Angioedema is defined by upper airway swelling secondary to an immune response. The trigger and subsequent physiological response are how we categorize it. In this podcast, we discuss how to diagnose and treat both types: IgE/Histamine-mediated and Bradykinin-mediated. We also touch on how to address the difficult airway that may or may not lead to intubation. All in all, do not fear angioedema but respect it. Remember: IgE (E = Epinephrine)   https://emcrit.org/ibcc/angioedema/   IgE Mediated https://www.tldrpharmacy.com/content/a-primer-on-hereditary-angioedema https://www ..read more

  When discussing methylene blue, management and treatment of methaemoglobinaemia is usually the first indication mentioned. But in this podcast, we challenge you to increase the size of your lense and focus on its benefits in other states (e.g., septic shock). Of course, we could not do this alone, so we invited a Flight Paramedic, Pharmacist, Toxicologist, and Professor to join us. And fortunately for us, they are all the same person. Tune in as Will Heuser helps us discuss the pathophysiology of distributive shock, the pharmacodynamics and pharmacokinetics of methylene blue related to ..read more

  Though we have delved into foreign HEMS systems in the past (See Episode 61 – Down Under Dynamics w/Dr. Cliff Reid), we have not dedicated an entire series to it. Having now rubbed shoulders with many clinicians and operators around the world, it is evident that these conversations need to take place on a regular basis. Why? Because operating in a vacuum can lead to bad decision making. Our new “Around the World” series attempts to mitigate this by interviewing prehospital and intrahospital disciplines from around the world and finding out how they do things, whether for better or for ..read more

The Defense Advanced Research Projects Agency (DARPA) is often thought to be shrouded in some shadowy veil, heading different research projects for the federal levels of the American government. DARPA has brought advancements to the United States in all sorts of avenues, from material sciences to imaging advancements in infrared and cyber security. Regardless of what research is being done at DARPA, one has to filter through research proposals from eager research designers who all have high hopes of bringing their research proposal to fruition via DARPA’s program and funding avenues. DARPA cur ..read more

  “Self-loading baggage” is a derogatory term often used by pilots to describe lazy or disengaged medical crew members in the air medical industry. Whether intentional or not, this behavior sets a bad precedent for those of us that want to embrace aviation cross-training and be able to assist the pilot effectively. In this podcast episode, we are joined by pilots Miles Dunagan and Brett Reeder to discuss how pilots and clinicians alike can be a cohesive team before, during, and after the flight. We touch on complacency, Crew Resource Management (CRM), and specific skills required of an e ..read more

  The Russo-Ukrainian War is an ongoing international conflict between Russia and Ukraine. At times such as these, medical training is International Medical Corps partnered with the Harvard Humanitarian Initiative (HHI) to provide comprehensive emergency and trauma care training to healthcare workers, public safety professionals and the Ukrainian community. Course Coordinator Kevin Collopy and Instructor Brock Jenkins, live from AMTC23, join us for an eye-opening podcast episode where we discuss their role in this mission and the personal experiences motivating them to continue their eff ..read more

  B.R.A.S.H. Syndrome is a phenomenon with a constellation of Bradycardia, Renal failure, AV nodal blockade, Shock, and Hyperkalemia requiring identification and management in the prehospital and transport setting. In this podcast episode, live from AMTC23, we discuss the pathophysiology of BRASH Syndrome, highlighting the synergy between its components, as well as relevant pharmacotherapy and treatment considerations.   https://recapem.com/brash-syndrome/ Guests Katherine Connelly, MD NRP, FP-C Dr. Connelly is an EMS fellow at the University of Cincinnati and a flight physician for ..read more

Emergency services, regardless of the specific discipline, are unique animals. We work in a dynamic environment where things can, and are almost expected to, change at a moment’s notice and yet somehow we do not do well when the status quo changes. I could sit and talk ad nauseam about how the most dangerous words in any organization are, “We’ve always done it that way.” In my humble opinion, any organization that cannot change with the industry is doing a great disservice to both their employees and clients alike. For those of you that have been in the industry for more than a hot minute, you ..read more

Audio Video   Dan presented the talk “Metabolic Acidosis: The Eye Can Only See What the Mind Can Comprehend” at AMTC23. In this recording, he teaches you how to identify the prevalence of acid-base disorders including triple disturbances, how to calculate anion gap and determine the etiology of the gap, and how to identify adequacy of compensation for a primary metabolic acidosis ..read more

  As a critical care clinician, do you consider yourself well-versed in comfort care? Do you consider yourself well-rehearsed in having the discussions leading up to the patient’s or family’s decision to implement it? This concept may be outside your comfort zone, especially if you work in emergency medicine. But the fact of the matter is, from the prehospital environment all the way to the ICU, we are provided many opportunities for implementation of this type of care plan. Join us for a discussion with an ICU charge nurse where we tell you how to do so effectively and tactfully. Guest ..read more