Tamingthesru

We sit down and talk with Dr. Brian Burns about some of the major themes of his recent lecture on When the 1 Percent Makes all the Difference. Should resuscitations run like a jazz quartet or a Formula 1 pit crew? Are checklists simply in the way or do they cognitively unload the team members to improve performance? How do you train cognitive factors in resuscitation?

Dr. Brian Burns lectures on how small changes and the pursuit of perfection can lead to huge benefits for your patients.

Dr. Jeffery Hill talks with Flight Advanced Nurse Practitioner Jenn Lakeburg about the most final case in the Air Care and Mobile Care online flight physician orientation curriculum. The discussion centers on the care and management of a young victim of non-accidental trauma

Dr. Jeffery Hill talks with Dr. Bill Hinckley about the most recent case in the Air Care and Mobile Care online flight physician orientation curriculum. The discussion centers on the sedation and intubation of a patient with severe TBI and blunt trauma, the decision to fly or take a patient by ground, and the post intubation management of TBI in the prehospital environment

Dr. Jeff Hill outlines a structured approach to case review originally described by Pat Croskerry, MD as a cognitive autopsy. Meant to aid in the identification of cognitive biases, it can be used in a formal peer review process or for ones own self-improvement as a way to strengthen your clinical decision making

Dr. Jeff Hill sits down with Dr. Bill Hinckley and Jason Peng to discuss the care of the patient described in the most recent Flight - a component of the Online Air Care and Mobile Care Flight Physician Orientation

Dr. Mike Steuerwald sits down with Josh Borkosky and Keith Widmeier of the UC Emergency Medicine Division of EMS to talk through the various educational opportunities for EMS providers locally and nationally

Dr. Mike Steuerwald sits down with Dr. Tyler Winders to discuss his review of hemoptysis, the definition of massive hemoptysis, and the management of patients with massive hemoptysis

EM-Neurointensivist Dr. Chris Zammit debates the use of ketamine for RSI in patients with moderate to severe TBI with Dr. Minh Le Cong. As an added bonus Dr. Hill is joined by Critical Care PharmD Chris Droege who gives an excellent background on the pharmacology and hemodynamic effects of ketamine

Dr. Hill breaks down the 3 most recent articles presented in journal club covering the assessment of fluid responsiveness. He also discusses the clinical application of several tools for assessing fluid responsiveness with EM-Intensivist, Dr. Adarsh Srivistava.

Dr. Hill sits down to talk with Bill Hinckley and Bill Knight about their involvement in the upcoming Social Media and Critical Care Conference (SMACC) conference.

Dr. Mike Steuerwald sits down with Dr. Jim DuCanto and discusses the use and development of extra-glottic devices.

Dr. Jeffery Hill recaps the articles covered, and the discussion accompanying, our most recent journal club at the University of Cincinnati Dept of EM Residency Training Program. The discussion covers the advantages and disadvantages of four sedative medications - etomidate, propofol, ketamine, and ketafol. Head to tamingthesru.com for the show notes and accompanying blog post. Music credit - ZachWill "Sample Beat"

Dr. Steuerwald talks with Dr. Latimer and Dr. Hinckley about the recognition and treatment of cyanide toxicity. The discussion covers the pathophysiology of cyanide poisoning, treatment with the old Lilly Kit, and treatment with the newer CyanoKit. Dr. Hinckely addresses the operational considerations of delivering the treatment to the patient in a time efficient fashion.

Dr. Steuerwald and Dr. Calhoun discuss the history of Emergency Medical Services and the evolution of EMS scope of practice

Dr. Steuerwald sat down with Dr. Don Locasto and Dr. Dustin Calhoun to discuss their work with the PHEMAC committee. PHEMAC stands for Public Health EMS Medical Directors Advisory Council. They exist specifically to deal with situations like this within the Greater Cincinnati area. PHEMAC recently released an update to all regional EMS providers. The goal of the update was to distill down all of the information out there into a useable form for our local teams. Their discussion summarizes these initial recommendations, as well as makes suggestions for staying up-to-date as more recommendations are released.

Dr. Hill and Dr. McDonough discuss the management of non-traumatic neurologic emergencies in the prehospital environment. Topics include blood pressure management in ischemic stroke status post tPA, ICH, and SAH.

Dr. Steuerwald and Dr. Gerecht discuss the use of liquid plasma (aka Never Frozen Plasma)

Dr. Hill and Dr. McMullan discuss the use of End Tidal CO2 in patients being transported by Air Care and Mobile Care.

Dr. Hill and Dr. Knight discuss several management considerations for patients with sepsis being transferred on Air Care and Mobile Care, including fluid management, pressors, and vent management.