Nov. 10, 2023

Controversy, Consensus, or a Little Bit of Both? With Lindsey Ewing, FP-C, & Ben Lawner, DO

Controversy, Consensus, or a Little Bit of Both? With Lindsey Ewing, FP-C, & Ben Lawner, DO

Title: Controversy, Consensus, or a Little Bit of Both? With Lindsey Ewing, FP-C, & Ben Lawner, DO


Episode Description:

In this episode of Alert Medic 1, we dive deep into some of the strategies that are crucial to prehospital emergency medicine. Join hosts Ken Sanner, Josh Cooke, and Mustafa Sidik as they welcome two star guests, Lindsey Ewing, FP-C, and Benjamin Lawner, DO, for a compelling discussion.


Together, our experts tackle the nuances of a two-person BVM technique enhanced with in-line ETCO2 monitoring for improved airway management. Lindsey Ewing elucidates the “double EC or thumbs-down with jaw thrust” approach, detailing how it revolutionizes patient ventilation.


Our conversation then pivots to the crucial timing of resuscitation before intubation, a strategy both guests passionately advocate for, emphasizing the importance of maintaining hemodynamics to prevent DASH-1A event.


Lindsey brings her front-line experience to the fore, arguing for the adoption of a guideline for IV epinephrine in crashing bronchospastic patients. The hosts discuss the quick action of IV epi over IM, potentially averting hypoxic brain injury and improving patient outcomes.


Next, the panel delves into prioritizing sepsis alerts and the criticality of avoiding hypoxia and hypotension in traumatic brain injury (TBI) cases, where proper airway management isn't just about technique—it's about the patient's survival.


Mastering the SALAD airway technique is another hot topic, with a consensus on the importance of large-bore suction catheters over the traditional Yankauer to prevent failed airways.


Apneic oxygenation during intubation is discussed next, with our guests advocating for the nasal cannula at 15L to extend the apneic oxygenation period, potentially reducing DASH-1A events.


In a shift toward pharmacological considerations, the discussion turns to the vital steps of securing an IV before administering nitroglycerin, particularly in non-hypertensive patients, to manage any ensuing hypotension.


Finally, the episode concludes with a consensus on the importance of ventilation and oxygenation before administering Narcan to reverse opioid overdoses.


This episode is a must-listen for all emergency medical professionals seeking to refine their skills and optimize patient care. Tune in for a session filled with practical wisdom, cutting-edge techniques, and life-saving strategies.


Don’t miss this crucial conversation. Stream the episode now, and elevate your practice with Alert Medic 1!



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