Info

EMS Nation

EMS Nation - Evidence Based Medicine in EMS Weekly Formatted Podcasts Monday - Interview with Leaders in EMS Tuesday - ALS Simulation Wednesday - EMS Journal Club Thursday - BLS Simulation Friday - Health & Wellness Follow us on Twitter! www.twitter.com/EMS_Nation Like us on Facebook! www.facebook.com/prehospitalnation www.emsnation.org
RSS Feed
EMS Nation
2019
August
July
May
January


2018
August
April
February


2017
October
June
May
April
March
February


2016
October
August
July
June
May
April
March
February
January


2015
December
November


All Episodes
Archives
Now displaying: May, 2019
May 9, 2019

The second iteration of FlightBridgeED's prehospital conference does not disappoint.  The second day brought thought provoking concepts and a great review of critical syndromes that we don't often encounter.  The challenging topics of shame in EMS and process improvement were also tackled.

 

For more information on this year's conference check out the website: https://www.flightbridgeed.com/index.php/fast-19

@FlightBridgeED #FAST19

 

Per usual, we assembled an all star panel to discuss the highlight's of the day's event. The panel included:

 

Michael Perlmutter @DitchDoc14

Cynthia Griffin @CMGrffn

Samuel Ireland @ireland_sam1

Billie Sell @flight_sell 

And your guest host, Andrew Merelman @amerelman

 

 

Please subscribe to the podcast on your favorite podcast platform, iTunes, Spotify, Google Play, etc.

 

Check out the website at www.emsnation.org and follow us on Twitter @EMS_Nation

 

If a topic or idea you heard on the podcast ignited some curiosity or deeper thought we'd we'd love a 5 star review on iTunes to help spread our mission of EBM in EMS!

May 8, 2019

The second iteration of FlightBridgeED's prehospital conference does not disappoint.  The first day was filled with not only thought provoking lectures on the bleeding edge of prehospital medicine but also insightful discussions about mental health, peer support and decision fatigue. 

 

For more information on this year's conference check out the website: https://www.flightbridgeed.com/index.php/fast-19

@FlightBridgeED #FAST19

 

Per usual, we assembled an all star panel to discuss the highlight's of the day's event. The panel included:

 

Rebekha Spratt (aka Bex) @medibrat

Michael Perlmutter @DitchDoc14

Andrew Merelman @amerelman

Michael Brown @FireMedicFPC

 

And your host, Faizan H. Arshad @emscritcare

 

 

Please subscribe to the podcast on your favorite podcast platform, iTunes, Spotify, Google Play, etc.

 

Check out the website at www.emsnation.org and follow us on Twitter @EMS_Nation

 

 

 

 

May 8, 2019

In dealing with the critically ill, some will require an advanced airway.  Many of these patients will be challenging to oxygenate and ventilate and also have underlying pulmonary pathology and physiologic shunt.  The ideal approach to pre-oxygenation and denitrogenation has been controversial. Using standard equipment in parallel to optimize our patients’ hemodynamics has also been controversial (eg. Nasal Canula + BVM with separate oxygen sources as part of pre-oxygenation protocol) and not universally accepted.  In addition, apneic oxygenation with a nasal canula at high flow rates has not been universally adopted despite advocacy by emergency airway experts.  This year, the ENDAO trial – EmergeNcy Department use of Apneic Oxygenation Versus Usual Care During Rapid Sequence Intubation: A Randomized Controlled Trial - showed no difference in lowest mean oxygen saturation between the two groups.  To quote the authors, “application of AO during RSI did not prevent desaturation of patients in this study.”  Despite this, many continue to recommend the use of AO for emergent airways.  In this lecture we will review the protocols, various application techniques , study the objective evidence behind these practices and discuss best practices for our patients to optimize the airway prior to laryngoscopy.

 

Presentation Objectives:

  1. The Definition of Pre-oxygenation and Denitrogenation
  2. The various means to achieve ideal pre-oxygenation: Ventilator with BVM Mask, Oxylator with BVM Mask, BiPap Machine with BVM Mask, BVM with PEEP Valve and Pressure gauge
  3. Review of the ENDAO and Fellow Trials
  4. Ultimate understanding of out-of-hospital best practices for approach to the hypoxic patient requiring advanced airway

 

 

1