Air Methods Prehospital EDucation Podcast

Welcome to AMPED: The Air Methods Prehospital Education Podcast. Real cases told by the flight clinicians who lived them—not the textbook version. The version where the plan falls apart and you have to decide anyways. Join Dr. Phil Moy, Dr. John Wilmas, and Flight Nurse Nyssa Hathaway every month as they sit down with air medical crews to deconstruct critical calls, examine tough decisions, and ask the question that actually matters: What would you have done? Plus, earn continuing education (CE) credit just for listening. Subscribe wherever you get your podcasts, and fly safe!

An unstable patient suffering from an aggressive tumor infiltration has failed every single invasive attempt to open her airway, including nasal intubation, oral intubation, and a surgical airway. In short, her airway was described as "hard as tree bark" and she was barely clinging to life thanks to BiPAP. Our crew was prepared to fight for every single breath for the patient, but due to an FAA pilot duty timeout, our crew was left bedside for an hour with our patient's family while waiting for a new pilot. Listen in as our crew establishes trust with the patient's family, discovers the patient's explicit wishes, and proceeds accordingly. Tune in to hear a harrowing tale and deeply human insights from this month's 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:   Elianor Harper, MSN, APRN, ACNPC-AG     Cory Finley BS-HCM, 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

When a patient experiences profound cardiogenic shock, a patient might receive an intra-aortic balloon pump, a device that is timed directly to the cardiac cycle that inflates and deflates to augment coronary profusion. Or they might receive an impella, an axial flow archimedes screw that continuously pulls blood forward through the aortic valve. Both devices share the same ultimate objective: Keeping a failing heart alive. But they do this in fundamentally distinct ways. So what happens when a patient is a true clinical unicorn a deeply unstable cardiac patient that has both devices running simultaneously? This episode of the AMPED podcast answers this very question, so listen in as our team discusses their analytical process and how they navigated this unusual situation.   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:   Madison O'Connor BSN, RN, CFRN     Marcie Day, RN, BSN, CCRN, CFRN, CES-A   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

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

A young man in his 20s experiences a head-on collision with a tree that leaves him in profound shock, and not exhibiting the symptoms that would seem to match his vital signs. Our team recognizes the mismatch and works quickly to get him to the hospital. Upon arriving at the hospital, the team does what our host refers to as "the ultimate hospital intervention" and performs an open resuscitative thoracotomy. After multiple surgeries and three days, the patient ultimately does not survive. But after the staggering volume of blood products and interventions performed, they wonder if he's still eligible for organ and tissue donation. In the last part of this episode, we answer that question with  an expert on the issue. The insights are fascinating.    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:   Lindsey Speir, MHA, BSN, RN, CPTCExecutive Vice President     Kelsey Nicks BSN, RN, CFRN Flight Nurse      Harold Englert EMT-P, FP-C     Jason Elliott RN, 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