fbpx

Blog | Trauma

FBEBlog Trauma

Blog navigation:

The College of Remote and Offshore Medicine Foundation and FlightBridgeED Announce Strategic Alliance

FOR IMMEDIATE RELEASE The College of Remote and Offshore Medicine Foundation and FlightBridgeED, LLC Announce Strategic Alliance [Pretty Bay, Malta & Bowling Green, KY, USA] – The College of Remote and Offshore Medicine Foundation (CoROM) and FlightBridgeED, LLC are excited to announce a strategic alliance through a newly signed Memorandum of Understanding (MOU). This partnership…

Continue Reading

FlightBridgeED and EZResus Announce Strategic Partnership to Revolutionize Emergency Medical Resuscitation

March 23, 2024 – FlightBridgeED, a leader in providing comprehensive, up-to-date online and live critical care education, and EZResus, your life saving resuscitation companion for critical minutes, are excited to announce a groundbreaking strategic partnership. This alliance is set to transform the landscape of emergency medical education by integrating thepower of EZResus to navigate the complexities of…

Continue Reading

Beating The Odds

FlightBridgeED - Beating The Odds - The Impact of LVADs in Critical Care Transport

In the dynamic landscape of cardiac care, Left Ventricular Assist Devices (LVADs) stand out as a beacon of hope and innovation. For patients grappling with advanced heart failure, where traditional medications and lifestyle adjustments fall short, LVADs offer a lifeline, bridging the gap between illness and a chance at extended life. These sophisticated devices are…

Continue Reading

Embark on the EMS Odyssey: EMT to Critical Care Paramedic

The realm of emergency medical services (EMS) is one of constant evolution, where professionals are continually called upon to enhance their skills, knowledge, and expertise. The transition from an EMT to a Critical Care Paramedic epitomizes this commitment to growth and excellence. This journey, enriched by mentorship and continuous learning, is both challenging and rewarding….

Continue Reading

FlightBridgeED Educators Join Case Western Reserve University

FlightBridgeED Educators Join Case Western Reserve University

Cleveland, Ohio- FlightBridgeED proudly announces the appointment of its esteemed educators, Ashley Bauer and Eric Bauer, as Adjunct Faculty at the prestigious Case Western Reserve University (CWRU) in Cleveland, Ohio. This collaboration marks a significant milestone in the field of critical care transport medicine. The duo will be teaching the Hybrid Fundamentals of Critical Care…

Continue Reading

You Don’t Have to Know Everything

FlightBridgeED - Blogs - You Don't Have to Know Everything by Cody Winniford

I picked up a new book the other day called The Personal MBA by Josh Kaufman. Within the first few pages, I got hit with a couple of fantastic gems that translate so well to our world. I will be adapting some of Josh’s concepts to us so that you can walk away with some…

Continue Reading

FAST24 Day 1 Opening Keynote Speaker Announced – Scott Weingart… (yes, THAT Scott Weingart)

FlightBridgeED - FAST24 - FlightBridgeED Air and Surface Transport Symposium - Scott Weingart - Day 1 Opening Keynote Speaker - fastsymposium.com,

We are thrilled to announce that the Day 1 opening Keynote Speaker for the FlightBridgeED Air and Surface Transport Symposium 2024 (FAST24) is none other than Scott D. Weingart! As a renowned physician specializing in Resuscitation and Emergency Department Critical Care, Scott has dedicated his career to bringing “Upstairs Care” “Downstairs” – a mission to…

Continue Reading

The STOP Card: Enhancing Patient Safety in Healthcare

FlightBridgeED - The STOP Card

In the fast-paced and high-stress world of air medical services, where every second counts, patient safety is paramount. However, a lingering challenge in this critical field is the reluctance of healthcare providers to voice their concerns or speak up when they notice safety issues. This reluctance can stem from various factors, including the hierarchical nature…

Continue Reading

Learning From the Past

September 11, 2001, and the Mental Health of First Responders The tragic events of September 11, 2001, have left an indelible mark on the world’s collective memory. The devastating terrorist attacks on the World Trade Center and the Pentagon resulted in the loss of thousands of innocent lives and left countless others traumatized. While the…

Continue Reading

Big News…New Global Definition for ARDS!

Since the 2012 Berlin Definition of the Acute Respiratory Distress Syndrome (ARDS), several developments have supported the need for an expansion of the definition, including the use of high-flow nasal oxygen (HFNO), expanding the use of pulse oximetry in place of arterial blood gases, use of ultrasound for chest imaging, and the need for applicability…

Continue Reading

MDCast w/Dr. Michael Lauria – Peripartum Cardiomyopathy

This is the third episode of a special podcast series on obstetric critical care.  Although I am the sole host of this podcast, the content was reviewed and edited by Dr. Elizabeth Garchar, MD, FACOG.  She is an OB/GYN and Maternal Fetal Medicine (MFM) specialist who has a particular interest in obstetric critical care.  She…

Continue Reading

Warm Fluids In Resuscitation: Current Evidence

In this episode, Eric looks at warm fluids… or lack thereof in resuscitation. We will cover the current evidence around hypothermia in resuscitation secondary to the infusion of cold IV fluids. We discuss current strategies in warming fluids before administration in warm and cold ambient environments and the impact on body systems that ultimately contribute…

Continue Reading

Concerns, Controversies, and Considerations in the Management of Pelvic Trauma

Concerns, Controversies, and Considerations in the Management of Pelvic Trauma by Cody Winniford

While relatively straightforward, the management of pelvic trauma is not without its controversies and conversations. In the prehospital environment, new adjuncts and approaches are shaping the outcomes of these injuries. Numbers and Data How often do prehospital clinicians encounter these pelvic trauma? Pelvic injuries are actually more frequent than cervical spine injuries in the setting…

Continue Reading

MDCast w/ Dr. Michael Lauria – Maternal Cardiac Arrest

This is the second of a special podcast series on obstetric critical care.  I am joined on this series by Dr. Elizabeth Garchar, MD, FACOG.  She is an OB/GYN and Maternal Fetal Medicine (MFM) specialist who has a particular interest in obstetric critical care.  She is also unique in that she flies regularly with our…

Continue Reading

Undifferentiated Shock: A Pre-hospital Approach

FlightBridgeED - Blogs - Imdofferemtoated Sjock: A Pre-Hospital Approach by Cody Winniford

Shock is the final common pathway before death. No matter what the etiology or insult to the human body, we all will enter into a state of shock that reduces oxygen delivery to the point that cells die, then tissues die, organs become dysfunctional, then organ systems fail, and finally the whole machinery of human…

Continue Reading

Brief Resolved Unexplained Event

Brief Resolved Unexplained Event by Sara Moore Gruver

The electricity had gone off on that hot July day. The mother’s phone kept dinging with texts from the power company with an estimated fix time, which kept growing longer and longer. Meanwhile, the temperature in the house kept climbing, and the three small children grew more upset. After an hour, the mother decided it…

Continue Reading

The Remarkable Versatility of Ketamine: A Review of Pre-Hospital and Critical Care Use

The Remarkable Versatility of Ketamine: A Review of Pre-Hospital and Critical Care Use

Ketamine is a non-barbiturate dissociative anesthetic originally synthesized in the 1960s. In lower doses, ketamine acts as a potent analgesic, causing it to be adapted to manage pain during the Vietnam War.(1,2) Ketamine acts as an N-methyl-D-aspartate (NMDA) receptor antagonist. NMDA receptors are a type of glutamate receptor, which bind with glutamate, the principal excitatory…

Continue Reading

Traumatic Cardiac Arrest – The CAVE Checklist

Traumatic Cardiac Arrest: The CAVE Checklist - The FlightBridgeED Blog - Cody Winniford

Of all the illnesses, diseases, and petulance that can befall a human being in the modern world, traumatic injury reigns supreme as the unbeatable, unpreventable source of morbidity and mortality. Since the 1960s, prehospital systems and trauma systems have been working on solutions to curb death and disability, and while it has been reduced to…

Continue Reading

E228: MDCast w/ Dr. Michael Lauria – Severe Postpartum Hemorrhage

This is the first of a special podcast series on obstetric critical care.  I am joined on this series by Dr. Elizabeth Garchar, MD, FACOG.  She is an OB/GYN and Maternal Fetal Medicine (MFM) specialist who has a special interest in obstetric critical care.  She is also unique in that she flies regularly with our…

Continue Reading

The Intricacies of Pre-Hospital Trauma Triage: a Look into Special Considerations

Pre-Hospital Trauma Triage

Introduction A crew responds to a motor vehicle collision involving a passenger vehicle into a tree. The scene size-up illustrates moderate front-end damage and airbag deployment. Further analysis of the car shows no apparent signs of passenger compartment intrusion, steering wheel deformity, dash deformity, evidence of rollover, or window spidering. Your patient (75 male), a…

Continue Reading

I Have a Crush on You!

FlightBridgeED - I have a crush on you - everything you need to know about crush injuries and how to manage them from a pre-hospital, critical care transport medicine perspective. How EMT s and Paramedics can make a difference in improving patient outcomes in trauma

Introduction Severe crush injuries have the power to shatter lives in an instant. Imagine the sheer force of an external crushing weight bearing down on the human body, inflicting direct tissue trauma and triggering a cascade of devastating consequences. From muscle necrosis to neurologic dysfunction, the aftermath of a severe crush injury can be a…

Continue Reading

2023 Enduring Impact Award Recipient

FlightBridgeED - 2023 Enduring Impact Award Recipient - Graham Pierce

We are so excited to announce that Mr. Graham Pierce BS, MICP, FP-C, CCP-C, WP-C will receive this award first! Mr. Pierce’s contributions to the flight and critical care paramedic community go far beyond his work with the IBSC – He is the heart and soul of the Certified Flight Paramedic.

Continue Reading

A Twist on Pre-Hospital and Critical Care Transport Medicine

FlightBridgeED - Stop the Bleed® - EMS Week - Tourniquets

Tourniquets: a simple, time-honored device with roots dating back to the battlefields of ancient civilizations. If you’re picturing a ragtag concoction of sticks and bandages, give your mental image a 21st-century makeover! Today, tourniquets are sophisticated, researched, and increasingly vital tools in pre-hospital and critical care transport. Recently, there’s been an influx of research examining…

Continue Reading

Pediatrics: Integrating Telemedicine

FlightBridgeED - EMS Week - EMS for Children - Integrating Telemedicine

Pediatric pre-hospital and critical care transport medicine is undergoing a revolutionary change due to the ongoing evolution and expansion of telemedicine. This trending topic is currently reshaping the nature of patient care, enabling healthcare professionals to provide quality care regardless of the distance between them and the child in need. Telemedicine in Pediatric Care Telemedicine…

Continue Reading

FRATs Aren’t Just for Bruhs

FlightBridgeED - EMS Week - Day 3 Safety

Introduction: When you hear the term “FRAT,” you might think of wild parties, toxic masculinity, and college shenanigans (“Toga, Toga, Toga, Toga…”) But in the world of air medical and critical care transport medicine services, FRAT takes on a whole new meaning. Flight Risk Assessment Tools (FRAT) are the superheroes of safety, ensuring smooth and…

Continue Reading

Unlocking Success: Empowering Flight Paramedics (FP-C) and Critical Care Paramedics (CCP-C) through Advanced Training

Unlocking Success: Empowering Flight Paramedics (FP-C) and Critical Care Paramedics (CCP-C) through Advanced Training - EMS Week 2023

Introduction Welcome to EMS Week 2023 day 2, “EMS Education Day.” We celebrate your unwavering dedication and heroic efforts as flight paramedics or critical care paramedics. At FlightBridgeED, we understand the pivotal role advanced paramedic education plays in your success in the dynamic and high-stakes environments you operate in. Every decision you make can make…

Continue Reading

Unmasking the Unsung Heroes

Unmasking the Unsung Heroes: Challenges Faced by EMS Professionals and Solutions for Change - EMS Week 2023

Challenges Faced by EMS Professionals and Solutions for Change Emergency Medical Services professionals, including paramedics (of all types) and emergency medical technicians, are critical in providing life-saving care during medical emergencies. Despite their invaluable contributions, EMS professionals often face challenges such as the lack of public awareness and appreciation, mental and emotional strain, inadequate staffing…

Continue Reading

Crashing the Vented Patient – A Critical Care Odyssey

Crashing the Vented Patient - by Cody Winniford - The FlightBridgeED Blog

The Case Your team has been requested for an interfacility transfer. You find a 35-year-old female writhing on the stretcher, kicking her feet, hands restrained, and a wide-eyed ED technician attempting to hold her legs down. The patient is intubated, and the ventilator has a near-constant high-pressure alarm. You notice the patient’s vitals and are…

Continue Reading

E227: MDCast: Calcium Administration in the Severely Injured Trauma Patient – Practical Application w/ Dr. Mike Lauria

Calcium administration to trauma patients has become a hot topic with the rise of the “Lethal Diamond.”  While evidence exists regarding the association between hypocalcemia and mortality, it remains unclear whether hypocalcemia is the problem or simply a finding secondary to critical injury.  In this podcast, Dr. Lauria reviews the evidence behind calcium administration in…

Continue Reading

E226: MDCast: ASA Overdose Rebuttal & Practical Application w/ Dr. Mike Lauria

Join FlightBridgeED’s new Chief Medical Director, Mike Lauria, as we launch the FlightBridgeED MDCast. Dr. Lauria will hijack these episodes for a new perspective on current topics in critical care medicine. In this episode, Dr. Lauria looks at Eric’s previously published podcast [episode 224] on ASA Overdose and gives his insight, practical application, and overall…

Continue Reading

SUSPECTED INTERNAL INJURIES

Suspected Internal Injuries - by John Yeary - FlightBridgeED

You are the first responder dispatched to a multi-casualty incident (MCI) for a motor vehicle collision on the interstate, with multiple cars on fire and bodies strewn all over the highway. You arrive in the “controlled” chaos with the roadway barely shut down. You immediately smell smoke and see fire everywhere, seeing danger at every…

Continue Reading

E225: The Resuscitative Mindset: Airway Decision Making w/ Kevin Collopy

In this podcast, Eric discusses the art of having a “Resuscitative Mindset” when performing advanced airway management with guest host Kevin Collopy. When is it ok to perform advanced airway management rapidly? Is it ever ok? When do we deploy delayed sequence strategies?  Should we always use a “Resuscitative” sequence intubation mindset regardless of our…

Continue Reading

Thoughts from a Clinician: DO YOU DRESS REHEARSE?

Thoughts From a Clinician: Do You Dress Rehearse?

Too much training is still being done without simulation. The value-added component of simulation is nearly immeasurable, especially for the critical care provider. As commonplace as it has become, simulation still gets the hairy eyeball from some. Perhaps the pushback comes from the cost of simulation or simply the available resources to do simulation training.

Continue Reading

WHOLE BLOOD: READY FOR PRIMETIME?

Whole Blood: Ready for Primetime?

If you’ve been reading about trauma care in the last few years, you have undoubtedlyseen something about the use of whole blood in trauma resuscitation. Born out ofmilitary medicine experience, we are starting to see civilian EMS programs in both airand ground using this treatment to save lives from traumatic injury and massivehemorrhage. But what…

Continue Reading

Diabetic Ketoacidosis: The Right Ingredients for Recovery

Diabetic Ketoacidosis: The Right Ingredients for Recovery

This article is the first of a series of three articles about managing adult patients with diabetic ketoacidosis (DKA). This patient population can be quite challenging for even the most seasoned provider. Indeed, DKA is characterized by unique physiology that includes, amongst other things, severe fluid deficit and mild to severe metabolic acidosis. This patient…

Continue Reading

E224: The Nightmare Patient – ASA Overdose

In this podcast, Eric takes a look at a very difficult case of multifactorial resuscitation within ASA overdose. We dive deep into all things resuscitation and analyze factors that drive our decision-making. This takes the “acidosis rodeo podcast series to another level. Don’t miss this episode! So much good stuff! Please like, subscribe, and leave…

Continue Reading

Updated CAMTS standards for nurses

The Commission on Accreditation of Medical Transport Systems (CAMTS) is a non-profit organization that accredits air and ground medical transport programs in the United States and Canada. One of the recent changes to the 12th edition standards specifies that nursing certification will become transport specific (such as the Certified Flight Registered Nurse [CFRN] or Certified…

Continue Reading

TikTok Toxicology

Since its North American debut in 2018, TikTok has dominated the teenage social media market. In 2022, a survey reported that 67% of American teenagers have used TikTok and 16% report use multiple times a day.[1] With its 60 to 120 second videos, TikTok allows users to record and upload video clips on almost any…

Continue Reading

The Fallacy of “GCS <8 Intubate” and the Decision to Intubate

On the surface, these are not bad triggers for airway management, but they do not engage clinicians to evaluate the situation in its entirety. The astute clinician can recognize that there are obviously more than 4 notable triggers and that these decisions are made along a spectrum of “forced to act” to “elective.” The decision…

Continue Reading

Dialysis Disequilibrium Syndrome

Clinical Scenario: You respond as an ALS ambulance to a local dialysis center for a middle-aged male with altered mental status. Upon arrival, you find a conscious male being gently held in his dialysis chair by staff members. They report the patient was partially through his dialysis treatment when he developed acute delirium. Medical History…

Continue Reading

The 3P’s of Airway Management

Introduction It is not enough to merely be able to intubate; that is, perform the physical skill of instrumenting the airway and placing an endotracheal tube. Too often, prehospital and emergency clinicians find themselves in situations where mere intubation is not necessarily the most effective and important intervention being performed, and by ignoring the possibility…

Continue Reading

Do We Understand Oxygenation?

The Oxyhemoglobin Dissociation Curve can be confusing… However, it’s essential to understand oxygen physiology in critical care. Think of it as a “Manual for Dating.” In a healthy relationship, you have a good date, and really like that person, but don’t mind dropping them off after an evening out because you know you’ll see them again….

Continue Reading

EDS in the ED

Overview A 27-year-old woman arrived at the emergency room late at night, her face crumpled in pain. She reported feeling sick this morning and vomiting, but that didn’t strike her as unusual as her young children have had stomach flu the last few days. Since then, she has had severe and acute neck and head…

Continue Reading

Alternative uses of EtCO2 in the pre-hospital and critical care settings

End-tidal capnography in clinical practice originated in the field of anesthesia around the 1950s but has also become established in the pre-hospital setting. EMS providers commonly use end-tidal CO2 values as an adjunct to cardiac arrest and airway management. Continuing to learn about end-tidal CO2 is critical because this device is easily applied, readily available,…

Continue Reading

Flight Paramedic OR Critical Care Paramedic?

FlightBridgeED - FP-C, CCP-C, CFRN, CFRN, CTRN, TCRN, Flight Nurse, Flight Paramedic

OVERVIEW The Flight Paramedic (FP-C) exam tests the knowledge of experienced, master-level paramedics working as part of a medical flight crew. The Critical Care Paramedic (CCP-C) exam is a bit broader in scope. It is designed to test the knowledge of adept paramedics working in critical care environments, from transport to in-hospital. Which exam should…

Continue Reading

What It Takes to Become a Certified Flight Nurse

A flight nurse is a registered nurse with the training and experience to provide critical care in transport environments. This can be either rotor (helicopter) or fixed-wing, typically working alongside other medical providers such as paramedics, other nurses, respiratory therapists, nurse practitioners, or physicians; they’re essential for providing top-level patient care when it matters most!

Continue Reading

How To Become a Certified Flight Paramedic

Flight Paramedic Career Overview Helicopter EMS (HEMS), also known as air ambulance services, are critical in saving lives. Air medical transport teams must have the right experience, skills, and training. A certified flight paramedic is a pre-hospital, critical care, and emergency healthcare professional. If you’re ready to take your career in this direction, read on…

Continue Reading

Are you sure you want to leave this page?

HELP