FlightCrit Podcast

In this episode, we chat with Melissa Verseman of Beyond The BVM about the current overwhelming state of pediatric respiratory illnesses in Colorado, and Nationwide, and the proper approach to managing pediatric patients with critical RSV and Bronchiolitis.

Melissa shares with us her Pearls of managing the patient with RSV:

1. Nasotracheal Suctioning
2. Fluid Boluses (20ml/kg x 3)
3. Utilization of Positive End Expiratory Pressure (PEEP) to stint open airways.
4. Maximum flow of High Flow Nasal Cannula / Nasal CPAP should be 1liter/kg or 10 liters per min before escalating care to mask BiPap
5. Consider your pediatric assessment triangle and be quick to recognize a patient who's in cardiorespiratory shock.

Links mentioned in this podcast

In this episode of the podcast, we sit down with Dr. Zack Shinar of the EDECMO Podcast, and co-author of "ECPR AND Resuscitative ECMO," the world's first ECMO CPR textbook.

Dr. Shinar is a world-renowned expert on ECPR and resuscitative ECMO, and he was gracious enough to share a bit of his time with the FlightCrit community.

In this episode Dr. Shinar shares with us:

• The history of ECPR including results from some of the very first cases
• How ECPR is changing the culture of cardiac arrest resuscitation worldwide
• What EMS, and Critical Care Transport Teams, can do to help optimize the delivery of ECPR therapy to eligible patients.
• and how ECMO therapy can be applied in other peri-arrest settings.

Links discussed in this podcast:

In this episode, we're joined by Dr. Haney Mallemat from @critcarenow to discuss the patient with a massive pulmonary embolism and how we need to manage these patients in the acute phase to keep them alive until we can get them to definitive care.

Below are several resources Dr. Mallemat referenced in our talk, as well as links to Critical Care Now and the ResusX conference.

Please do us a favor and check out Dr. Mallemat's site.  You'll be happy you did.

Critical Care Now - https://criticalcarenow.com/

ResusX Conference - https://www.resusx.com/

PEAPETT Trial - https://pubmed.ncbi.nlm.nih.gov/27422214/

RebelEM Post about PEAPETT - https://rebelem.com/peapett-trial-half-dose-tpa-pea-due-massive-pulmonary-embolism/

PERT Teams - https://pertconsortium.org/about/

PERT Teams - https://onlinelibrary.wiley.com/doi/10.1002/rth2.12216

Nebulized Nitro from PulmCrit - https://emcrit.org/pulmcrit/ntg/

Nebulized nitro from the American Academy of Emergency Physicians - https://www.aaem.org/UserFiles/file/CS21_MarAprCCMS.pdf
 
Nebulized Nitro - https://rc.rcjournal.com/content/57/3/444

Join us for an exciting talk with our friend and colleague Ami Bess, Chief Flight Nurse for UCHealth LifeLine about one of the most unnerving topics in Adult Critical Care Transport - Management of the HROB patient with severe Antepartum & Postpartum Hemorrhage.

Topics discussed in this episode include

• Assessment of the patient with severe Antepartum and Postpartum Hemorrhage
• Cause of APH and PPH
• Management of APH and PPH including
  • Medications
  • Blood Products
  • Mechanical Tamponade devices including the Bakri Balloon and Jada System
  • and Surgical Procedures

In this episode of the podcast, we discuss some new ideas about the use of TXA as well as provide some new insight into the use of Whole Blood Resuscitation.

Links to articles mentioned in the podcast coming.