New on-demand class is live. 🫁 Frequency and I:E Ratio — Pulmo Machina, Episode 6. Frequency is where individual breaths become a ventilation strategy. In this sixth episode of Pulmo Machina, we combine frequency, flow, and the I:E ratio to see how they shape ventilator timing and gas movement in and out of your patient. We cover why oxygenation always outranks ventilation, how to build and adjust the I:E ratio, how to use Winter's and the CO2 correction formulas to match respiratory rate to your patient's acid-base status, and practical restrictive, supportive, and obstructive strategies. Check it out in the Pumlo Machina series or the Critical Care Section of FOAMfrat Studio. FOAMfrat is an online continuing education platform (FOAMfrat Studio) for EMTs, AEMTs, Paramedics, and Nurses, focused on prehospital and critical care education. Our CAPCE and ANCC accredited courses count toward NREMT recertification and state license renewal, and support recertification for the IBSC FP-C and CCP-C, and the BCEN CFRN and CTRN. Individual subscriptions: https://bit.ly/4cBDs1r FOAMfrat Studio for your agency: https://bit.ly/3ToiUVC

Start with the Angle of Louis. Run your fingers down from the sternal notch until you feel the ridge where the manubrium meets the sternal body. That's the sternal angle, the 2nd rib attaches here, and the space just below it is the 2nd intercostal space. From there, walk down two spaces to reach the 4th ICS. Place the precordial leads. V1 — 4th ICS, right sternal border V2 — 4th ICS, left sternal border V4 — 5th ICS, left midclavicular line V3 — midway between V2 and V4 V5 — anterior axillary line, level with V4 V6 — midaxillary line, level with V4

KOUNIS SYNDROME 🐝 Anaphylaxis and chest pain in the same patient isn't always a coincidence — sometimes it's the same event. Kounis syndrome is ACS triggered by an allergic reaction, and it comes in three types: Type 1️⃣— Coronary spasm in clean arteries. No underlying CAD at all. Type 2️⃣ — Silent CAD until mast cell mediators triggered plaque erosion and a new thrombus. Type 3️⃣ — Existing stent, now thrombosed or restenosed. Stings, contrast, antibiotics, NSAIDs — there are a number of different causes!

Live continuing education for EMS, Monday through Friday at FOAMfrat Studio. Here's what's on the schedule this week. ⏰ THIS WEEK'S LIVE CLASSES Monday — Morning: Intro to the CBC Monday — Afternoon: Intro to the BMP Tuesday — Morning: Managing trauma in pregnant patients Tuesday — Afternoon: Dangerous Farm Inhalation Wednesday — Morning: Implementing Ultrasound Wednesday — Afternoon: Prehospital OB POCUS Thursday — Morning: Med Math Drop Factors Thrusday — Afternoon: Med Math Drop Factors Friday — Morning: Pancreatitis Friday — Afternoon: Intra-abdominal Catastrophes All sessions are instructor-led, CAPCE F5! ▶️ JOIN THE LIVE CLASSES: ce.foamfrat.com FOAMfrat Studio is CAPCE and ANCC accredited, with 200+ hours of on-demand content, new classes added weekly, and built-in credential tracking. Everything you need for State and NREMT recertification in one place. 🔗 Start your membership: https://www.foamfrat.com/emsandnursingcourse — Follow along — Instagram: https://www.instagram.com/foamfrat Facebook: https://www.facebook.com/FOAMfrat/ #FOAMed #EMS #Paramedic #EMT #ContinuingEducation

Tune in today for a another new live class in both our morning and afternoon sessions! SSRI Overdose ⠀ ▶️ Already a member? Check it out! ⠀ ⠀ 🆕 Not a member yet? Join today's live class — plus 200+ hours of on-demand content.⠀ ⠀ https://bit.ly/4cBDs1r

Yesterday, the FDA announced the approval of Freeze-Dried Plasma (FDP). EZPLAZ™ is the first and only FDA-approved freeze-dried plasma product. FDP is a lyophilized plasma product made from a single unit of Fresh Frozen Plasma, containing plasma proteins including all coagulation factors. 🩸 Blood groups AB and A with low-titer anti-B 💧 Equivalent to 270 mL of plasma when reconstituted 💉 Administered IV or IO 🌡️ Stored at room temperature — meaningful coagulation retention up to 12 months Indications: Transfusion in adults when plasma is required and other plasma products aren't available, including: ⏺️Management of preoperative or bleeding patients needing replacement of multiple coagulation factors (e.g., liver disease, DIC) ⏺️Massive transfusion patients with clinically significant coagulation deficiencies ⏺️Patients on warfarin who are bleeding or need urgent reversal