Coffee Break HEMS Podcast

Coffee Break HEMS Podcast

By Austin Kiser

Short-ish critical care medicine topics to help paramedics, respiratory therapists, and nurses expand their knowledge of critical care medicine and HEMS, operate better out in the field, and pass their specialty certification exams with confidence.
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03.14 The 1 to 1 vent strategy

Coffee Break HEMS PodcastDec 12, 2022
00:00
25:21
05.05 Should I start with CMV or PCV?

05.05 Should I start with CMV or PCV?

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

May 05, 202528:07
05.04 CO2 mastery.. Hopefully

05.04 CO2 mastery.. Hopefully

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: @coffeebreakhems

Shop: www.kisercpr.com/shop

email: austin@kisercpr.com

Apr 08, 202529:47
05.03 High Raw or Garbage Lungs?

05.03 High Raw or Garbage Lungs?

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: @coffeebreakhems

email: austin@kisercpr.com

Shop: kisercpr.com/shop

Mar 04, 202525:44
05.02 Comprehensive Stroke Care (Feat. Tom Latosek)

05.02 Comprehensive Stroke Care (Feat. Tom Latosek)

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!

Feb 20, 202501:00:43
05.01 What are Ketoacids, and are they bad?

05.01 What are Ketoacids, and are they bad?

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: austin@kisercpr.com

instagram: @coffeebreakhems

Merch and books: www.kisercpr.com/shop

Jan 27, 202525:11
04.17 The Stroke Syndromes (ASLS Part II)

04.17 The Stroke Syndromes (ASLS Part II)

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: austin@kisercpr.com

Instagram: @coffeebreakhems

Merch/Books: www.kisercpr.com

Jan 19, 202538:48
04.16 Your Stroke Assessment Sucks (ASLS Part I)

04.16 Your Stroke Assessment Sucks (ASLS Part I)

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.

Jan 05, 202534:47
04.15 The Soul Crusher: EMS (Feat. Sam Brawley with the NOON Podcast)

04.15 The Soul Crusher: EMS (Feat. Sam Brawley with the NOON Podcast)

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.

Dec 19, 202401:38:54
04.14 The Nuances of ROSC (Feat. Tyler Christifulli)

04.14 The Nuances of ROSC (Feat. Tyler Christifulli)

In this episode, Tyler and I will be discussing the logistics and nuances of ROSC care.


Reach out:


email: austin@kisercpr.com

instagram: @coffeebreakhems


Visit our Store: www.kisercpr.com/shop

Dec 02, 202401:35:56
04.13 Survival Guide to Cardiac Arrest Part III

04.13 Survival Guide to Cardiac Arrest Part III

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: austin@kisercpr.com

shop: www.kisercpr.com/shop

Nov 20, 202426:26
04.12 Survival Guide to Cardiac Arrest Part II

04.12 Survival Guide to Cardiac Arrest Part II

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: austin@kisercpr.com

Shop: www.kisercpr.com/shop

Nov 06, 202436:17
04.11 Survival Guide To Cardiac Arrest Part I

04.11 Survival Guide To Cardiac Arrest Part I

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: austin@kisercpr.com


Shop: www.kisercpr.com/shop

Oct 23, 202431:17
04.10 It's your fault, own it (With Lindsey Ewing - @theprehospitalist)

04.10 It's your fault, own it (With Lindsey Ewing - @theprehospitalist)

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:

austin@kisercpr.com

Jun 30, 202401:22:19
04.09 Pediatric Emergency Respiratory Care (PERCS)

04.09 Pediatric Emergency Respiratory Care (PERCS)

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:

austin@kisercpr.com

Instagram: @coffeebreakhems


Merch: www.kisercpr.com/cbh

Books/Reference guides: www.kisercpr.com/bookstore

May 17, 202433:54
04.08 Is the AHA Wrong? (Cardiac Axis)

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


Get a copy of our books! www.kisercpr.com/bookstore

Get your CBH Merch: www.kisercpr.com/cbh

Apr 29, 202435:26
04.07 Proning Severely Hypoxic Pt's (Feat David Hersey)

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

Apr 10, 202401:04:22
04.06 Talkin' bout Airway Management (Feat: Dr. Haney Mallemat)
Mar 25, 202401:44:41
04.05 All things ETCO2

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

Mar 16, 202438:50
04.04 The Hamilton Series: Breath Types and Modes

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!!

Mar 01, 202431:13
04.03 Talkin' bout Vasopressors (Feat Eddy J. Gutierrez MD)

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!

Feb 15, 202401:15:26
04.02 When Dispatch Doesn't Get It Right (Feat. Tyler Gausen FP-C)

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

Jan 26, 202401:12:37
04.01 ARDS: The death you didn't know you were responsible for

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

Jan 16, 202441:23
03.19 The Achy Breaky Neonatal Heart

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

Mar 25, 202331:48
03.18 Are Prehospital Transfusions Safe?

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. 

Feb 24, 202317:24
03.17 Medicine Cabinet Murder Pt III
Jan 23, 202316:16
03.16 It Won't Fail Because Of Me
Dec 30, 202219:44
03.15 The fetal heart rate is dropping!!

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

Dec 26, 202217:54
03.14 The 1 to 1 vent strategy

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

Dec 12, 202225:21
03.13 Why do we have so many fluids!?

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

Nov 28, 202221:03
03.12 How does digoxin actually work?

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 

Nov 13, 202213:58
03.11 Medicine Cabinet Murder Part II

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 

Sep 26, 202226:20
03.10 Demystifying Hyponatremia
Aug 22, 202224:30
03.09 Adv Hemodynamic Monitoring: The Easy Way
Aug 05, 202232:28
03.08 The First Clean Kill

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.  

Jul 01, 202231:52
03.07 BP 221/118? Well that's not good.
May 07, 202234:04
03.06 Picking the Proper Pressor
Apr 15, 202239:58
03.05 The Septic Trainwreck
Mar 25, 202238:58
03.04 Level Up Your Trauma Resus Package
Mar 05, 202229:18
03.03 Clinical Pearls: How To Crush Your Clinical Interview

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. 

Feb 16, 202245:57
03.02 Brain Attack!! When do you pull the trigger.

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! 

Jan 29, 202223:45
03.01 The Severe Hypoxia Vent Strategy

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

Jan 11, 202236:09
02.18 Our Deadliest Intervention: The Myths of RSI

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

Dec 16, 202133:09
02.17 Medicine Cabinet Murder

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

Nov 23, 202129:45
02.16 When ACLS Kills! Part 2

02.16 When ACLS Kills! Part 2

In this episode we'll be reviewing different tachyarrhythmias and how to treat them. Enjoy! 

Nov 11, 202149:38
02.15 When ACLS kills! Part 1

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! 

Oct 28, 202138:18
02.14 Avoiding the Vented COPD Death Spiral

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. 

Sep 21, 202139:09
02.13 Four Ways to Die on a Ventilator

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.

Sep 01, 202120:22
02.12 Why do we even give TXA?

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. 

Aug 10, 202127:46
02.11 Going Deep into Clotting in Trauma

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 

Jul 27, 202142:56
02.10 Trapped at 10,000 feet

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

Jul 13, 202130:28