Coffee Break HEMS Podcast

Hey everyone, today we'll be discussing the proper way to both treat and transport a pediatric DKA patient. We'll go over the treatments and why they matter, and talk about the dangers of inappropriate management in pediatrics with a diagnosis of DKA. Some visual info for you is below:

Sample IV fluid maintenance schedule for pediatrics

• <10kg = 100ml/kg/day

• 10-20kg = (1000ml + 50ml/kg) / day

• >20kg = (1500ml + 20ml/kg) / day

Labs for Case 1:

• pH 7.11, PCO2 17, HCO3 9, BE -19, Lactate 2.7

• Na 132, K 5.2, Cl 95, CO2 8, glucose 540

• Urine: positive for glucose and ketones

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You can always reach me at: kisercpr@gmail.com

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Hey everyone! In this episode we're doing a little ABG review and talking about Base Excess and why the heck we care about it in our interpretation of a blood gas. I hope you enjoy it, and don't forget, if you have topics you want to hear about, let me know! kisercpr@gmail.com

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Note: This case is completely fictional and is not based on any real patient!!

The following case is about a fictional patient that developed a PE and eventually had a cardiac arrest in the hospital. The question posed to the audience is this: if the field personnel had PE on their differential, would the patient have survived? This case goes into utilizing the EKG as a means to identify PE's in the field. Let me know what you think! If you have any questions, comments, or ideas about another episode just email me at kisercpr@gmail.com #HEMS #FOAMed #coffeebreakhems #criticalcare #EMS #flightmedicine

Hey guys! In this episode, we answer that annoying question from back in medic school... Why the hell do I give two craps about the Oxyhemoglobin Curve and what does it have to do with my patient care. Well, it turns out that it's super important. Hopefully this podcast will answer the questions that you had regarding the curve. I really want to start getting feedback on these episodes and see if it's the kind of content that you're looking for. If you love it or hate it, let us know!! kisercpr@gmail.com

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In this episode we are reviewing a case of a nightmarish high risk OB call. We've all had these calls, where we think it's going to be totally simple... and then we walk into the room. But what happens when it's also an OB patient? How comfortable are you will the resuscitation of the pregnant woman. We did quite a bit of research to assure that we were giving you the best possible information on this one, so I hope you enjoy. If you're interested in my EFM course, it's listed in the works cited below.

Cordioli, Ricardo Luiz, et al. “Sepsis and Pregnancy: Do We Know How to Treat This Situation?” Revista Brasileira De Terapia Intensiva, Associação Brasileira De Medicina Intensiva, 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC4031877/.

Hutter, Damian, et al. “Causes and Mechanisms of Intrauterine Hypoxia and Its Impact on the Fetal Cardiovascular System: A Review.” International Journal of Pediatrics, Hindawi, 19 Oct. 2010, www.hindawi.com/journals/ijpedi/2010/401323/.

Kinsella, S. M., et al. “International Consensus Statement on the Management of Hypotension with Vasopressors during Caesarean Section under Spinal Anaesthesia.” Wiley Online Library, John Wiley & Sons, Ltd, 1 Nov. 2017, onlinelibrary.wiley.com/doi/pdf/10.1111/anae.14080.

“List of Cephalosporins + Uses, Types & Side Effects.” Drugs.com, www.drugs.com/drug-class/cephalosporins.html.

“Pneumonia in the Pregnant Patient: A Synopsis.” Medscape, 21 May 1999, www.medscape.com/viewarticle/717402_7.

Kiser, Austin. “Intro to External Fetal Monitoring.” Youtube.com, 2020, youtu.be/jQUh7nwxruA.

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