Part two of our interfacility transfer from Hell. Tyler Christifulli, FP-C, EMT-P (@christifulli88) and Sam Ireland FP-C, EMT-P (@ireland_sam1) show us how they handle GI bleeding, arrhythmias, shock, cardiac arrest, and more, all from the confines of a helicopter. Listen to Part 1 here.
Check out the great educational content from Tyler and Sam over at FOAMfrat, including blogs, podcasts, and online EMS continuing education.
- When faced with an unstable patient in a wide complex tachycardia, stop thinking and just shock it.
- As the nature of the transport (and the patient) changes, change your focus with it. The initial diagnosis is a starting point, not a headline.
- Consider esmolol as an easily-titratable means of rate control in unstable patients.
- Communicate ahead with the receiving hospital if urgent interventions will be needed upon your arrival.
- Non-invasive positive pressure ventilation offers a preview of the hemodynamic response to intubation.