Crush Syndrome

In this episode, Tyler Christifulli sits down with cardiac perfusionist Brian Cress to dig into the physiology of coronary perfusion, the mechanics of the intra-aortic balloon pump (IABP), and the clinical finesse of diastolic augmentation. Whether you're just starting to encounter balloon pumps or want to sharpen your transport strategy, this discussion is packed with visual metaphors, waveform analysis, and real-world pearls. 🫀 Topics Covered: Why coronary perfusion happens in diastole—and why it matters The physics of LVEDP and its role as a counter-pressure The concept of "diastolic-only therapy" (and why pressors can sabotage it) How counterpulsation with a balloon pump displaces blood toward the coronaries Interpreting augmented and assisted pressures on the IABP screen How heart rate affects diastolic time and perfusion Recognizing when augmented pressures might be too high Indicators that your balloon pump is helping: echo trends, art lines, and perfusion status Rate control: when it's worth considering, and what to rule out first Tips for documenting pressures during transport and fiber optic failure plans

🆕 On-Demand Class! Psychological Injury: Disenfranchised Grief In this episode, we will introduce the concept of disenfranchised grief, a form of mourning that often goes unrecognized or lacks societal support. Join Alex Jabr and Ben Vernon as they discuss the distinct challenges faced by first responders who encounter this type of grief. The conversation will address the psychological effects, the critical importance of identifying grief in oneself and colleagues, and practical strategies for fostering healthy emotional processing. Check it out in FOAMfrat Studio! Not a FOAMfrat Studio member? Learn more by clicking the link below. https://bit.ly/4cBDs1r

In this conversation, Dr. Peter Weimersheimer discusses various techniques and tips for performing cardiac ultrasound in emergency medicine. He emphasizes the importance of understanding probe movements such as sliding, fanning, and rocking to optimize cardiac views. The discussion also covers troubleshooting common challenges in cardiac imaging, the critical role of gel in obtaining clear images, and the transition between different cardiac views. Dr. Weimersheimer emphasizes the importance of identifying cardiac pathologies through ultrasound and shares techniques for obtaining the apical four-chamber view. The conversation concludes with insights into the impact of ultrasound on patient care and decision-making in emergency situations. In this conversation, Dr. Peter Weimersheimer shares his expertise on cardiac ultrasound techniques, with a focus on the apical four-chamber view and the importance of understanding ventricular shape and function. He discusses practical tips for navigating ultrasound views in critical situations, optimizing imaging techniques, and utilizing patient physiology to enhance imaging quality. The conversation also covers the interpretation of right ventricular size in cardiac arrest and differentiating between the inferior vena cava (IVC) and aorta during ultrasound imaging.

Stroke assessment tools like BEFAST are crucial for swiftly identifying symptoms and expediting treatment. However, language barriers can hinder prompt care for non-English speakers, particularly in the Hispanic community. AHORA adapts stroke assessment to be culturally and linguistically appropriate for Spanish speakers.

Navigating HIPAA in EMS isn't always black and white. In this FOAMfrat class, Matt Streger, an EMS Attorney, listens to EMS provider questions, gives real-world tools, and cuts through the noise to break down HIPAA in a way that makes sense for your next shift. Coming to FOAMfrat 5/2 www.foamfrat.com