Blue Crew Medicine

Resuscitation Before Intubation

This episode highlights the importance of looking at the entire patient during the airway management process and the utilization of hemodynamics in clinical assessment and management. Charlie, Davis and Will discuss in depth some of the findings and adjunct they utilize to help facilitate airway management.

Strumming the Cord - Spinal Cord Injuries

Dr. Doherty and Dr. Duran (PGY5 Neurosurgery Resident) join Will in discussing all things with acute spinal cord injuries. They dive into definitions and differentiations between neurogenic and spinal shock along with assessment and management of these often complex patients. 

Baby Basics! - Simplifying Neonatal Management

In this episode we are joined by Emily Wells and Lauren Russell. These are two of the awesome neonatal nurses who have been a part of AirCare and our neonatal team for the last several years. Will talks with them about some of the basics of neonatal care. Some of the things discussed include APGARs, Dextrose, STABLE, Ventilation and Respiratory management. This episode takes a deep dive into some of the simplest things that these tiny little ones need. 
 
Mixing Dextrose
https://ajemjournal-test.com.marlin-prod.literatumonline.com/article/S0735-6757(19)30220-7/fulltext
https://pemcincinnati.com/blog/521-50-dextrose-volume-hypoglycemia/#:~:text=To%20make%20D10%25%20from%20an,D25%25%20or%20D10%25%20solutions.
ETT Sizes
https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Assisting_with_elective_intubation_of_the_neonate_on_the_Butterfly_Ward/
 

Bonus Mini Episode - Minnesota and Blakemore Tubes

This is a bonus episode expanding on our Liver Failure episode with Dr. Taylor Wachs, Michael Griggs PharmD, and Will Appleby CCP. We discuss the ever mysterious Blakemore tubes and how one would go about using them. 

LiverBOMB! A Deep Dive into Liver Failure

We are joined once again by Michael Griggs PharmD, Dr. Taylor Wachs, and Will Appleby to discuss liver failure and its management and complications. We discuss everything from resuscitation management, pharmacology of course, and what are we really mitigating here. 
Definition ALF - INR>1.5 with hepatic encephalopathy and no underlying cirrhosis
AST - Liver, cardiac, skeletal, kidney, brain, pancreas
ALT - SPECIFIC to liver damage
AST/ALT Ratio = 1 = Ischemia
AST/ALT Ratio > 2.5 = Alcoholism
AST/ALT Ratio < 1 = Viral, Ischemia, Toxic
HRS = Hepatorenal Syndrome
 
NAC (Mucomyst)
Tylenol Dosing - 150mg/kg over 1 hour, 50 mg/kg over 4 hour
ALF mitigating transplant - 150mg/kg over 15 min, 12.5mg/kg/hr for 4 hours then 6.25 mg/kg/hr for 72 hours

Taking a Deep Dive into Pharm - Insulins

This episode includes Davis, Mark, and Will discussing different types of insulins and how they are used in medical practice. This also includes how they come into play with management of patients in the critical care settings and in resuscitation management.
 
The graphs reference in the episodes can be found at the following:
https://www.rn.com/nursing-news/understanding-insulin-administration/
https://www.acoi.org/sites/default/files/uploads/Langer.pdf
If you have any questions please feel free to email us at MCESEducation@umc.edu

Pediatric Toxicology - Kids Play Different Episode 2

This is episode 2 of 2 on pediatric toxicology. This episode again discusses peds tox, but more poly-pharmacy and "skittles" induced situations that may arise. Dr. Matt, Brad, Paul, and Will go into depth on many points and tricks they have learned or picked up along the way getting to take care of these patients. 
If you have any questions or additional requests, please feel free to email us at MCESEducation@umc.edu

Pediatric Toxicology - Kids Play Different Episode 1

This is episode 1 of 2 on pediatric toxicology discussed by Dr. Matt, Brad, Paul, and Will. This includes several cases and subjects from environmental and situational toxicology.
 
Please feel free to reach out to us if you have any additional questions or requests for future episodes at MCESEducation@umc.edu

Preeclampsia and Eclampsia - A little more than just pressure

In this episode we are joined by Dr. Rachael Morris of UMMC Maternal and Fetal Medicine along with Davis and Will. This episode goes into detail on recognition and management of mothers pre and post partum who are at risk or have preeclampsia and may progress to eclampsia. 
 
We discuss our STORK class in this episode and if you would like to attend or are interested in more information about STORK or our MCES app, please contact us at AirCareEducation@umc.edu

Pediatric Cardiology - CHD and Arrhythmias

in this episode Will is joined by Dr. Weiland  from the UMMC Pediatric Cardiology department. We will discuss some of what are CHDs, what are some of the management and recognition tricks. How each diagnosis presents can sometimes be a challenge, and some of stuff we discuss is the more "later onset" of these patients two to three weeks after birth. These patients also have several considerations when transporting to a tertiary center, there is some discussion about transport considerations as well. 
We also discuss several management techniques and pharmacological management of several of these patients between surgeries and how complex some of those patients can be.