The FlightBridgeED Podcast provides convenient, easy-to-understand critical care medical education and current topics related to the air medical industry. Each topic builds on another and weaves together a solid foundation of emergency, critical care, and prehospital medicine.
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EMS 20/20 is podcast hosted by two experienced Paramedics. Spencer Oliver and Christopher Pfingsten discuss real calls run by real responders and pull out the lessons you won't find in a text book. This podcast is aimed at Paramedic students, seasoned Paramedics looking to refresh, or any one interested in a deeper dive into pre-hospital health care.
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Back in EMT class there was one page in the textbook that covered legal issues in pre-hospital medicine. Our world is increasingly more complicated and as a result, one page just doesn't cover it anymore. In this podcast, Sam and Nick discuss important, relevant and modern aspects of EMS law that may have been overlooked in class.
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The EMS Lighthouse Project Podcast exists to foster knowledge translation from peer-reviewed scientific journals to the street. Join Mike Verkest and Dr. Jeff Jarvis as they shine the bright light of science on EMS practice in an informative and fun way.
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Chris gives Spencer a maze with no end... or a maze with too many endings? Can Spencer pull his patient out of jeopardy and save the day? Or will he miss a vital intervention that leads to a dead end?By Christopher M Pfingsten
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Is this EKG even for the right patient? A wild call with everything from pediatric to... significant OLMC considerations causes the guys to call in some backup... this time in the form of Dr. Michael Lauria! Can the team find some useful lessons with a little help? Listen and find out!By Christopher M Pfingsten
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VENTILATOR JIU-JITSU: The Obstructive Lung Puzzle
25:18
25:18
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25:18What if the biggest mistake you’re making with your COPD vent patients isn’t in what you’re doing—but in how fast you’re doing it? In this episode, Eric Bauer takes us deep into the nuances of ventilating a COPD patient in acute respiratory failure. Through a complex case breakdown, Eric challenges conventional thinking around rate, tidal volume, a…
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When does doing nothing become negligence? In this gripping episode of The Standard of Care Podcast, hosts Samantha Johnson and Nick Adams explore two real-world legal cases in which EMS providers were sued—not for what they did but for what they didn’t do. The central issue is the failure to forcibly enter a residence during a medical alert activa…
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Chris is given the mother of all scenarios where a pediatric patients takes... well, all the medications. PLUS! We introduce the coveted DICE ROLL to spice things up! Just because Chris asks for it doesn't mean he'll get it! Luck of the draw is at play in this week's episode. VOTE ON INSTAGRAM!By Christopher M Pfingsten
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A discharge home for a patient is difficult for all the wrong reasons. Chris... defends the bad guy? Nuance is key as Chris and Spence discuss the wrong time and place in this week's episode.By Christopher M Pfingsten
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Special Edition: Bled Too Much? Is That A Thing?
1:24:54
1:24:54
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1:24:54SPENCER is back in the hotseat! Is it trauma? Is it childbirth? Is it both? Is it a code? Vote now on our Instagram and let Spencer know how you feel!By Christopher M Pfingsten
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Wrapping up a series of 5 episodes, Dr Jarvis finishes his discussion of mechanical CPR devices (MCDs) talking about papers from Utah, Vienna, Anchorage, and Cincinnati and then gives his take on how to interpret the literature and put it into practice. Papers discussed: 1) Youngquist ST, Ockerse P, Hartsell S, Stratford C, Taillac P: Mechanical ch…
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Only Anaphylaxis... and Nothing More..?
1:41:46
1:41:46
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1:41:46Is this a case of a LETHAL distracting injury? Can there ever be such a thing? Is an amped up responder with a "just-go" mentality in the right? Listen and find out!By Christopher M Pfingsten
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What happens when a determination of death GOES WRONG? In this episode of the Standard of Care Podcast, hosts Samantha Johnson and Nick Adams break down a real and heartbreaking case where EMS medics declared a 14-year-old patient deceased—only for him to be resuscitated at the hospital nearly an hour later. The fallout? A legal battle that made it…
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Special Edition: Respiratory Kombat
1:01:52
1:01:52
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1:01:52Chris is in the hotseat and his patient is in respiratory distress and making alllll the sounds. How does Chris hold up to this onslaught of respiratory trouble? Vote on our Instagram at @ems2020podcast!By Christopher M Pfingsten
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Chest pain? Check. Sus ECG? Check. STEMI? Not check. A very tired Chris and a nerded out Spencer (12-leads... go figure) give MAXIMUM effort in today's call with a curious conclusion.By Christopher M Pfingsten
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Can Spencer handle the heat? Or really... can his patient? How does Spencer do when faced with a "tough" frat bro who has a fever that just won't quit? Vote now on our Instagram!By Christopher M Pfingsten
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Last episode we described the literature showing no survival benefit to patients with the AutoPulse device. Fear not, I wasn’t ignoring the LUCAS, I just felt it deserved it’s own episode. We’ll cover the LINC and PARAMEDIC randomized controlled trials and the secondary analysis of LINC in shockable rhythms. I switched to a new production process u…
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...of bodily fluid. The guys set sail on an adventure to see what they can find on a particularly... sticky... call. Also... IT ENDS WITH A SONG!By Christopher M Pfingsten
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Special Edition: Look at This Patient's Sats
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44:40
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44:40Spencer puts Chris in the hotseat with an... anxiety call? Does Chris wind up being a big rockstar or will he never make it as a wise man? Check out @ems2020show on Instagram and VOTE!By Christopher M Pfingsten
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Oh no... apathy strikes again in this week's episode as two cars attempt to occupy the same space in traffic. An ALS fly car responds to sort out the chaos... do they achieve this goal? Listen and find out!By Christopher M Pfingsten
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Our story so far.. episode 92 looked at a study showing lower survival from in-hospital cardiac arrest in patients treated with mechanical compression devices. Episode 93 discussed an implementation study of implementing LUCAS devices in a system with high quality pit crew CPR also showing lower survival, despite spending lots of time in training o…
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Special Edition: Who Wants To Be Not Dead?
1:17:28
1:17:28
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1:17:28Spencer winds his mind around a call where a patient is heroically pulled from a fire! But they are, unfortunately, lacking a pulse. How does Spencer stack up? Check our IG to vote!By Christopher M Pfingsten
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TRAPPED IN FLESH: Respiratory Failure in Obese Patients
48:59
48:59
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48:59Join Eric Bauer and Dr. Mike Lauria as they dissect two challenging critical care transport cases centered on managing respiratory failure in obese and morbidly obese patients. Get ready for a deep dive into advanced physiological concepts, practical tips for troubleshooting ventilator settings, and real-world lessons you can apply to patient care …
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Chris and Spence try and figure out what's real and what's not on a call where an altered man wounds up getting taken to the way wrong place. The result? Not good. Not good at all.By Christopher M Pfingsten
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Ever wonder what would happen to cardiac arrest survival after a system implements LUCAS devices and trains really hard to deploy them appropriately? Wonder no more. Dr Jarvis reviews a paper from the Austin/Travis County EMS System that will shed some light on the question. This is the second episode in a series on mechanical compression devices. …
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In this episode of The Standard of Care Podcast, Samantha Johnson and Nick Adams tackle a harrowing real-life EMS case involving a catastrophic ambulance fire in Honolulu, Hawaii. A routine oxygen tank switch turned deadly, sparking conversations around scene safety, equipment maintenance, and the legal standards EMS providers face. Explore the chi…
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Special Edition: Honey, I Shrunk the Airway
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55:13
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55:13Spencer fires off a devious pediatric call where Chris is forced to weight something versus nothing! Vote on Chris' performance on Instagram!By Christopher M Pfingsten
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**WARNING this episode deals with the topic of suicide** Clinical Toxicologist and host of The Poison Lab Dr. Ryan Feldman is BACK! The thruple review a call where the patient intentionally ingests Sodium Nitrate and an EMS crew struggles to keep up with the patients rapid decline. What, if anything, can they do? Listen and find out!…
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Special Edition: Drop Kick Syndrome
1:18:53
1:18:53
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1:18:53The Special Editions are back! We kick it off with an absolute doozy of a breathing problem and lungs that are so... clear? Listen and see if Spencer suffocates or if his performance is a breath of fresh air.By Christopher M Pfingsten
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Attention Players: A crew heads to a traffic accident with multiple patients and is assigned to care for a 3.517892 year old child with a leg injury... or ARE THEY?By Christopher M Pfingsten
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Ep 92 - Mechanical CPR in InHospital Arrest
27:56
27:56
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27:56We know the literature on mechanical CPR devices on mortality in out of hospital cardiac arrest (we DO know this literature, right?), but what about in-hospital arrest? Dr. Jarvis reviews a recent paper that uses the AHA Get With The Guidelines - Resuscitation registry to assess the association between MCDs and mortality. Citations 1. Crowley C, Sa…
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MDCAST: Placenta Accreta Spectrum Disorder
46:53
46:53
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46:53In this episode of the FlightBridgeED Podcast, Dr. Michael Lauria and guest Dr. Alex Pfeiffer, a maternal-fetal medicine (MFM) fellow, delve into the critical and complex topic of Placenta Accreta Spectrum Disorder (PAS). With its rapidly evolving complications, this condition demands acute recognition, careful transport coordination, and multidisc…
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Explore the fascinating world of 12-lead ECG interpretation with a special guest, Reid Gilbert-Vass, PA-C, creator of "ECG Lectures with Reid" on YouTube. Reid discusses his journey from Marine Corps logistics to EMS and ultimately becoming a PA specializing in cardiology. Learn his structured, anatomy-driven approach to ECG interpretation, designe…
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The guys get so emo when an outpatient clinic panics and... helps? Is this a case of a sick patient or patient made sick? Listen and find out!By Christopher M Pfingsten
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New Orleans implemented a blood program and assessed the impact of the program on mortality. Dr Jarvis dives into the details of the paper and then Dr Remle Crowe joins in for a discussion on why studying blood in the field is so difficult. Citation: Broome JM, Nordham KD, Piehl M, Tatum D, Caputo S, Belding C, De Maio VJ, Taghavi S, Jackson-Weaver…
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In this episode of the FlightBridgeED Podcast, Dr. Michael Lauria dives deep into the art and science of non-invasive positive pressure ventilation (NIPPV), exploring how to optimize CPAP and BiPAP for critically ill patients. Discover advanced techniques to fine-tune ventilator settings, evaluate effectiveness, and reduce mortality and morbidity i…
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In a bid to clench the win, Chris navigates a chest pain call from the Master Your Medics 100 Patient Scenarios Book! Can he put up a strong enough performance and force Spencer to enjoy Dutch Bros? Or will he be dining on Salmon Bisque? VOTE ON INSTAGRAM! THEIR FATES ARE IN YOUR HANDS!By Christopher M Pfingsten
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In this episode of the FlightBridgeED Podcast: MDCAST, we continue our OB Critical Care Series, focusing on airway management in critically ill obstetric patients. Hosted by Dr. Michael Lauria and featuring special guest Dr. Emily McQuaid-Hanson, Director of OB Anesthesia at the University of New Mexico, this episode delivers essential insights int…
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A trauma call with a complicated patient and a ship that desperately needs a captain. Does the crew get it together or is it the end of the world as we know it?By Christopher M Pfingsten
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WE FINALLY KNOW THE PUNISHMENT FOR THE LOSER! Also, Spencer is given a complex stroke call that needs an airway! Does he recognize it? Does he act appropriately? Let us know how you think he did below!By Christopher M Pfingsten
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We've reviewed several papers in the past that suggest there might be an advantage to using IV access compared to IO access for medications in cardiac arrest. Is that really a thing? Wouldn't it be great if we had some randomized controlled trials to help answer the questions? Funny you should mention RCTs. Dr Jarvis reviews three (THREE!) new RCTs…
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Gastropocalypse: Severe GI Bleed in Critical Care Transport
41:42
41:42
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41:42Join Dr. Mike Lauria and guest Dr. Bryce Taylor, an experienced flight physician, as they delve into the complexities of transporting patients with severe gastrointestinal (GI) bleeding. From the nuances of variceal versus non-variceal bleeds to cutting-edge resuscitation strategies and critical airway management, this episode equips providers with…
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A car split hot dog style... a medic that is rude and disengaged... a massive med error... what isn't there to love about this week's episode?! Tune and find out just how wild things get in this week's episode!By Christopher M Pfingsten
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MDCAST - Obstetric Critical Care Transport Series - Preterm Labor
39:00
39:00
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39:00In this episode of the FlightBridgeED MDCAST Podcast, Dr. Michael Lauria and Dr. Elizabeth Garchar delve into a vital topic for EMS and critical care: managing preterm labor in transport. They tackle the complexities of diagnosing preterm labor, the nuances of patient risk factors, and the pillars of effective preterm care. Discover how understandi…
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Special Edition: Heli Horror with Eric Bauer
1:28:24
1:28:24
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1:28:24Join Chris, Spencer AND SPECIAL GUEST **ERIC BAUER** as the team sift through a transfer that has all the bells and whistles: an intubation, a med error, a crew conflict... this one has it all!By Christopher M Pfingsten
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Spencer and Chris dive into an ALOC call that was perhaps inappropriately placed into the hands of an AEMT. Is this a case of call turfing, or a misguided educational opportunity? Listen and find out!By Christopher M Pfingsten
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The Bleeding Edge: Finger Thoracostomy in the Field
39:22
39:22
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39:22Join us for another captivating episode of The FlightBridgeED MDCAST as Dr. Michael Lauria explores trauma medicine's most critical and evolving skill: the finger thoracostomy. Featuring special guest Dr. Bryce Taylor, a seasoned emergency physician, and flight medicine fellow currently doing a retrieval medicine fellowship at the University of Wis…
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We're back for another Master Your Medics Special Edition! Spencer tosses Chris a hot hot potato and Chris... well Chris tries. Does he need a thermometer or a calculator? Find out!By Christopher M Pfingsten
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Welcome to another essential episode of the FlightBridgeED Podcast: MDCAST, where we dive deep into the complexities of critical care and continue our high-risk OB transport conversation. This episode focuses on the often overlooked yet rapidly increasing crisis of hypertensive disorders in pregnancy. Host Dr. Mike Lauria and maternal-fetal medicin…
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Which is the best food product to cover a burn patient in? Spoiler: none. Join the guys as we learn from burn unit RN Erin Horrax that math sucks, patient advocacy is great, and pain meds are pretty darn cool too.By Christopher M Pfingsten
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In this episode of The Standard of Care podcast, hosts Samantha Johnson and Nick Adams delve into the complex legal framework of patient consent in EMS. What happens when a patient refuses care, even in life-threatening situations? How should EMS professionals navigate the fine line between consent, implied consent, and refusal, all while staying w…
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In this episode of our series on respiratory critical care called Every Breath They Take, Dr. Lauria is joined by EM/Critical Care and Flight Physician Brittney Bernardoni as they discuss how to grapple with optimizing lung protective ventilation in ARDS. Lung protective ventilation at 6 cc/kg and maintaining plateau pressures of less than 30 cmH2O…
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First rule about EMS 20/20... talk about it, constantly. Second rule... judge Spencer on our Instagram! Does he nail this code 99 call? Does he leave a lot to be desired? Check out the poll on IG @ems2020show!By Christopher M Pfingsten
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