Podcasts by Coffee Break HEMS Podcast

03.19 The Achy Breaky Neonatal Heart from 2023-03-25T04:51:58

In this episode we'll be discussing neonatal congenital heart defects. From recognition to treatment, and everything in between.

Reach out:

kisercpr@g...

03.18 Are Prehospital Transfusions Safe? from 2023-02-24T21:24:01

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 from 2023-01-23T17:37:16

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: 

i...

03.16 It Won't Fail Because Of Me from 2022-12-30T14:00:24

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: Listen

03.15 The fetal heart rate is dropping!! from 2022-12-26T14:30:17

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 ...

03.14 The 1 to 1 vent strategy from 2022-12-12T14:30:44

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 beca...

03.13 Why do we have so many fluids!? from 2022-11-28T14:00:41

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 o...

03.12 How does digoxin actually work? from 2022-11-13T23:30:12

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: ...

03.11 Medicine Cabinet Murder Part II from 2022-09-26T00:23:23

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 disse...

03.10 Demystifying Hyponatremia from 2022-08-22T22:26:28

In this episode, we'll be discussing hyponatremia in the critical care world. From diagnosis to management, we've got you covered. 

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Instagram: @co...

03.09 Adv Hemodynamic Monitoring: The Easy Way from 2022-08-05T17:58:40

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 th...

03.08 The First Clean Kill from 2022-07-01T18:38:17

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 ...

03.07 BP 221/118? Well that's not good. from 2022-05-07T00:16:21

In this episode, we'll be discussing antihypertensive therapy in the emergency and critical care setting. Enjoy. 

reach me: 

kisercpr@gmail.com

intragr...

03.06 Picking the Proper Pressor from 2022-04-15T19:08:12

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 h...

03.05 The Septic Trainwreck from 2022-03-25T20:56:42

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 forge...

03.04 Level Up Your Trauma Resus Package from 2022-03-05T23:41:23

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...

03.03 Clinical Pearls: How To Crush Your Clinical Interview from 2022-02-16T01:35:32

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. from 2022-01-29T03:51

In this episode we'll be discussing the treatment of intracranial hypertension and herniation syndromes. Enjoy! 

Reach out: 

instagram: @coffeebreakhems 

emai...

03.01 The Severe Hypoxia Vent Strategy from 2022-01-11T00:32:40

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 bo...

02.18 Our Deadliest Intervention: The Myths of RSI from 2021-12-16T21:52:04

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 from 2021-11-23T23:18:22

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 from 2021-11-11T22:02:44

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

02.15 When ACLS kills! Part 1 from 2021-10-28T18:25:16

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 yo...

02.14 Avoiding the Vented COPD Death Spiral from 2021-09-21T20:02:06

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 from 2021-09-01T22:17:32

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? from 2021-08-10T23:09:48

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.&nbs...

02.11 Going Deep into Clotting in Trauma from 2021-07-27T05:03:17

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 from 2021-07-13T23:14:38

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! from 2021-05-28T23:26:51

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? from 2021-05-13T16:26:42

Talking about lactate fermentation and what our body does to fix it. The Cori cycle. and much more. 

02.07 Looking outside of STEMI from 2021-04-15T17:54:44

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! from 2021-03-31T18:26:57

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 from 2021-03-12T23:42:16

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).&n...

02.04 Would you get on the plane? from 2021-03-04T01:41:23

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...

02.03 Going Deep into Mechanical Ventilation from 2021-02-05T21:35:01

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 en...

02.02 When at First You Don't Succeed, Change Something from 2021-01-22T02:44:31

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 #CoffeeBreakHEM...

02.01 How to Not Commit Murder With a Ventilator from 2021-01-05T04:05:35

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 ...

01.24 What kind of shock is this? from 2020-12-03T00:11:42

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

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01.23 Dude his SpO2 is 61%, pull out! from 2020-11-17T01:25:48

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.c...

01.22 ... Is that the high pressure alarm? from 2020-10-30T21:33:22

In this episode, we'll be covering high resistance and low compliance on a vented patient. Hope you enjoy. 

#HEMS #criticalcare #airmedical #flightnurse #flightparamedic ...

01.21 The Sucky Subarachnoid, Part II. The hard part from 2020-10-12T23:11:28

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 ...

01.20 The Sucky Subarachnoid, Part I from 2020-10-07T23:59:14

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 tre...

01.19 Usefully Using ABG's and Other Stuff, Part II from 2020-09-21T21:20:53

Hey everyone! In this episode we'll be covering part II of the ABG Q&A session. Three questions seem to always come up anytime I'm teaching ABG's: how to compensate for the respiratory rate ...

01.18 Usefully using ABG's and other stuff, Part I from 2020-09-09T20:19:49

Hey everyone! In this part one of our ABG Q&A session, I'll be covering what the actual blood gas is, what pH is really measuring, and how to read those pesky ABG's the right way! I have a c...

01.17 The Trainwreck Newborn, Part II from 2020-08-26T20:46:58

I got a new Mic!! In this episode we'll be finishing our trainwreck newborn episode with the flight crew coming in to facilitate the transfer of this seizing neonate. I hope you enjoy. 

01.16 The Trainwreck Newborn, Part I from 2020-08-12T20:26:51

In this episode we'll be following an EMS crew as they respond to a newborn that was delivered at home and is found to be pretty sick upon their arrival. Part II of this episode will follow a fl...

01.15 Pulling the Trigger. How to be a good clinician. from 2020-07-30T19:17:36

In this episode, I'm discussing the anecdotal traits that I've seen in the EMS community that seems to define good vs poor clinicians in emergency and critical care medicine. I hope you like it!...

01.14 In's and Out's of Pressure Control Ventilation from 2020-07-21T19:47:36

today we're discussing pressure control ventilation. What are the advantages and disadvantages? What is it? Most importantly, if you're ventilating a patient in volume control, how do you safely...

01.13 The Nightmare OB Patient from 2020-07-01T18:24:14

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 ...

01.12 Resuscitate the Dying, Shocky Patient from 2020-06-15T19:14:43

Hey everyone, in this episode we'll be talking about shock and how to fight it. when you're at the scene of a call, or at bedside and are presented with a patient who is actively dying, it can b...

01.11 EMS, Destroying Lives Since Forever from 2020-05-28T18:01:57

Hey everyone, in this episode we're going to talk about stress, hyper-vigilance, being an asshole, and much more. I want to give a huge thank you to Dave Motzkin for allowing me to use this mate...

01.10 Start to Finish, Saving the Heatstroke patient from 2020-05-11T20:29:35

In today episode, we're discussing heatstrokes. Starting with the EMS response, ED care, ICU care, and the eventual outcomes, we'll delve into everything that you want to know about saving these...

01.09 Ventilator Strategies for the COVID Patient from 2020-04-23T20:07:39

Today we'll be talking about managing the intubated COVID patient on a ventilator. I know many, if not most, of our listeners are prehospital providers and they may not be super familiar with ve...

01.08 Tachyarrhythmias, EKG Mastery Series from 2020-04-08T15:27:50

Today we'll be discussing WPW in terms of treatment options for you in the field. There are many presentations of WPW, from narrow regular, to wide complex, to afib with WPW. These all need to b...

01.07 Pediatric DKA, the Right Way from 2020-03-23T23:31:55

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 inappr...

01.06 The Badassery of Base Excess from 2020-03-11T03:26:50

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...

01.05 The Sick SOB Patient, EKG Mastery Series from 2020-02-26T02:21:36

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 arres...

01.04 Why the heck do we care... About the Oxyhemoglobin Curve? from 2020-02-12T01:50:27

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 patien...

01.03 Sucky Lung Compliance, Hard to Vent Patient from 2020-01-31T01:52:21

This episode deals with the patient who is hard to ventilate or hard to bag. This can be very frustrating for our clinicians and can be very dangerous in our pediatric patient population. There ...

01.02 Make Your BiPAP Patient Love You from 2020-01-22T22:23:42

In this episode we discuss BiPAP comfort. After placing a patient on 15/5 they can still appear to be super uncomfortable, and there are several reasons that can happen. Hopefully after this 15-...

01.01 Demystifying BiPAP in 15 minutes Part I from 2020-01-13T17:49:56

Hey everyone, in this episode we'll be talking about the components of pressure support in our patients and hopefully making everyone a bit more comfortable with single level, and bi-level suppo...

Coffee Break HEMS Intro from 2020-01-07T16:37:48

Just taking a second to introduce myself and let everyone know what we're all about. The podcast focus's on critical care medicine in the prehospital setting. We hope that if you're new to the i...