Air Methods Prehospital EDucation Podcast

One of the most basic skills an Air Methods team member should have is knowing how to intubate properly. Understanding how to do that properly is a prerequisite for the job. But knowing when to intubate, and in the particular case of this month's patient, knowing when NOT to intubate is most crucial. Our team is tasked with transferring our patient Myles who was experiencing acute respiratory distress, but in their assessment determined that despite his severe symptoms, intubating and paralyzing him could likely lead to even worse outcomes. Listen in as we hear from not only our team, but our patient, as they describe the unusual and voluminous symptoms, which are unusual for a 33 year-old. How did they make their determinations? What does Myles remember? And what has the road to recovery been like for Myles? You're not going to believe everything he's been through. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Chase Boyd NREMT-P Flight Paramedic Matthew George RN Flight Nurse Myles Dobson Patient All seen here together with Myles's family: Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

Transporting a newborn in distress already involves extreme logistical complexity, as you'll hear in this month's episode where our team is tasked with taking a newborn experiencing acute shortness of breath. But what happens when the mother starts to decompensate right alongside her baby? Now our team is tasked with caring for two patients, and how they tackle that complexity is the focus of this episode. How many people does our team have to talk to? How long does that process take? Tune in and hear about the thoughtful and thorough process of ensuring everyone's safety provided by Air Methods' procedures. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Mark Fowler NRP, FP-C Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

A man in a high speed, rollover motor vehicle crash experiences a multitude of symptoms including hemorrhagic shock and profound respiratory distress. As our team assesses him, they attempt multiple needle decompressions to relieve pressure and improve breathing. None are successful. Having recently received training and approval to do a finger thoracostomy, they talk with their lead clinician and decide that is the best course of action. Listen in as we hear from the team on the ground, experience their decisionmaking, and find out what happens. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Matthew Corban NRP, FPC Air Methods Float Paramedic Jacqlyn Murray - Flight Paramedic / RN, FP-C , CFRN Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

When our crew is dispatched to an extremely rural location, they find our patient has fallen off an a-frame ladder and been impaled in the chest by a large piece of rebar on the ground. We know that in dealing with impalements, removal or jostling of the object can cause a host of problems for the patient, so the team must take great care in transporting him to a location where removal and treatment can occur in a safe and controlled environment. Listen in as our team coordinates with other first responders, readies their equipment mise en place, and communicates to ensure the best outcome for our patient. You'll find he is simultaneously very unlucky, and extraordinarily lucky in his unusual case. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Jennifer A. Beckett NREMT-P AAS Cole Diercks BSN, RN, CFRN Steven Johnson NREMT-P Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

On this show we have espoused the general guiding principal of "when you hear hoofbeats, think horses, not zebras." Sometimes the hoofbeats actually are those of zebras. But what if sometimes there not even zebras, they're unicorns? On this episode of AMPED, our patient has been bitten by a Jameson's Mamba, one of the deadliest snakes in the world. Thankfully, he is an expert herpetologist who is able to talk our team through the steps needed to save his life. But what our team learns is that sometimes that which seems extremely rare results in care that isn't rare at all. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Samuel Hall MD (Picture) Jim Harrison (patient) and Kristen Harrison Courtney Martin NREMT-P Sarah Crabrtree RN Kristen Wiley Kentucky Reptile Zoo Links: Official site Facebook Instagram Youtube channel Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

In an incredible twist of irony, this month's case focuses on our flight crew loading into their helicopter to be dispatched to... a patient who has fallen out of a helicopter. From a height of approximately 40 feet and at a speed of 30 knots, our patient has an abundance of injuries, which requires our team to remember their axiom: "Slow is smooth, and smooth is fast." This episode also introduces an important question: How do we intervene in different kinds of shock? Our patient had three different kinds: Hemorrhagic, neurogenic, and obstructive shock. Listen in as our guest, along with our panel, deconstructs one of the rarest cases in AMPED history. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Matthew Habbe NREMT-P. Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

Extreme weather once again plays an important factor in this month's case where our team comes upon a car accident victim who has a litany of injuries that make care extremely challenging, even in optimal conditions. Featuring a pilot for the first time ever in AMPED history, we hear from our clinicians about how to give our patient the best shot at survival, and from our pilot about the many considerations he has to make in order to expedite his arrival at a care facility. Hear these unique insights in this fascinating episode of AMPED. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Danica Mainridge RN, BSN, CEN, CPEN, CCRN, CFRN Megan Thompson, RN, MSN, MBA, CEN, CFRN, TCRN, TNS, CES-A Mikaele Kerner Helicopter PIlot Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

A car accident on the highway sees the vehicle rollover nine times and ejects our patient out of the vehicle with a multitude of life threatening injuries. Our team refers to our patient as the sickest trauma patient any of them had ever seen. The outlook is very bleak, but our team perseveres and gives every effort to help increase the patient's odds of survival. While not ultimately successful, this episode provides critical insight and valuable lessons learned from our team about how important providing the very best care is, even when the cause appears lost. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Mark Fowler NRP, FP-C Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

As our team is out saving lives, we're excited to revisit one of the most harrowing episodes in our archives from January 2023. This remarkable story has a multitude of valuable lessons and insights you're going to love. See you next month with fresh content! It's a different type of episode today on AMPED. We're joined by Ridley Barron, a Senior Pastor at Grove Hill Church in Chapel Hill, TN, and motivational speaker. He tells an incredible story about how his life was changed in a split second via car accident, shares the harrowing journey in the hospital that happened with his youngest son, and the aftermath that followed. Our hosts also discuss Air Methods' MACC Checklist, which stands for Medication Administration Cross Check. It's a story of tragedy, of forgiveness, and of making the most out of the impossibly difficult situations life presents you with. Ridley Barron, Senior Pastor and Motivational Speaker. You can learn more about him at his website. Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Joseph Hill RN BSN CMTE CFRN

When two flight teams are dispatched to a scene, usually the first to arrive takes the sicker of the patients. What happens when circumstances on the ground change that? How do the teams tag in and tag out with one another? On this episode of the AMPED Podcast, a high speed highway collision sees patients with a litany of maladies including traumatic brain injuries. Our team identifies and handles Beck's triad, tension pnuemothorax, flail chest and a lot more in an eventful transport to the medical facility. Listen in on how our team, with a special guest ride along visitor, handles everything. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Breanna Bingel RN, BSN, PHRN, TNS, CFRN, CEN, TCRN, CTRN Kayce Thompson, BSN, RN, Flight Nurse Shawnee Trindle, ER RN Kayce, Shawnee and Breanna together Spenser Rich, RN-Paramedic, CFRN, FPC Christopher Wright, BSN, RN, CFRN, etc Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

The holidays are a time for hope, a time for believing in the extraordinary. Remember that classic holiday film, Miracle on 34th Street? Just when everyone's lost faith, a series of unexpected events bring about the impossible. Well, this week on the Air Methods Prehospital Education Podcast, we bring you a real-life story that echoes that same spirit. It's a case of resilience, determination, and the power of preparation in the face of a life-threatening pediatric emergency. Picture this: a child in cardiac arrest, the festive joy replaced by the urgent need to save a life. Our crew, faced with a medical mystery and a young life hanging in the balance, refused to give up. Like Kris Kringle himself, they needed more than just skill – they needed a touch of magic, a sprinkle of the extraordinary. Join us as our AMPED crew, Medical Director Dr. Wilmas, Flight Nurse Nyssa Hattaway, and I, delve into this heartwarming case, exploring how preparation, quick thinking, and a series of fortunate events intertwined to save a child's life. It's a story that reminds us that even in the darkest of moments, hope, like the spirit of the holidays, can prevail. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Nick Grindeland, RN, NREMT-P, CFRN Derek Hughes, Flight Paramedic/Clinical Base Lead Alberto Sauceda, Dad Logan Sauceda, our patient Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN

A seemingly simple heart attack gives our team pause because the patient presents a litany of conflicting symptoms. Should our team send him to have a stent put in right away - as is standard procedure - or do they wait to address the other symptoms and risk muscle damage? What would you do if you were in their position? Our hosts consider the symptoms and give their own recommendations while our team shares what actually unfolded. The lesson is that if something feels a bit off, it's important to listen to your intuition. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Liz Lashley RN, CFRN Jorden Dick, OMS-1, NRP, FP-C Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS

Presented with a patient whose symptoms seem contradictory then flip, change and remain unclear, our team must continue to work to keep the patient alive. What's causing the duress for our patient? Is it an aneurysm? Is it neoplastic process? Cardiac arrest? Some combination of these factors? Our team remains nimble, attentive, and diligent in their work. What lessons can we learn from this case? Tune in and find out. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Liz Lashley RN, CFRN Jorden Dick, OMS-1, NRP, FP-C Click here to download this episode today! As always thanks for listening and fly safe! Hawnwan Moy MD FACEP FAEMS John Wilmas MD FACEP FAEMS