Coffee Break HEMS Podcast

In this episode, we'll be discussing not only ventilator compensation for metabolic adidosis' but the quantitative method as well. Where are all these acids coming from? That is the question. Literature:PMID: 39964926UCol: https://medschool.cuanschutz.edu/docs/librariesprovider60/education-docs/heartbeat-im-res/suggested-read/evaluation-of-acid-base-disorders.pdf?sfvrsn=7d5f31b9_2&utmReach outemail: [email protected]: @coffeebreakhemsAustin's books/reference guides: www.kisercpr.com/bookstore

In this episode we dive into the world of dyspneic pediatrics and go over how to initiate and titrate High Flow Nasal Cannula's. Lit for this episode: PEEP Levels and HFNCPMID: 19567633PMID: 21436252PMID: 21424105PEEP and NeonatesPMID: 18646145PMID: 17989698PMID: 23471502PMID: 23307853Humidification Issues with HFNCPMID: 3747431PMID: 8917049PMID: 19595351PMID: 20406507PMID: 22207340PMID: 33627484Reach out: instagram: @coffeebreakHEMSemail: [email protected]

In this episode, we'll be discussing the different types of Atrial Fibrillation patients you'll encounter in the field and how to treat them! (And why ACLS got it wrong).

In this episode, we're going to discuss some of the finer points from our previous episode on ventilating a sick ARDS patient. A listener, Jay B., reached out with some awesome questions about the strategy and it warranted a whole other episode. Enjoy! Reach out: instagram: @coffeebreakhemsemail: [email protected] out our new book at www.kisercpr.com/bookstore

In this episode, we'll be discussing mechanically ventilating a patient with incredibly low lung compliance and a high metabolic rate. It was rough, but we got through it! Don't forget to preorder "The Flight Medic's Guide to Lab Interpretation" today! Order at: www.kisercpr.com/bookstoreReach out: Instagram: @coffeebreakhemsemail: [email protected]

In this episode, we'll discuss Serum Os and how to go about using it in a clinical setting. Serum Os = (Na X 2) + (Glu / 18) + (BUN / 2.8) Corrected Sodium = Current Na + 2 (Current Glucose + 100) Reach out! Instagram: @coffeebreakhemsEmail: [email protected] the New book! "The flight Medic's Guide to Lab Interpretation" Preorder at www.kisercpr.com

In this episode, we'll be discussing a patient with hypoxia AND lung obstruction! It's a fun little episode and takes a deeper look into what affects our CO2 and O2 on the vent. Preorder "Flight Medics Guide to Lab Interpretation" starting on 12/1! Go to amazon.com or visit us at www.kisercpr.comReach out: Instagram: @coffeebreakhemsemail: [email protected]

In this episode, we'll be diving into bilirubin and why that darn patient is so yellow.

In this episode we'll be looking at the differences between CMV and PCV modes on the Hamilton T1. If you're not watching this episode on Spotify, you're wrong! Reach out on instagram: @coffeebreakhems

In this episode we'll be diving into CO2. How is moved, what the numbers actually mean, and how we get rid of it. finally, we'll top it off with a little bit of "why is that CO2 not normal?"Reach out: Instagram: @coffeebreakhemsShop: www.kisercpr.com/shopemail: [email protected]

In this episode, we'll be discussing the difference between static and dynamic lung compliance and how we can use these numbers to figure out if the patient has high airway resistance, low lung compliance or a mixture of both! Reach out:instagram: @coffeebreakhemsemail: [email protected]: kisercpr.com/shop

In this episode, we'll be discussing comprehensive stroke care with Tom Latosek. He's a former paremedic and current Resident with a special interest in neuro. I hope you enjoy!

In this episode we'll be looking through the myths of ketoacids in the body and why they're absolutely required for life. Enjoy! Reach out: email: [email protected] instagram: @coffeebreakhems Merch and books: www.kisercpr.com/shop

In this episode we'll be discussing the six most common stroke syndromes. Yes, it's not just the hemispheres that can die, weirdly the whole brain can infarct. Reach out: [email protected] Instagram: @coffeebreakhems Merch/Books: www.kisercpr.com

In this episode, we'll be discussing a better EMS stroke assessment. Is it required? No. Does it make you a better, more well-rounded provider? Yes. Let's get over of fear of new learning and see if we can provide a better EMS stroke assessment for our level I patients.

In this episode Sam and I will be discussing clinical and psychological issues in EMS as well as my own personal journey towards improving my balance in life after a career in EMS.

In this episode, Tyler and I will be discussing the logistics and nuances of ROSC care. Reach out: email: [email protected] instagram: @coffeebreakhems Visit our Store: www.kisercpr.com/shop

In this episode we'll be discussing our final part of cardiac arrest survival: ROSC care. People suck at it, let's fix that. reach out: instagram: @coffeebreakhems email: [email protected] shop: www.kisercpr.com/shop

In this episode we'll be discussing the reversible causes of cardiac arrest for PEA cardiac arrests. Are the H's and T's a little outdated and only partially helpful? Likely. Found out more in the episode. reach out: Instagram: @coffeebreakhems email: [email protected] Shop: www.kisercpr.com/shop

In this episode we'll be discussing cardiac arrest and some the things we can do to minimize interruptions in chest compressions. Our current CCF data is disturbingly poor, and we can do better. Here's a few tips. Reach out: Instagram: @coffeebreakhems email: [email protected] Shop: www.kisercpr.com/shop

In this long-awaited episode, Lindsey and I will be teaming up to discuss three important topics in the world of emergency and critical care. Hypervigilance, owning failure, and questioning everything. Don't miss out! Get our books and reference cards: www.kisercpr.com/bookstore Reach out on instagram: @coffeebreakhem Email: [email protected]

in this episode we'll be discussing the augmentation and escalation of pediatric respiratory care when we don't otherwise have a magic bullet. Reach out: [email protected] Instagram: @coffeebreakhems Merch: www.kisercpr.com/cbh Books/Reference guides: www.kisercpr.com/bookstore

In this episode we'll be discussing cardiac axis and its importance in the differential of several non-ACS conditions. Finally, we'll answer the question: is the AHA wrong in telling us to give adenosine for monomorphic wide-complex tach? This will give you the answer. Reach out: [email protected] instagram: @coffeebreakhems Get a copy of our books! www.kisercpr.com/bookstore Get your CBH Merch: www.kisercpr.com/cbh

In this episode we'll be discussing the logistics of proning in the transport environment for severely hypoxic patients. Get a copy of the new Airway Management book: www.kisercpr.com/bookstore Go review it on Amazon today, Here: https://www.amazon.com/Clinical-Airway-Management-Prehospital-Hospital/dp/B0CY6CS3GK/ref=sr_1_1?crid=9AVH6EEE3AFF&dib=eyJ2IjoiMSJ9.fdc4TmQWEJEDpKtXZFLA0KEqGBiilwKttbBl6GZB0ktKHckKIvLBJwjBQDa0su9VE_ewMFje3reAFn0_FuAh9h4buzF36ja5FLWhtMiO8a4YXayWDKT6SCtOtjUJQJTppC21VZDHVoM_q3FPaRZ1a01HATOIl2GSVmM5rLgDc4gAlbRDQmRhEkafaIyU5Qp6jBqy0SzC21iDEfU-_tlWpZG63GPWTWIF2MG9RY0v7f0.H1VKnFWIXsKvZKZaWt-IffbypQs8NVwAyo4x7n5wE3w&dib_tag=se&keywords=clinical+airway+management&qid=1712764958&sprefix=%2Caps%2C1205&sr=8-1

Today we were blessed with an interview with the one and only Dr. Haney Mallemat who is the founder of the ResusX medical conference and a critical care doc in NJ. Haney can be found on instragram @criticalcarenow where he shares his awesome wealth of knowledge with us on a daily basis. Dr. Mallemat and I will be discussing the logistics of airway management and patient resuscitation in a scenario-based format. Get your coffee break swag: www.kisercpr.com/cbh Get a copy of the airway book: www.kisercpr.com/bookstore Link to ResusX free conference content!: https://www.resusx.com/coffee-break-hems Reach us on instagram: @coffeebreakhems email: [email protected]

In this episode we'll be discussing why we breathe, how we remove CO2 and why the normal CO2 level is 40 (in the USA). Pre-Order the Clinical Airway Management Guide www.kisercpr.com/bookstore Get CBH Merch! www.kisercpr.com/cbh Reach out on instagram: @coffeebreakhems email: [email protected]

By popular request we are adding a series of episodes throughout the year to delve into the Hamilton Ventilator as it is now becoming the standard platform the both in-hospital and prehospital critical care. In this episode we'll discuss what a "pressure ventilator" is and how the breath types work on the hamilton. Additional, we'll be talking about the basic modes of invasive ventilation on the platform. Reach out: [email protected] Instagram: @coffeebreakhems Get a copy of the book or vent cards: www.kisercpr.com/shop Hold off on getting the coffee break merch, but please go check it out on our shop and let us know what you think!!

In this episode I'll be interviewing the fascinating Eddy J. Gutierrez MD. Eddy is an critical care doc in Florida and the Author of "The Vasopressor & Inotrope Handbook". If you work in critical care and deal with vasoactive medications on a daily basis, you better own a copy of this book! You can follow Eddy on Instagram at @eddyjoemd and visit him on his website at www.eddyjoemd.com Reach out: [email protected] Shop: www.kisercpr.com Don't forget to snag a copy of our new reference guides and a be on the lookout for our preorders for the second book!

In this episode, Tyler and I will be discussing a patient case he has several months ago that is a great example of managing several problems at the same time in the field. We also get into a great discussion on how to differentiate between DKA and HHS in the field as well as the differences in our considerations during an interfacility transport of these patients. Check out our reference cards: www.kisercpr.com/shop Reach out: [email protected] Follow us on instragram: @coffeebreakhems

In this episode we'll be discussing our contribution to patient outcomes during our resuscitation of sick patients. We look at a few interesting studies that review BVM ventilation volumes and. How does this affect our patients, and is there something we can do to change this? Connect with us: [email protected] instagram: @coffeebreakhems Visit our shop: www.kisercpr.com/shop

In this episode we'll be discussing neonatal congenital heart defects. From recognition to treatment, and everything in between. Reach out: [email protected] instagram: @coffeebreakhems

In this episode we'll be discussing the safety of transfusing Rh positive blood into the population at large. 

In this episode we'll be discussed the diagnosis and treatment of dextromethorphan overdose in the field and what we can do for these patients.  Reach out:  instagram: @coffeebreakhems facebook: /Austinkiser  email: [email protected]  www.kisercpr.com/register

In this episode we'll be discussing the age-old question I get on a weekly basis. How can I be better?  See our full list of 2023 courses: kisercpr.com/register and click the CE tab Ask me a question:  Instagram: @coffeebreakhems facebook : /kisercpr emails: [email protected] 

In this episode we'll discuss the four of decelerations you may see at the bedside during a high-risk obstetrical transport. What they are and how you treat them.  reach out: instagram: @coffeebreakhems facebook: Austin Kiser email: [email protected] Check out our reference guides and vent management book: www.kisercpr.com/shop

This episode covers the termed "1:1 vent strategy". when your patient have horribly high airway resistance AND high AutoPEEP there's no other place to turn. This strategy is rarely utilized because these patients aren't common, which is why it's so important to understand.  reach out: instagram: @coffeebreakhems facebook: Austin Kiser email: [email protected] Check out our reference guides and vent management book: www.kisercpr.com/shop

In this episode we'll be discussing the various kinds of fluid we have available for infusion, when each is necessary and how our fluid compartments work. Enjoy!  reach out: instagram: @coffeebreakhems facebook: Austin Kiser email: [email protected] Check out our reference guides and vent management book: www.kisercpr.com/shop

In this episode we'll be discussing digoxin and how it works in the heart. Then, we'll look at how it becomes toxic, what you'll need to look for, and how to fix it.  reach out:  instagram: @coffeebreakhems facebook: Austin Kiser email: [email protected] Check out our reference guides and vent management book: www.kisercpr.com/shop 

In this episode we'll be discussing diagnosis of toxicological issues, and how we can't take a primary diagnosis at face value.  Check out the previous episode that'll help you dissect this case: The badassery of Base Excess The Worlds Okayest pH talk Reach me:  Instragram @coffeebreakhems Email: [email protected] Get your vent and lab reference cards:  kisercpr.com/shop 

In this episode, we'll be discussing hyponatremia in the critical care world. From diagnosis to management, we've got you covered.  Reach out:  Instagram: @coffeebreakhems Email: [email protected] Buy the book! www.kisercpr.com/shop Rate us on Amazon! 

In this episode we'll be discussing how to conquer the hemodynamics portion of your specialty exam. It seems to be taught a little more complicated than it really is. Look at SVR, then follow the pressures from the right heart to the left heart. Wherever the pressure or output dies, there's your problem.  (apologies for the misspeak in the beginning, I said mm per Hg twice!)  Reach out:  Instagram @coffeebreakhems email: [email protected] Get the Book! www.kisercpr.com/shop

In this episode I'll be discussing failure. How it seems inevitable, how it's horrible, but how it's also so important. I have never really told these stories and I had to be very vulnerable in order to tell them. I hope you can find solace in the fact that this happens to us all.  

In this episode, we'll be discussing antihypertensive therapy in the emergency and critical care setting. Enjoy.  reach me:  [email protected] intragram: @coffeebreakhems Get your copy of the book: kisercpr.com/shop 

In this episode we'll be going over the basics of what shock really is, and how to conquer it. We'll also be going deep into the various pressors we use in the field to resuscitate the sickest humans on the planet.  Reach out with your suggestions for further episodes via email or IG: [email protected] @coffeebreakhems Go get your copy of "The Flight Medics Guide to Mechanical Ventilation"  www.kisercpr.com/shop 

In this episode we'll be discussing lab interpretation of the septic patient, what our goals are, and how to perform bedside care when your patient is dying.  Don't forget to snag your copy of "The Flight Medics Guide to Mechanical Ventilation".  www.kisercpr/shop

In this episode we'll be discussing the interventions you HAVE to do when faced with a dying multi-system trauma patient. When we start missing these interventions, our patients don't do as well!  Do not miss out on getting your copy of "The Flight Medic's Guide to Mechanical Ventilation". If you have struggled with vent's, if you're new, or if you're a veteran in critical care; it doesn't matter! This book will elevate your game, and deepen your understanding of mechanical ventilation.  Get the book here: www.kisercpr.com/shop

In this episode we'll discuss tips and tricks for dominating your clinical interview. We'll cover Trauma, ABG's, Neuro Emergencies, Labs, RSI, Preoxygenation, DKA, and Pressors. 

In this episode we'll be discussing the treatment of intracranial hypertension and herniation syndromes. Enjoy!  Reach out:  instagram: @coffeebreakhems  email: [email protected]  Don't forget to give us that 5-star rating so we can continue to be discovered by other people like you! 

In this episode we'll be looking at a vent strategy for the severely hypoxic patient, and why it all lies with the mean airway pressure. Hope you enjoy. Don't forget! Be on the lookout for my book, (The Flight Medic's Approach to Mechanical Ventilation) coming out in a few months, I'll be taking pre-orders soon.  Reach out: [email protected]

In this episode we'll be discussed the common myths surrounding RSI, and how we can be better. Also, sorry for the low volume! My Mic was acting up.  Reach out: [email protected]