To paraphrase the great Dr Billy Mallon:

“ If you became a flight doc/medic because you love the adulation, the thank yous….. Boy did you fuck up. Your very finest work. That person you literally snatched from the jaws of death, your medical Mona Lisa is probably limping down

Exceptional talk from Brittney Bernardoni, MD ちゃちゃっともんきー on QI in prehospital. Get the right team, get people involved, set the rules of engagement, be timely in your review and feedback. Apply the lessons to clinical care. UW Health Med Flight Univ. of Wisconsin Emergency Medicine Univ. of Wisconsin EM Residency AMPA NAEMSP EMRS Scotland

Excellent talk on Impella transport from Kate Connelly Adam Gottula : assess the patient, confirm placement before transport, actively monitor and manage your patient. CCTMC UW Health Med Flight Univ. of Wisconsin Emergency Medicine Univ. of Wisconsin EM Residency AMPA

Great work by 3 of our med students and one of our residents, strong showing CCTMC scientific session for Univ. of Wisconsin Emergency Medicine UW Health Med Flight Univ. of Wisconsin EM Residency Madtown Sono AMPA

A study published this past month in AnnalsofEM found that physician gestalt out performed standardized sepsis screening tools.

This study adds to the piles of data showing that shutting off your brain and relying on a one-size-fits-all approach, and more importantly tying

ICU Hemodynamics:

I like the Impella device 👇because: 1) intensivists love toys similar to teenagers loving video games & 2) there are patients who I don't think would have any chances of survival without it (in a hospital without ECMO...)

Having said this, the supporting data

When using a bougie to facilitate intubation it’s important to know how to direct it

Here’s a two minute video demonstrating two microskills that are worth knowing about

Essential Bougie Microskills You Need To Know
youtu.be/aMd8zeMnRSk

After three months at sea, back to it tomorrow - looking forward to speaking at NRS Trauma and Emergencies Specialty in sunny Perth.

The intersection of emergency care, public health and social inequality - is this our problem too? (Yes).

The EuSEM document is just two pages but contains a wealth of common sense and good practice

Why do we need to bring methoxyflurane (aka Penthrox or the green whistle) to the US?

-It's shelf stable
-Tamper/abuse resistant
-Effective
-Hemodynamically neutral
-Non-opioid based
-Established manufacturing

The U.S. FDA recently lifted the restrictions on studying

(9/x) Take Home #4: #POCUS Is here to stay, is becoming standard of care, and is part of 21st century medicine. Full stop. The debate/discussion/discourse is over.

Lets move on and focus on the next era of #pocus research, education, and knowledge translation that informs the

Congratulation Drew Cathers, MD, from all of us! We are delighted to have you on our team.

Shout out and thank you to the University of Wisconsin EM residents! #ThankAResidentDay

Univ. of Wisconsin EM Residency Univ. of Wisconsin Emergency Medicine

Excellent talk from Vahé Ender🇨🇭 on the dangers of group think, the need to avoid deference to hierarchy and established power structure, and consider introducing disruptors into the established process. TBS Zermatt AMPA NAEMSP UW Health Med Flight Univ. of Wisconsin Emergency Medicine Univ. of Wisconsin EM Residency

Outstanding talk from Flora Bird of London's Air Ambulance Charity, highlighting lack of improvement in TBI care. Posits a reasonable hypothesis on the noted CV dysfunction and suggestions on how we might move forward. TBS Zermatt AMPA NAEMSP UW Health Med Flight Univ. of Wisconsin Emergency Medicine Univ. of Wisconsin EM Residency

Laura Green gives a great talk on where we are with whole blood and insight to the forthcoming SWiFT trial. TBS Zermatt AMPA NAEMSP UW Health Med Flight Univ. of Wisconsin Emergency Medicine Univ. of Wisconsin EM Residency

Call out for the outstanding Mike Abernethy 🇺🇸🏴󠁧󠁢󠁳󠁣󠁴󠁿 during a great talk on the learning experience and philosophy at ATACC from the exceptional Mark Forrest Hutch ATACC Faculty at TBS Zermatt UW Health Med Flight Univ. of Wisconsin Emergency Medicine Univ. of Wisconsin EM Residency AMPA AMPA NAEMSP

Exceptional talk from Sara Crager that we need to think better and change how we approach hypotension which truly the concern is hypoperfusion. AMPA UW Health Med Flight Univ. of Wisconsin Emergency Medicine Univ. of Wisconsin EM Residency TBS Zermatt

Yet another very interesting talk this time from Domo Damjanovic importance of venous excess asses with VExUS. More questions on value of heads up CPR. AMPA UW Health Med Flight Madtown Sono Univ. of Wisconsin Emergency Medicine Univ. of Wisconsin EM Residency TBS Zermatt