Rotor Wash

This week we again head back to wild and wonderful West Virginia and Camp ECHO to hear Joey Loehner of Humboldt General Hospital present on the normalization of deviance and safety in our industry. Joey says he believes that everyone comes out of flight academy 110% focused on safety and for our first few flights we all take the extra 30 seconds, to double and triple-check everything but what do we do after 1 year, 3 years, 5 years, or 10 years? Joey addresses dealing with the issues of overcoming complacency and developing a safety mindset within your team. CME Collective     If you need someone to talk to, call 1-833-AIR-FAST. FAST TEAM Video        

In this episode, we are joined by the new ECHO Future Flight Crew Director, Shane Turner and the new ECHO Future Flight Crew Medical Director, Dan Rauh. Shane and Dan take some time to talk about the exciting times ahead for the FFC and make a big announcement for folks who want to step up and become Mentors for FFC students. Check out the website to apply to become a FFC Mentor in the fastest-moving group of experts in the HEMS industry. FFC Mentor Application   If you need someone to talk to, call 1-833-AIR-FAST. FAST TEAM Video       CME Collective

Today we head back to Camp ECHO for the second half of the Critical Care Panel. The Camp ECHO panel was one of our largest and most diverse to date and we were thrilled to have such amazing panel members join us. In this second installment, the panel discusses how to deal with a hemodynamically unstable trauma patient, fluid resuscitation, airway management and utilizing TXA. After the panel concludes, we continue the discussion over some drinks and bring you with us! A huge thank you to all of the panel members. Dr. Philip Nawrocki of Allegheny LifeFlight Dr. Lewis Rubinson of R. Adams Cowley Shock Trauma Center Dan Rauh, CRNP of University of Cincinnati Aircare Dr. Ben Lawner of Allegheny LifeFlight Dr. Shaun Patterson of Hackensack Meridian Health Dr. Matthew Poremba of Allegheny LifeFlight Dr. Mike Peterson of Healthnet Aeromedical Services       If you need someone to talk to, call 1-833-AIR-FAST. FAST TEAM Video     CME Collective  

Today we once again head back to Camp ECHO for the first half of the Critical Care Panel. The Camp ECHO panel was one of our largest and most diverse to date and we were thrilled to have such amazing panel members join us. In this first installment the panel discusses how to deal with a difficult “sending doc”, is there ever a patient that is too sick for transport, airway management in the hemodynamically unstable patient, goal of resuscitation, and the nuance managing the acutely ill patient. A huge thank you to all of the panel members. Dr. Philip Nawrocki of Allegheny LifeFlight Dr. Lewis Rubinson of R. Adams Cowley Shock Trauma Center Dan Rauh, CRNP of University of Cincinnati Aircare Dr. Ben Lawner of Allegheny LifeFlight Dr. Shaun Patterson of Hackensack Meridian Health Dr. Matthew Poremba of Allegheny LifeFlight Dr. Mike Peterson of Healthnet Aeromedical Services       If you need someone to talk to, call 1-833-AIR-FAST. FAST TEAM Video     CME Collective    

Today we hear an interview that was done during Camp ECHO with two physicians who have been helping with ECHO since its inception. Dr. Lewis Rubinson of the University of Maryland Medical Center and Dr. Ben Lawner of the Allegheny Health Network. Both these gentlemen have been big supporters of ECHO and we get a chance to talk candidly to them over a few beers about why the have chosen to support ECHO, what they see as the future of HEMS, and Prehospital medicine.       If you need someone to talk to, call 1-833-AIR-FAST. FAST TEAM Video     CME Collective    

This week we head back to Camp ECHO to hear flight medic Josh Piotrowski of Erlanger LifeForce. Josh provides a clear and precise outline to confidently answer the old adage of “right patient, right drug”. Every patient is different and no patient deserves a “same pressor, every time” approach to hypotensive treatment. Josh wants all of us to be better providers and be critical care ready.   If you need someone to talk to, call 1-833-AIR-FAST. FAST TEAM Video     CME Collective     

Today we again head back to Camp ECHO in WV to hear Flight Nurse Practitioner Jacob Miller from the Cleveland Clinic discuss the latest evidence on all things resuscitation.     CME Collective If you need someone to talk to, call 1-833-AIR-FAST. FAST TEAM Video

Today we are doing a “Go Around” and revisiting one of our earliest podcasts. We plan to do this from time to time with content that is timely and worth highlighting. This interview with Fred Jeffries a clinical educator and flight paramedic with Boston Medflight is one of our favorite interviews we have ever done. Fred discusses key components for orientation and continuing education as it relates to flight crew personnel. Fred brings an extensive background to the table when it comes to clinical education and has a true passion for it and we are thrilled to have been able to interview him about this always important topic.     FAST TEAM Video  If you need someone to talk to, call 1-833-AIR-FAST.   CME Collective     Rotor Wash logo designed in conjunction with ECHO member Bud Lavin photo submission. Podcast Logo designed by ECHO HeliOps Marketing Director Joe Zarek Music provided by www.bensounds.com

Today we have the pleasure of talking to Dr. Phil Nawrocki and Dr. Matt Poremba of Alleghany LifeFlight in western Pennsylvania. Dr. Nawrocki is the lead author on a recently released study on the use of push dose epinephrine with their flight team. We get a chance to discusses what they found during the study, why they chose epinephrine and how they encourage their crews to employ it push dose Epi. Additionally get a chance to discussed LifeFlight’s  use of whole blood as a follow up to Dr. Poremba’s #CampECHO talk which was recently released here on the Rotor Wash Podcast (http://directory.libsyn.com/episode/index/id/9741833). Articles discussed in the episode: Philip Stuart Nawrocki, Matthew Poremba & Benjamin James Lawner (2019) Push Dose Epinephrine Use in the Management of Hypotension During Critical Care Transport, Prehospital Emergency Care, DOI: 10.1080/10903127.2019.1588443 Francis Xavier Guyette, Christian Martin-Gill, Gabriela Galli, Neal McQuaid & Jonathan Elmer (2019) Bolus Dose Epinephr

  We again head back to Camp to hear Flight Nurse Robin House’s talk on toxicology in the HEMS environment. Robin offers a down and dirty look at some the most common toxicology emergencies we could potentially face and how best to manage them in the pre-hospital environment.     CME Collective If you need someone to talk to, call 1-833-AIR-FAST. FAST TEAM Video        

On this episode of the Rotor Wash podcast Brian and Sam sit down with Dr. Lewis Rubinson to discuss advanced ventilator management in the asthma patient. Dr. Rubinson who has been a supporter of ECHO since its inception, Dr. Rubinson is a Professor of Medicine in the Program in Trauma at the University of Maryland School of Medicine and Vice President and Deputy Chief Clinical Officer at the University of Maryland Medical Center.    For a compressive review on the management of status asthmaticus head over to the Maryland CC project and take a listen to Slack Refractory Status Asthmaticus Drips & Gases  ECMO, Oh My   CME Collective If you need someone to talk to, call 1-833-AIR-FAST. FAST TEAM Video

Strategize Your Simulation! Today we head back to camp where Tyler Christifulli of LifeLink III and FOAMfrat talks about creative ways to build and execute simulation without breaking the bank. CME Collective If you need someone to talk to, call 1-833-AIR-FAST. FAST TEAM Video

Today we head back to camp to hear Dr. Ben Lawner of Alleghany LifeFlight discuss how as critical care transport professionals are often tasked with airway management in a patient who is in need of emergent resuscitation because they are teetering on the edge. Whether it is trauma, sepsis, and other critical conditions they all necessitate a heightened awareness of the risks of intubation and positive pressure ventilation. He reviews the latest literature and helps us all consider "best practices" with respect to optimizing the crashing patient with concurrent respiratory failure so they have a parachute to arrest their clinical momentum as we manage their airway.    CME Collective If you need someone to talk to, call 1-833-AIR-FAST. FAST TEAM Video      

Back to camp we go to hear Dr. Matthew Poremba medical director of Allegheny LifeFlight discuss whole blood use in helicopter EMS. Dr. Poremba discussed the hurtles he and the folks at Lifeflight encountered while working to start their whole blood program and why it is far superior to PRBC in his opinion in some patients. CME Collective If you need someone to talk to, call 1-833-AIR-FAST. FAST TEAM Video

Today we again revisit Camp ECHO for an Interactive discussion of the recognition and management strategies for acute right ventricular failure. This talk will briefly touch on specific anatomic and physiologic considerations (differentiating from LV, ventricular interdependence, etc), diagnostic tools and strategies for prevention/treatment of acute isolated RV failure or biventricular failure, including fluid/diuretics, inotropic/vasoactive pharmacology, and finally initiation of temporary and durable MCS   If you need someone to talk to, call 1-833-AIR-FAST. FAST TEAM Video       CME Collective

This week we revisit another lecture from Camp ECHO. Josh Piotrowski of Erlanger Life Force presents a lecture that will take a look at the rare presentation of Electrical Storm. Josh says “As critical care providers, we need to recognize that uncommon is our bread and butter and we need to be informed when others may not. We will break down the current ideations on the pathophysiology and treatment of repetitive ventricular arrhythmias.” Enjoy another great talk from Camp ECHO!    If you need someone to talk to, call 1-833-AIR-FAST. FAST TEAM Video       CME Collective

Brian King steals the mic from Tony Falzone as he sits down with  Tyler Christifulli, Sam Ireland, Bryan Winchell and Brad Garmon from the REinVENT, pre-conference workshop at campECHO, to discuss their workshop. This 10 minute interview goes rogue as Joey Loehner joins the guys as they sit back and enjoy a post pre-conference beverage as they discuss a variety of different topics relating to education and orientation.

Ruth Myles, a flight nurse at Dartmouth-Hitchcock Advanced Response Team (DHART) delivers her talk at #CAMPECHO regarding PTSD and the relationship between it and video gaming and what recent research has shown. From Ruth: "We did not do enough”, this statement was made by a Dispatcher in the AfterAction Report following the mass shooting at the Pulse Nightclub, Orlando, Fl. It is an expression of psychological trauma that is echoed in us all at one time or another. Intrusive memories of the traumatic event or flashbacks are hallmark signs of PTSD, and preventive strategies are lacking. This presentation will examine recent studies that indicate the therapeutic value of video games as a cognitive vaccine.   If you need someone to talk to, call 1-833-AIR-FAST. FAST TEAM Video       CME Collective  

On today's Rotor Wash episode, join us for an interview with 3 gentlemen from HealthNet Aeromedical Services. Clinton Burley, President & CEO of HealthNet joins us along with Base Lead and Flight Paramedic, Mark Brooks and Flight Nurse Glenn Sutphin. These men truly love what they do and the people they work alongside and it shows through in the work and effort they put into their program. We discuss the experience with ECHO, the impact it has had on their service and other details relating to the industry of air medical.      As referenced in the podcast, take some time to watch this video created in collaboration with Health Net Aeromedical Services and the ECHO FAST Team as produced by flight paramedic and ECHO Future Flight Crew Alumni, Matthew Whittaker. If you need someone to talk to, call 1-833-AIR-FAST. FAST TEAM Video       CME Collective  

On today’s Rotor Wash episode, we will wrap up the Critical Care Panel Discussion from our 2018 Annual Conference ECHONooga. Our panel which is comprised of critical care experts will finish the discussion on topics and interventions that are ongoing amidst clinicians in the field.   CAMP IS THIS WEEK AND THE ECHO IS GETTING LOUDER!!! Don't forget about the #CAMPECHO Trek competition by dressing up your car or you! Prizes will be awarded to the winning team On Day 1 of #CAMPECHO!!!