience, Ritu provides a comprehensive look at what it means to care for entire communities. In his talk, "Equity in Emergency Care: What Does…
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In this deeply impactful episode of The FAST Archives, we focus on the tragic events of the Parkland school shooting on February 14, 2018, through the lens of Peter Antevy, who served as the EMS Medical Director on the scene that day. With his vast expertise in pre-hospital pediatrics and emergency medicine, Peter offers a detailed and respectful r…
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FAST Archives: Do Any of These Medications Work in Cardiac Arrest? Demystifying the Controversies!
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In this episode of The FAST Archives, William Heuser brings his extensive experience as a clinical critical care pharmacist, clinical toxicologist, and certified Flight Paramedic to demystify the controversial world of resuscitative medicine. In his dynamic talk, "Do Any of These Medications Work in Cardiac Arrest? Demystifying the Controversies!",…
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FAST Archives: Teaching, Trusting, and Teen Driving
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Welcome back to The FAST Archives! In this episode, Ashley Liebig delivers a compelling talk, "Teaching, Trusting, and Teen Driving," where she explores the nuanced realities of learning, teaching, and belonging. Through her insights into psychological safety, cognitive learning theory, and feedback culture, Ashley opens up how the intricacies of h…
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Civilian Trauma Training: Lessons From Wartime Civilian Training with Kevin Collopy
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In this compelling episode of the FlightBridgeED podcast, recorded at CCTMC24, we dive deep with Kevin Collopy, a distinguished figure in trauma care and awarded Best Research for his poster during the conference's Scientific Assembly. Kevin shares his groundbreaking work with just-in-time prehospital trauma training in Ukraine, a project that has …
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FAST Archives: ECPR Across The Twin Cities
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In this episode of The FAST Archives, we explore an innovative approach to cardiac arrest treatment with Jason Bartos, a leading figure in the field of cardiology and critical care at the University of Minnesota. Jason delves into the world of extracorporeal cardiopulmonary resuscitation (ECPR), a lifesaving technique that has shown significant pro…
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FAST Archives: Hey, Katamine... You're Not That Special!
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In this episode of The FAST Archives, join one of our favorite Kiwis, Rob Bryant as he takes a critical look at Ketamine, a drug that's as much a star in the medical field as it is a subject of debate. Rob, who has an extensive background in Emergency and Critical Care Medicine, explores the not-so-glamorous side of Ketamine, including its cardiova…
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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…
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FAST Archives: Stayin' Alive - Impella Device and Left Ventricular Mechanical Circulatory Support in in Critical Care Transport
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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 Mexic…
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FAST Archives: A Difficult Pill to Swallow: 3 Unforgiveable Sins in Medicine
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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…
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FAST Archives: Paramedics: The Master Multitasker... Right?
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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, especial…
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FAST Archives: The Folk Science of Sepsis
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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 …
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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 sh…
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FAST Archives: Silent Killers in Pediatric Mechanical Ventilation
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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 me…
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Mind Over Medicine: Navigating Cognitive Bias in Emergency Medicine w/ Ashley Bauer
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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 b…
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MDCast w/ Dr. Michael Lauria - Mechanical Ventilation and ARDS in Critical Care Obstetrics
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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 …
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Hidden Harms: Refractory Shock in Prehospital Trauma Patients
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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 e…
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The Nightmare Patient: COPD Induced Respiratory Failure
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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 rat…
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MDCast w/ Dr. Michael Lauria - Amniotic Fluid Embolism
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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 r…
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MDCast w/ Dr. Michael Lauria - DIC in Pregnancy
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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 …
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The Influence of Low pH on Efficacy of Critical Care Pharmacology w/ Will Heuser, PharmD
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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 a…
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Big News...New Global Definition for ARDS!
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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 applicabi…
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MDCast w/Dr. Michael Lauria - Peripartum Cardiomyopathy
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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…
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Warm Fluids In Resuscitation: Current Evidence
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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…
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MDCast w/ Dr. Michael Lauria - Maternal Cardiac Arrest
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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 a…
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E228: MDCast w/ Dr. Michael Lauria - Severe Postpartum Hemorrhage
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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 …
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E227: MDCast: Calcium Administration in the Severely Injured Trauma Patient - Practical Application w/ Dr. Mike Lauria
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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 c…
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E226: MDCast: ASA Overdose Rebuttal & Practical Application w/ Dr. Mike Lauria
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Join FlightBridgeED's 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 applic…
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E225: The Resuscitative Mindset: Airway Decision Making w/ Kevin Collopy
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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…
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E224: The Nightmare Patient - ASA Overdose
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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…
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E223: Hamilton T1 | When To Use Volume Adaptive w/ Joe Hylton
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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…
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E222: “Pandemic Immunity Gap?” - Managing Acute Respiratory Compromise in RSV
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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 …
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E221: Culture vs. Risk w/ Miles Dunagan
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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…
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E220: Prehospital Hypertonic Saline Administration After Severe Traumatic Brain Injury w/ Kevin Collopy
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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 …
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E219: American Sirens: Conversations of Origin, Diversity, and Hope with Kevin Hazzard
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This episode is a must listen. Join Eric as he sits down with an exclusive interview with American Siren author Kevin Hazzard. Do you know the true origins of emergency medical services? This story highlights the TRUE origins of ems. A story of poverty, hope, diversity, change, success, and the forgotten. Kevin Hazzard is the author of A 1000 Naked…
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E218: WHAT IF by Dave Olvera - from FAST22 Las Vegas
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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 oursel…
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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 …
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