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Ali mentioned she has a check list when she gets to bedside. Would she be willing to publish that?

Great episode!

Before you pick up the laryngoscope, use a folded blanket to set up the tragus to sternal notch alignment! Then there’s no need to manipulate the head, instead use your R hand to manipulate the trachea externally via the patient’s anterior neck. Takes time to retain your R hand but it’s worth it. Thank me later 😊✌️

Looks great

Wait, finger thoracostomy on spontaneously breathing patients over say a Russell pneumofix?

You wouldn’t give it in a micro drip infusion?

Getting fight club vibes bro

Just out of curiosity how were is that on my lifepak

Please post a link to the paper from U of Maryland that shows increased efficacy of AP vs. AL pad placement. Great presentation, thanks.

Nice 👍

What is that device? Where can I get one?

Hi, would you mind attaching a link to the free critical care transport class please? I tried to find it online, none of it is free as he mentioned.

Jack, I am totally baffled by this one. How in gods name do you tell that is a WPW let alone a-fib when the rate is so damn fast that the QRS are gonna be so close to each other that you’re not gonna be able to tell if they’re regular or not, even if you marched them out, they’re so darn close at that rate I don’t see how you can do it let alone recognize it. All I see is a wide rapid ventricular rhythm. Now granted the only thing you can do with that is synchronized cardiovert. But just coming to the conclusion of WPW with a fib just totally eludes me again at that rate I don’t see the irregular irregular you’re talking about. Totally Confusing 🫤

Excellent discussion and review.

Exactly my thoughts. Don’t give adenosine to. THIS patient, meaning myself. Once they mentioned that drug, I would say go take five or 10 minutes to read up on diltiazem as an alternative that does not have the horrific side effects

Great info🙏

Excellent!

Pretty accurate

Can I ask if you gave neuromuscular blocking agent before like it is always given??

Tyler, thanks for interviewing Dr. Slishman. I'm a National Ski Patrol 'Outdoor Emergency Care' technician and instructor. We're always trying to improve and simplify the care of our patients, who may or may not be getting a ride in a helicopter. I hadn't heard of the Slishman Traction Splint until I broke my femur skiing in Colorado on April 7, 2017. Patrollers applied the STS to my injured leg, and I became an instant fan! If only they'd followed all of the instructions, it would have worked. They didn't seem to be familiar with the device, and put the groin strap around my waist. The strap wound up slipping up to my ribs as they got me into the toboggan for transport down the mountain, which removed all traction. Knowing what I know, I was able to hold traction on my own leg by pushing down on the head of the splint, which stabilized it for the duration of the sled ride. Thank you, Dr. Slishman!

Okay. This is nice.

Oh snap, the new meta just dropped - time to strike while the iron is hot

Very informative video! Thanks

This needs to make it to Apple Music and Spotify

This needs to make its way to Spotify.

Never heard of Lo-Fi before, but I absolutely dig it.

That's not 3058 is it? Looks like Mark's driving 😅

As a regular Lo-Fi enjoyer. This is sweet. One of y’all doing this on the side now?

The workbook link does not appear to work. Is there a new link that is functional?

Great teaching! Could you give me the name of the microphone on the trainers neck?

Add CV to the list . When I got covid in Jan 2020 I got it bad for 3 weeks and lost 20 lbs! 6 months later I tried to give blood and they say my pulse was too slow , below 60 . Went heart doc. Bradycardia.

Even with hypotension at that point the ETCO2 would seem to indicate the pate was compensating hemodynamically. I would have tried anything other than RSI I think..... Up the Levo and give Cardizem.

I would want to stay away from intubation as long as I could. What about considering a different route. Could this be an actual rate problem? Why at about the 20-minute mark in this scenario after seeing the 12 lead which showed a A-Fib RVR 180. Why not try a dose of Cardizem? At that moment they have a 91% Spo2 with an ETCO2 of 33......? Should the rate not been considered / treated 1st......? It was mentioned that this may have been a "compensated rate". I get that but what is it compensating for....? SPO2 and ETCO2 seem decent at this point............ ?????

Like to see more of such discussions

I'm 21 and worried abt this

Love it. Great to see you Brian!

It was a pleasure to take part in this episode! Thank you for having me @FOAMfratStudios

Absolutely incredible.

Love it! Would like to see more of these!

Cool!! What will these animations be used for?

I thought nitro vasodialates the arteries potentially increasing blood flow to the effected area? When I was in school, we were taught the acronym MONA -- Morphine Oxygen Nitro Aspirin. Now, giving morphine is bad to a person with chest pain, nitro is of no use now too?

lol

Awesome stuff!

It's rough a rough spot to be in. You can hang out with friends as a distraction, but they can't be with you 24/7 and so first responder coworkers (romantic partners ) already so often have blunted emotions these sorts of things from repeated exposure at work

If anyone out there needs a little relief, the book 30 Days to Overcome Suicidal Thoughts by Harper Daniels has some simple mindfulness lessons. Anything helps. Remember, you are not the thoughts you experience.

Bruh!!! 😎

Thanks

Promo'SM ✋

Does light/noise/vibrations affect this the same as it does with the SPO2 pleth/reading?