Blue Crew Medicine

Clot Busting - Fibrinolytics Part 2

Matt and Will continue discussing the use of fibrinolytics with several other disease processes we commonly see in emergency medicine. This includes STEMIs and pulmonary emboli. As we go through the uses and dosing Will and Matt talk about some of the indications and thought processes that go into using these medications and when to pull the tirgger on utilization. 
This is part 2 of 2 with fibrinolytic use. 
As always, please feel free to email us at MCESEducation@umc.edu for any questions, comments, or concerns with our podcast.

Clot Busting - Fibrinolytics Part 1

Matt and Will take the first step in a deep dive into the use of fibrinolytics in the emergent setting. This episode covers some history and considerations when using and discussing fibrinolytic use in patients. We also take an in-depth look at the contraindications and why they are what they are. 
This episode primarily focuses on the current most common use of fibrinolytics with strokes. Matt and Will go into discussing as well what to consider and watch for after using one of these medications. 
This is part 1 of 2 with fibrinolytic use. 
As always, please feel free to email us at MCESEducation@umc.edu for any questions, comments, or concerns with our podcast.

Spatial Disorientation - The LEANS

In this episode, we take a little different path than our usual clinical realm and look at spatial disorientation. This is a relatively common occurrence in the aviation world, but also has many other applications from ground EMS to everyday life. We are joined by John Barnes who is the lead pilot at our AirCare 4 base in Greenwood with a military background and single pilot instrument flight rated (SPIFR). Will and John discuss many experiences with spatial disorientation and what we can do remain safe through occurrences like these in the HEMS and EMS industry.
 
As always any suggestions, comments, or otherwise please email us at MCESEducation@umc.edu

Pediatric Septic Shock - Identification and Management

In this episode, Adyn, Dr. Nathan Freeman, and Will discuss some of the biggest aspects of pediatric sepsis, and specifically early identification and management of septic shock. Everything from basic recognition of sick to pressors of choice and standard dosing is discussed by the three. Early identification and management is key to improving the morbidity, mortality and length of stay of some of these challenging patients.
 
As always if you have any question or want to give feedback to our team, please contact us at mceseducation@umc.edu

Vents - Let’s Break Down the Basics

We are joined in this episode by Dr. Jessie Harvey of UMMC Critical Care along with Davis and Will to discuss some of the basics behind ventilators and their management. These devices can really make or break a patient's day often times and they are an important tool to be utilized in emergency and critical care medicine. 
The group discusses everything from non-invasive to invasive modalities, including what some of the basic rational for "why they do what they do" with respect to changin modalities and settings. Come along with us as we discuss vents!
As always if you have any questions, comments, or concerns, please feel free to email us a MCESEducation@umc.edu

Adrenals -The Internal Pressor

Matt and Will discuss adrenals and the disease processes often found in the emergency medicine world that can really cloud a picture clinically. These patients are often very complex and can be quite difficult to diagnose, especially pre-hospital or with limited ability for testing. 
Take a deep dive as we discuss topics like, adrenal insufficiency and Cushing's Syndrome.
As always if you have any feedback or comments please feel free to reach out via email at MCESEducation@umc.edu

PTSI and Mental Health in Our World

We take a step back from the clinical side in this episode to focus on the clinician and the clinical care team. Cori, Brad, and Will all dive into discussions on defining PTSI and PTSD in the healthcare world, especially with such a heavy spotlight to awareness brought on through COVID. Each share personal experiences, resources, and different avenues to how to identify and work on mental health in public safety and healthcare.
 
As always if there is anything you would like to comment on please drop us an email below.
MCESEducation@umc.edu

Thyroids...”That Other Differential”

In this episode of Blue Crew Medicine Will is joined by Matt and Michael to discuss the ups and downs of thyroids and how these disease processes matter in emergency medicine and the critical care transport realm. Everything from thyroid storm basics on down to considerations in medication utilization are discussed with these patients. 
 
As always, feel free to reach out if you have any questions to our email below.
MCESEducation@umc.edu

MS Trauma Symposium Walk-Thru Part 2

This is a continuation of our episode at the MS Trauma Foundation Symposium in May of 2023. 
This part of the episode starts with Beth who discusses PTSD and trauma and their correlation.We then wrap up the episode talking with Michelle who discusses some great insights into pediatric concussions and their management.
 
Beth Huffmaster NP
Dr. Michelle Goreth NP

MS Trauma Symposium Walk-Thru Part 1

Since we were down at the MS Trauma Foundation Symposium May 1st-4th, we had the opportunity to sit down with several people throughout emergency and critical care and discuss some of the hot topics in  the trauma, emergency medicine, EMS, and rural healthcare realm.
 
John Gardner - MTF Executive Director
Mike Cole - Director Covington County EMS
Todd Jones - Manager Covington County EMS
Dr. Benji Sessums - Program Director JCJC EMS Program
Kacey Jones - Nurse Practitioner