MedFlight Radio

September is “Aortic Dissection” month.    MedFlight Radio sits down with Dr. Johnathan Enlow (cardiothoracic surgeon), Dr Bradley Raetzke (ER Physician) and Sara Anderson (Outcomes Manager) and go full circle in our conversation on aortic dissection.  We start with the basic aortic anatomy 101 and review the aortic from where it arises from in the chest till it splits into the femoral arteries in the legs.     What is the difference between an aneurysm and a dissection?        This podcast progresses into diagnosing, managing and founding out who can be fixed by least invasive surgery.  Come find out why aortic dissection is sometimes called the “Great Imitator”.          This is one you don’t want to miss.   

August is back to a pediatric topic as MedFlight Radio finds their way back to Nationwide Children’s Hospital in Columbus, Ohio  and talks on infant/pediatric airway.   Today we sit down with Doctor Jill Fitch (ICU intensivist at Nationwide Children Hospital)  and Jason Pierce (Former Nationwide Children Transport Nurse and Current MedFlight Flight Nurse/Education Coordinator).  The conversation dives right in on pediatric airway assessment, treatment and current trends of managing infant and pediatric airway.  Which is better for my pediatric patient in respiratory distress—?? regular oxygen, high flow nasal cannula, CPAP, BiPAP.   Come listen in as we get the unique expertise of a pediatric ICU intensivist talking airway in kids. 

June is OB emergencies month and the focus on those high risk low volume runs.    We sit down with EMS Fellow Dr Janine Curcio and MedFlight/MedCare Medical Director Dr Brad Raetzke with this subject.   We start by talking about all of the physiological changes that go with being pregnant and then get into the most common emergencies you will see in field and hospital. As normal we talk about the whys and hows of treatments for all these emergencies.     The hope is to education and decrease some of that anxiety we have with these type of transports.   Come listen in and learn..   

May is Cardiac Arrest month!  Join Dr. Eric Cortez and Dr. Ashley Larrimore as we talk about where we are with medical cardiac arrest patients.  What works and what are the priorities in these cases?  While often controversial, many EMS agencies are taking different approaches to managing cardiac arrest. Come and listen.  You won't be disappointed.  

MedFlight Radio takes to the road for this podcast as we find ourselves at Ohio State University Medical Center East Campus with Dr Michael Sutherland (Trauma Medical Director at Ohio State Medical Center-East)  talking trauma.    Dr Ashley Larrimore, MedFlight’s own medical director joins in as we get into some tough and controversial material.   We waste no time and jump right into talk on handling trauma patients and even traumatic cardiac arrest.  How to differentiate a medical cardiac arrest patient from a traumatic one ?  Where does salt water fit into fluid resuscitation?  Is plasma better than red blood cells?   CPR or not in a trauma arrest?  Epinephrine for traumatic PEA Arrest—yes/no, Pelvic binder, should I place it or not?  These are just some of the tough questions we get into during this podcast.  Not one you want to miss… 

MedFlight Radio goes the route of pediatric DKA for the month of March 2021.  We bring in special guest Dr. Michael Stoner a long time Nationwide Children’s Hospital ER Physician to bring us up to speed on current trends in pediatric treatment.    The conversation starts pretty basic then we quickly move forward into more advanced and on-going pediatric therapy.  MedFlight Medical Director Dr Ashley Larrimore also joins in and discuss some of the differences you may see in adult DKA verses pediatric DKA.     Come join us and learn more about DKA.    

Pulmonary Embolus and COVID.   Is there any connection?  Join us as we circle back on Pulmonary Embolus from our podcast from a couple of years ago. Pulmonary Embolus cases are on the rise in central Ohio and has treatment changed along with it?       Listen to our expertise’s from OhioHealth Riverside Hospital  as we dive into Covid and the link that can lead to Pulmonary Embolus.  The conversation progresses to the algorithm for PE treatment and  if thrombolytic Medication is indicated, which one is better TPA or TNK? We finish up with trends in future treatments.     Come join us…

What is RSV and why is this simple cold virus a big deal in our infant and pediatric population?    Steve and Chris track down Michael Schibler (EMS Coordinator at Dayton Children’s Hospital) and one of our own MedFlight Flight Nurse—Tyler Altier to find out why.     Both Michael and Tyler bring a huge amount of pediatric/transport experience where they work in their respected jobs and also are active in the United States Air Force Reserve on their transport team.     We start things out with defining RSV and why this can be a bigger problem for our infant and pediatric patients.   You will be surprised to hear that some basic airway maneuvers is all that is needed in most RSV cases but do progress to more invasive/advanced treatment as they may be needed in our more severe cases.   Come listen and learn as we try to ease some of our anxiety with our high risk/low volume infant and pediatric transports.

Steve and Jason from the MedFlight Education Team join up with our friends at Nationwide Children's Hospital Transport Team to talk about pediatric asthma.   We are happy to have with us Education Officer- Caleb Carmin and Pediatric Transport Respiratory Therapist -Scott Kalseth on MedFlgiht Radio.   We open it up and really talk about all the challenges you could face on these high risk low volume runs.   The discussion leads us into assessment and management of the pediatric asthma patient.  Caleb also talks briefly on a pediatric asthma scoring sheet that his hospital has implemented.  Join in and learn more about pediatric asthma...  

MedFlight takes to the road and heads out to Kettering, Ohio for a trauma podcast with a few of the experts at Kettering Medical Center.   We start out the podcast with a great case review where it took the trauma expertise of Kettering MC to manage, treat and ultimately have a great outcome of a severely injured patient.   You will be surprised when you hear all of the great things that Kettering Medical Center is doing from a trauma standpoint.   You will quickly determine from this podcast that they are the real deal when it comes to trauma care.    We finish it up with the current literature on fluid resuscitation in trauma patients.   Come listen and find out what is going on in the Southwest part of Ohio trauma-wise.        

Calling all Nurses interested in MedFlight ---if you are a nurse and interested in critical care transport here at MedFlight, this is the podcast for you.    Who would not enjoy caring for critical care patients in a back of a helicopter or MICU?     Join Sally Betz, Brandon Carter, Jason Pierce and I (Steve Borghese) as we lay the foundation needed to be a serious candidate for a job here at MedFlight.   We will learn from our panel their career background on how they got into critical care transport and their opinions on what they recommend doing to prepare yourself for a career in critical care transport.    We also will give you some insight on our hiring and interview process.   This is a must hear podcast if you have any interest at all in critical care transport.      

The MedFlight Education Team heads over to Grant Medical Center (Columbus, Ohio) to discuss all things related to cardiac STEMI.  We are proud to host on this MedFlight radio podcast Doctor Tejas Mehta, Cardiac Interventionists with 18 years of cardiac experience, and Kathy Taylor, STEMI Coordinator/Cardiac Outcomes Manager, at Grant Medical Center.  Our discussion starts with a few great STEMI case reviews with images where processes and protocols worked like clockwork and the patients had great outcomes.  The discussions leads us into the best practice for pre-hospital and MedFlight Personnel which includes 12 lead EKG (especially borderline ones which include Left BBB),  MONA, vasopressor agent and cardiac assist devices.  We then finish up with the latest and greatest preventive things we can all do to try to decrease our chances of ending up on the Cath lab table ourselves.  Come listen and learn from our cardiac specialists at Grant Medical Center.  

Calling all Paramedics ---if you are a paramedic and are interested in critical care transport here at MedFlight, this is the podcast for you.    Who would not enjoy a helicopter or an MICU truck equipped to take ventilators, Balloon Pumps, and Impella Devices (just to name a few things) as your prime vehicle for transport?     Jason Pierce and I from the MedFlight Education Department sit down with Steve Cook and Scott Gano and lay the foundation needed to be a serious candidate for a job here at MedFlight.  From a fire department paramedic and a county run EMS Medic—we will learn their career background on how they got into critical care transport and their opinions on what they recommend doing to prepare yourself for a career in critical care medicine.     We also will give you some insight on our hiring and interview process.  This is a must hear podcast if you have any interest at all in critical care transport.  You might even laugh a little as most of us in this podcast have been around for a while.   

MedFlight Radio is at The Ohio State University Medical Center talking Traumatic Brain Injury (TBI) with Dr. Shraddha Mainali.  In this episode we review a case study, along with all the information you will need and more on recognition and management of TBI patients.   Dr Mainali is a Neurologist at the Ohio State University in Columbus, OH. She specializes in taking care of patients with stroke and other severely ill patients with Neurological conditions in the Neuro ICU, including traumatic brain injury, brain hemorrhage, brain and spine infection, brain tumor, spinal cord injury, seizures and coma etc. Dr Mainali joined The Ohio State University as an Assistant Professor of Neurology in August 2016. Dr Mainali is currently the Director of Neurovascular Ultrasound Lab at the Ohio State University, She is also the medical director of Stroke at Springfield regional medical Center-an affiliate hospital in Springfield OH. She is a research scientist with primary research interest in stroke and TBI. She is curr

In this episode of MedFlight Radio, join Steve and Chris as they head to Riverside Methodist Hospital in Columbus, Ohio to talk about pulmonary embolisms (PE).  They are joined by Dr. Michael Jolly and Dr. Chris Huff, both with over 10 years experience in cardiovascular disease and interventional cardiology.  We will also hear from Sara Anderson, who is the Advanced Heart and Vascular Clinical Program Coordinator.   This 40 minute podcast starts off with a PE case that resulted in ECMO (picture below).  From there we get questions answered about diagnosing, treatment, and what pre-hospital providers can look for in the field.   Pulmonary Angio - Pre   Right PA - Pre   Right PA - Post   Left PA - Pre   Left PA - Pre     Right and Left Pulmonary Artery Thrombus   Inari FlowTriever Thrombectomy Catheter

MedFlight Education Team is at it again with another podcast.   This time we have involved Dr Brian Katz (Neuro Vascular Specialist) and Michelle Hill (Stroke Program Coordinator) at OhioHealth Riverside Hospital Stroke Program Team.    With their expertise we tackle all the tough questions related to Stroke and Stroke Care.  We broke it up into two different podcast one focusing on non-hemorrhage stroke and specific treatment including TPA/vascular intervention and the second podcast digging deep into hemorrhagic stroke and specific treatment for those patients.   It is more neuro than one man/woman can stand, come listen and learn from the experts. 

MedFlight Education Team is at it again with another podcast.   This time we have involved Dr Brian Katz (Neuro Vascular Specialist) and Michelle Hill (Stroke Program Coordinator) at OhioHealth Riverside Hospital Stroke Program Team.    With their expertise we tackle all the tough questions related to Stroke and Stroke Care.  We broke it up into two different podcast one focusing on non-hemorrhagic stroke and specific treatment including TPA/vascular intervention and the second podcast digging deep into hemorrhagic stroke and specific treatment for those patients.   It is more neuro than one man/woman can stand, come listen and learn from the experts. 

In this Case Study episode, Steve interviews crew members who transported an ECMO patient from Fairfield Medical Center to OSU.  Hear about their experience with this complex patient, and what they learned.

Dr. Dietrich sat down with Dr. Stoner from Nationwide Children's Hospital to discuss pediatric patients in DKA (diabetic ketoacidosis) and some of the challenges that may be encountered. Stay Safe!!

This is Dr. Kincaid's first case study discussing a patient she treated that suffered a gunshot wound in the back.   Stay Safe!!