Coffee Break HEMS Podcast
By Austin Kiser
Coffee Break HEMS PodcastOct 28, 2021
04.08 Is the AHA Wrong? (Cardiac Axis)
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:
austin@kisecpr.com
instagram: @coffeebreakhems
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04.07 Proning Severely Hypoxic Pt's (Feat David Hersey)
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
04.06 Talkin' bout Airway Management (Feat: Dr. Haney Mallemat)
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Get a copy of the airway book: www.kisercpr.com/bookstore
Link to ResusX free conference content!:
www.resusx.com/coffee-break-hems
Reach us on instagram: @coffeebreakhems
email: austin@kisercpr.com
04.05 All things ETCO2
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: austin@kisercpr.com
04.04 The Hamilton Series: Breath Types and Modes
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:
austin@kisercpr.com
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!!
04.03 Talkin' bout Vasopressors (Feat Eddy J. Gutierrez MD)
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: austin@kisercpr.com
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!
04.02 When Dispatch Doesn't Get It Right (Feat. Tyler Gausen FP-C)
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:
austin@kisercpr.com
Follow us on instragram:
@coffeebreakhems
04.01 ARDS: The death you didn't know you were responsible for
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:
austin@kisercpr.com
instagram: @coffeebreakhems
Visit our shop:
www.kisercpr.com/shop
03.19 The Achy Breaky Neonatal Heart
In this episode we'll be discussing neonatal congenital heart defects. From recognition to treatment, and everything in between.
Reach out:
kisercpr@gmail.com
instagram: @coffeebreakhems
03.18 Are Prehospital Transfusions Safe?
In this episode we'll be discussing the safety of transfusing Rh positive blood into the population at large.
03.17 Medicine Cabinet Murder Pt III
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: kisercpr@gmail.com
03.16 It Won't Fail Because Of Me
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: kisercpr@gmail.com
03.15 The fetal heart rate is dropping!!
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: kisercpr@gmail.com
Check out our reference guides and vent management book: www.kisercpr.com/shop
03.14 The 1 to 1 vent strategy
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: kisercpr@gmail.com
Check out our reference guides and vent management book: www.kisercpr.com/shop
03.13 Why do we have so many fluids!?
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: kisercpr@gmail.com
Check out our reference guides and vent management book: www.kisercpr.com/shop
03.12 How does digoxin actually work?
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: kisercpr@gmail.com
Check out our reference guides and vent management book: www.kisercpr.com/shop
03.11 Medicine Cabinet Murder Part II
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: kisercpr@gmail.com
Get your vent and lab reference cards:
kisercpr.com/shop
03.10 Demystifying Hyponatremia
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: kisercpr@gmail.com
Buy the book! www.kisercpr.com/shop
Rate us on Amazon!
03.09 Adv Hemodynamic Monitoring: The Easy Way
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: kisercpr@gmail.com
Get the Book!
03.08 The First Clean Kill
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.
03.07 BP 221/118? Well that's not good.
In this episode, we'll be discussing antihypertensive therapy in the emergency and critical care setting. Enjoy.
reach me:
kisercpr@gmail.com
intragram: @coffeebreakhems
Get your copy of the book: kisercpr.com/shop
03.06 Picking the Proper Pressor
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:
kisercpr@gmail.com
Go get your copy of "The Flight Medics Guide to Mechanical Ventilation"
03.05 The Septic Trainwreck
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".
03.04 Level Up Your Trauma Resus Package
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
03.03 Clinical Pearls: How To Crush Your Clinical Interview
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.
03.02 Brain Attack!! When do you pull the trigger.
In this episode we'll be discussing the treatment of intracranial hypertension and herniation syndromes. Enjoy!
Reach out:
instagram: @coffeebreakhems
email: kisercpr@gmail.com
Don't forget to give us that 5-star rating so we can continue to be discovered by other people like you!
03.01 The Severe Hypoxia Vent Strategy
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: kisercpr@gmail.com
02.18 Our Deadliest Intervention: The Myths of RSI
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: kisercpr@gmail.com
02.17 Medicine Cabinet Murder
In this episode we'll be looking at Benadryl (diphenhydramine) overdose and how to treat it in the field. Enjoy.
Reach out: kisercpr@gmail.com
02.16 When ACLS Kills! Part 2
In this episode we'll be reviewing different tachyarrhythmias and how to treat them. Enjoy!
02.15 When ACLS kills! Part 1
In this episode, which is part 1 of a 2-part series, we'll be discussing how different antiarrhythmics work on your action potential curve and why we shouldn't be so afraid of adenosine. Hope you like it!
02.14 Avoiding the Vented COPD Death Spiral
Hey guys, this week we're talking about intubated and vented COPDers and their annoying tendency to AutoPEEP on the vent.
02.13 Four Ways to Die on a Ventilator
This week we're talking about the logistics of properly prepping our mechanically vented patients for transport.
02.12 Why do we even give TXA?
To answer the episode title's question, it's because we want to, like, save peoples lives! In this episode, we'll take a look at fibrinolysis, tPa, TXA, and how it all works in our patients.
02.11 Going Deep into Clotting in Trauma
In this episode we talk about clotting, trauma, and why the heck we should care about calcium in our patients!
Reach out: kisercpr@gmail.com
02.10 Trapped at 10,000 feet
Hi all! In this episode I'll be discussing HAPE and HACE in a gnarly case discussion. Hope you enjoy.
Reach me at: kisercpr@gmail.com
02.09 HELLP! She's Dying!
In this episode we're talking about Pre Eclampsia, HELLP, and DIC in pregnancy. Hope you enjoy.
Reach me at : kisercpr@gmail.com
02.08 Why is that Lactate so High?
Talking about lactate fermentation and what our body does to fix it. The Cori cycle. and much more.
02.07 Looking outside of STEMI
This week we're taking a look at Cardiac axis and determining how useful it can be in your field differentials.
02.06 World's Okayest pH Talk!
Hey guys! This week we're talking about pH. What determines pH, the Stuart approach, and what the hell does bicarb do!? Hope you enjoy.
02.05 The HOPpy side of Murder
This week we'll be chit chatting about the HOP killers, ei: the reason we sometimes inadvertently kill our patient's during intubation. (so we can hopefully avoid that nonsense in the future).
02.04 Would you get on the plane?
If your pilot didn't use a checklist before takeoff, would you get on the plane? In this episode, we'll be talking about proper pre-oxygenation and the use of an intubation checklist in HEMS and EMS (and hospitals too)..
02.03 Going Deep into Mechanical Ventilation
WhooHoo, this is Part III of our mechanical vent series. We talk about pressure control ventilation, how to target ETCO2 goals, and how to help with the refractory hypoxic patient. I hope you enjoy.
#HEMS #CoffeebreakHEMS #airmedical #kisercpr #flightparamedic #flightnurse #criticalcare #emergencymedicine
02.02 When at First You Don't Succeed, Change Something
In this episode we talk about the obstructive lung strategy. This is part 2 of our 3-part intro to mechanical ventilation series. I hope you enjoy.
#HEMS #CoffeeBreakHEMS #Airmedical #flightparamedic #flightnurse #EMS #criticalcare #mechanicalventilation #foamed
02.01 How to Not Commit Murder With a Ventilator
WHAT?!?! We are one year down and kicking off season two. This year we'll be focusing on a 23 episode season that'll prepare you to take the FP-C or CFRN exam. In episode 1, we'll be starting a three part series on mechanical ventilation. I hope you enjoy!
Reach me: kisercpr@gmail.com
#HEMS #Airmedical #CoffeebreakHEMS #FOAMed #phiairmedical #emergencymedicine #flightparamedic #flightnurse #criticalcare
01.24 What kind of shock is this?
In this episode, we'll be talking about herniation syndromes and how to treat them in the prehospital arena. Hope you enjoy.
reach me at: kisercpr@gmail.com
#HEMS #coffeebreakHEMS #FOAMed #criticalcare #flightnurse #flightparamedic #airmedical
01.23 Dude his SpO2 is 61%, pull out!
In this episode, we'll be discussing the airway death spiral (not my term), and a few little tips and tricks to prevent our patients from dying to death.
Reach out: kisercpr@gmail.com
#HEMS #criticalcare #airmedical #PHIAirMedical #FOAMed #coffeebreakHEMS #flightparamedic #flightnurse
01.22 ... Is that the high pressure alarm?
In this episode, we'll be covering high resistance and low compliance on a vented patient. Hope you enjoy.
#HEMS #criticalcare #airmedical #flightnurse #flightparamedic #FOAMed #coffeebreakHEMS
01.21 The Sucky Subarachnoid, Part II. The hard part
In this episode, we finish our 2-part episode on treating a significant subarachnoid bleed in the critical care realm. Hope you enjoy.
reach out to me and let me know what you want to hear about! kisercpr@gmail.com
#HEMS #FOAMed #EMS #Airmedical #PHIairmedical #coffeebreakHEMS #criticalcare #flightparamedic #flightnurse #emergencymedicine
01.20 The Sucky Subarachnoid, Part I
This first part is a look into the ED care of a 50's female with subarachnoid hemorrhage following a ruptured aneurysm. These are incredibly dynamic patient's and give way for many different treatment modalities. Let me know what you think and be on the lookout for Part II in a few days (that's the part where the patient starts to give you a mental and logistical workout).
#HEMS #FOAMed #airmedical #criticalcare #coffeebreakHEMS #flightparamedic #flightnurse #phiairmedical #emergencymedicine
Reach me at: kisercpr@gmail.com