Coffee Break HEMS Podcast
Episodes
05.10 CStat, Delta Pressure, I Time, and AutoPEEP
12 Dec 2025
Contributed by Lukas
In this episode, we're going to discuss some of the finer points from our previous episode on ventilating a sick ARDS patient. A listener, Jay B.,...
05.09 Ventilating some ARDS lungs
06 Dec 2025
Contributed by Lukas
In this episode, we'll be discussing mechanically ventilating a patient with incredibly low lung compliance and a high metabolic rate. It was roug...
05.08 Does that Sodium need to be replaced?
20 Nov 2025
Contributed by Lukas
In this episode, we'll discuss Serum Os and how to go about using it in a clinical setting. Serum Os = (Na X 2) + (Glu / 18) + (BUN / 2.8) Correct...
05.07 A Very Ventful Episode (T1 Vent Strategy)
05 Nov 2025
Contributed by Lukas
In this episode, we'll be discussing a patient with hypoxia AND lung obstruction! It's a fun little episode and takes a deeper look into what ...
05.06 Bro, why you so Yellow?
22 Oct 2025
Contributed by Lukas
In this episode, we'll be diving into bilirubin and why that darn patient is so yellow.
05.05 Should I start with CMV or PCV?
05 May 2025
Contributed by Lukas
In this episode we'll be looking at the differences between CMV and PCV modes on the Hamilton T1. If you're not watching this episode on Spoti...
05.04 CO2 mastery.. Hopefully
08 Apr 2025
Contributed by Lukas
In this episode we'll be diving into CO2. How is moved, what the numbers actually mean, and how we get rid of it. finally, we'll top it off wi...
05.03 High Raw or Garbage Lungs?
04 Mar 2025
Contributed by Lukas
In this episode, we'll be discussing the difference between static and dynamic lung compliance and how we can use these numbers to figure out if t...
05.02 Comprehensive Stroke Care (Feat. Tom Latosek)
20 Feb 2025
Contributed by Lukas
In this episode, we'll be discussing comprehensive stroke care with Tom Latosek. He's a former paremedic and current Resident with a special i...
05.01 What are Ketoacids, and are they bad?
27 Jan 2025
Contributed by Lukas
In this episode we'll be looking through the myths of ketoacids in the body and why they're absolutely required for life. Enjoy! Reach out: ...
04.17 The Stroke Syndromes (ASLS Part II)
19 Jan 2025
Contributed by Lukas
In this episode we'll be discussing the six most common stroke syndromes. Yes, it's not just the hemispheres that can die, weirdly the whole brain can...
04.16 Your Stroke Assessment Sucks (ASLS Part I)
05 Jan 2025
Contributed by Lukas
In this episode, we'll be discussing a better EMS stroke assessment. Is it required? No. Does it make you a better, more well-rounded provider? Yes. L...
04.15 The Soul Crusher: EMS (Feat. Sam Brawley with the NOON Podcast)
19 Dec 2024
Contributed by Lukas
In this episode Sam and I will be discussing clinical and psychological issues in EMS as well as my own personal journey towards improving my balance ...
04.14 The Nuances of ROSC (Feat. Tyler Christifulli)
02 Dec 2024
Contributed by Lukas
In this episode, Tyler and I will be discussing the logistics and nuances of ROSC care. Reach out: email: [email protected] instagram: @coffeebr...
04.13 Survival Guide to Cardiac Arrest Part III
20 Nov 2024
Contributed by Lukas
In this episode we'll be discussing our final part of cardiac arrest survival: ROSC care. People suck at it, let's fix that. reach out: instagram: @...
04.12 Survival Guide to Cardiac Arrest Part II
06 Nov 2024
Contributed by Lukas
In this episode we'll be discussing the reversible causes of cardiac arrest for PEA cardiac arrests. Are the H's and T's a little outdated and only pa...
04.11 Survival Guide To Cardiac Arrest Part I
23 Oct 2024
Contributed by Lukas
In this episode we'll be discussing cardiac arrest and some the things we can do to minimize interruptions in chest compressions. Our current CCF data...
04.10 It's your fault, own it (With Lindsey Ewing - @theprehospitalist)
30 Jun 2024
Contributed by Lukas
In this long-awaited episode, Lindsey and I will be teaming up to discuss three important topics in the world of emergency and critical care. Hypervig...
04.09 Pediatric Emergency Respiratory Care (PERCS)
17 May 2024
Contributed by Lukas
in this episode we'll be discussing the augmentation and escalation of pediatric respiratory care when we don't otherwise have a magic bullet....
04.08 Is the AHA Wrong? (Cardiac Axis)
29 Apr 2024
Contributed by Lukas
In this episode we'll be discussing cardiac axis and its importance in the differential of several non-ACS conditions. Finally, we'll answer t...
04.07 Proning Severely Hypoxic Pt's (Feat David Hersey)
10 Apr 2024
Contributed by Lukas
In this episode we'll be discussing the logistics of proning in the transport environment for severely hypoxic patients. Get a copy of the new Ai...
04.06 Talkin' bout Airway Management (Feat: Dr. Haney Mallemat)
25 Mar 2024
Contributed by Lukas
Today we were blessed with an interview with the one and only Dr. Haney Mallemat who is the founder of the ResusX medical conference and a critical ca...
04.05 All things ETCO2
16 Mar 2024
Contributed by Lukas
In this episode we'll be discussing why we breathe, how we remove CO2 and why the normal CO2 level is 40 (in the USA). Pre-Order the Clinical Ai...
04.04 The Hamilton Series: Breath Types and Modes
01 Mar 2024
Contributed by Lukas
By popular request we are adding a series of episodes throughout the year to delve into the Hamilton Ventilator as it is now becoming the standard pla...
04.03 Talkin' bout Vasopressors (Feat Eddy J. Gutierrez MD)
15 Feb 2024
Contributed by Lukas
In this episode I'll be interviewing the fascinating Eddy J. Gutierrez MD. Eddy is an critical care doc in Florida and the Author of "The Vas...
04.02 When Dispatch Doesn't Get It Right (Feat. Tyler Gausen FP-C)
26 Jan 2024
Contributed by Lukas
In this episode, Tyler and I will be discussing a patient case he has several months ago that is a great example of managing several problems at the s...
04.01 ARDS: The death you didn't know you were responsible for
16 Jan 2024
Contributed by Lukas
In this episode we'll be discussing our contribution to patient outcomes during our resuscitation of sick patients. We look at a few interesting s...
03.19 The Achy Breaky Neonatal Heart
25 Mar 2023
Contributed by Lukas
In this episode we'll be discussing neonatal congenital heart defects. From recognition to treatment, and everything in between. Reach out: ki...
03.18 Are Prehospital Transfusions Safe?
24 Feb 2023
Contributed by Lukas
In this episode we'll be discussing the safety of transfusing Rh positive blood into the population at large.
03.17 Medicine Cabinet Murder Pt III
23 Jan 2023
Contributed by Lukas
In this episode we'll be discussed the diagnosis and treatment of dextromethorphan overdose in the field and what we can do for these patients. ...
03.16 It Won't Fail Because Of Me
30 Dec 2022
Contributed by Lukas
In this episode we'll be discussing the age-old question I get on a weekly basis. How can I be better? See our full list of 2023 courses: kiserc...
03.15 The fetal heart rate is dropping!!
26 Dec 2022
Contributed by Lukas
In this episode we'll discuss the four of decelerations you may see at the bedside during a high-risk obstetrical transport. What they are and how you...
03.14 The 1 to 1 vent strategy
12 Dec 2022
Contributed by Lukas
This episode covers the termed "1:1 vent strategy". when your patient have horribly high airway resistance AND high AutoPEEP there's no other place to...
03.13 Why do we have so many fluids!?
28 Nov 2022
Contributed by Lukas
In this episode we'll be discussing the various kinds of fluid we have available for infusion, when each is necessary and how our fluid compartments w...
03.12 How does digoxin actually work?
13 Nov 2022
Contributed by Lukas
In this episode we'll be discussing digoxin and how it works in the heart. Then, we'll look at how it becomes toxic, what you'll need to look for, and...
03.11 Medicine Cabinet Murder Part II
26 Sep 2022
Contributed by Lukas
In this episode we'll be discussing diagnosis of toxicological issues, and how we can't take a primary diagnosis at face value. Check out the pr...
03.10 Demystifying Hyponatremia
22 Aug 2022
Contributed by Lukas
In this episode, we'll be discussing hyponatremia in the critical care world. From diagnosis to management, we've got you covered. Reach out:&n...
03.09 Adv Hemodynamic Monitoring: The Easy Way
05 Aug 2022
Contributed by Lukas
In this episode we'll be discussing how to conquer the hemodynamics portion of your specialty exam. It seems to be taught a little more complicated th...
03.08 The First Clean Kill
01 Jul 2022
Contributed by Lukas
In this episode I'll be discussing failure. How it seems inevitable, how it's horrible, but how it's also so important. I have never really told these...
03.07 BP 221/118? Well that's not good.
07 May 2022
Contributed by Lukas
In this episode, we'll be discussing antihypertensive therapy in the emergency and critical care setting. Enjoy. reach me: kisercpr@gmail...
03.06 Picking the Proper Pressor
15 Apr 2022
Contributed by Lukas
In this episode we'll be going over the basics of what shock really is, and how to conquer it. We'll also be going deep into the various pressors we u...
03.05 The Septic Trainwreck
25 Mar 2022
Contributed by Lukas
In this episode we'll be discussing lab interpretation of the septic patient, what our goals are, and how to perform bedside care when your patient is...
03.04 Level Up Your Trauma Resus Package
05 Mar 2022
Contributed by Lukas
In this episode we'll be discussing the interventions you HAVE to do when faced with a dying multi-system trauma patient. When we start missing these ...
03.03 Clinical Pearls: How To Crush Your Clinical Interview
16 Feb 2022
Contributed by Lukas
In this episode we'll discuss tips and tricks for dominating your clinical interview. We'll cover Trauma, ABG's, Neuro Emergencies, Labs, RSI, Preoxyg...
03.02 Brain Attack!! When do you pull the trigger.
29 Jan 2022
Contributed by Lukas
In this episode we'll be discussing the treatment of intracranial hypertension and herniation syndromes. Enjoy! Reach out: instagram: @cof...
03.01 The Severe Hypoxia Vent Strategy
11 Jan 2022
Contributed by Lukas
In this episode we'll be looking at a vent strategy for the severely hypoxic patient, and why it all lies with the mean airway pressure. Hope you enjo...
02.18 Our Deadliest Intervention: The Myths of RSI
16 Dec 2021
Contributed by Lukas
In this episode we'll be discussed the common myths surrounding RSI, and how we can be better. Also, sorry for the low volume! My Mic was acting up.&n...
02.17 Medicine Cabinet Murder
23 Nov 2021
Contributed by Lukas
In this episode we'll be looking at Benadryl (diphenhydramine) overdose and how to treat it in the field. Enjoy. Reach out: [email protected]
02.16 When ACLS Kills! Part 2
11 Nov 2021
Contributed by Lukas
In this episode we'll be reviewing different tachyarrhythmias and how to treat them. Enjoy!
02.15 When ACLS kills! Part 1
28 Oct 2021
Contributed by Lukas
In this episode, which is part 1 of a 2-part series, we'll be discussing how different antiarrhythmics work on your action potential curve and why we ...
02.14 Avoiding the Vented COPD Death Spiral
21 Sep 2021
Contributed by Lukas
Hey guys, this week we're talking about intubated and vented COPDers and their annoying tendency to AutoPEEP on the vent.
02.13 Four Ways to Die on a Ventilator
01 Sep 2021
Contributed by Lukas
This week we're talking about the logistics of properly prepping our mechanically vented patients for transport.
02.12 Why do we even give TXA?
10 Aug 2021
Contributed by Lukas
To answer the episode title's question, it's because we want to, like, save peoples lives! In this episode, we'll take a look at fibrinolysis, tPa, TX...
02.11 Going Deep into Clotting in Trauma
27 Jul 2021
Contributed by Lukas
In this episode we talk about clotting, trauma, and why the heck we should care about calcium in our patients! Reach out: [email protected]&nbs...
02.10 Trapped at 10,000 feet
13 Jul 2021
Contributed by Lukas
Hi all! In this episode I'll be discussing HAPE and HACE in a gnarly case discussion. Hope you enjoy. Reach me at: [email protected]
02.09 HELLP! She's Dying!
28 May 2021
Contributed by Lukas
In this episode we're talking about Pre Eclampsia, HELLP, and DIC in pregnancy. Hope you enjoy. Reach me at : [email protected]
02.08 Why is that Lactate so High?
13 May 2021
Contributed by Lukas
Talking about lactate fermentation and what our body does to fix it. The Cori cycle. and much more.
02.07 Looking outside of STEMI
15 Apr 2021
Contributed by Lukas
This week we're taking a look at Cardiac axis and determining how useful it can be in your field differentials.
02.06 World's Okayest pH Talk!
31 Mar 2021
Contributed by Lukas
Hey guys! This week we're talking about pH. What determines pH, the Stuart approach, and what the hell does bicarb do!? Hope you enjoy.
02.05 The HOPpy side of Murder
12 Mar 2021
Contributed by Lukas
This week we'll be chit chatting about the HOP killers, ei: the reason we sometimes inadvertently kill our patient's during intubation. (so we can hop...
02.04 Would you get on the plane?
04 Mar 2021
Contributed by Lukas
If your pilot didn't use a checklist before takeoff, would you get on the plane? In this episode, we'll be talking about proper pre-oxygenation and th...
02.03 Going Deep into Mechanical Ventilation
05 Feb 2021
Contributed by Lukas
WhooHoo, this is Part III of our mechanical vent series. We talk about pressure control ventilation, how to target ETCO2 goals, and how to help with t...
02.02 When at First You Don't Succeed, Change Something
22 Jan 2021
Contributed by Lukas
In this episode we talk about the obstructive lung strategy. This is part 2 of our 3-part intro to mechanical ventilation series. I hope you enjoy.&nb...
02.01 How to Not Commit Murder With a Ventilator
05 Jan 2021
Contributed by Lukas
WHAT?!?! We are one year down and kicking off season two. This year we'll be focusing on a 23 episode season that'll prepare you to take the FP-C or C...
01.24 What kind of shock is this?
03 Dec 2020
Contributed by Lukas
In this episode, we'll be talking about herniation syndromes and how to treat them in the prehospital arena. Hope you enjoy. reach me at: kiser...
01.23 Dude his SpO2 is 61%, pull out!
17 Nov 2020
Contributed by Lukas
In this episode, we'll be discussing the airway death spiral (not my term), and a few little tips and tricks to prevent our patients from dying to dea...
01.22 ... Is that the high pressure alarm?
30 Oct 2020
Contributed by Lukas
In this episode, we'll be covering high resistance and low compliance on a vented patient. Hope you enjoy. #HEMS #criticalcare #airmedical #fli...
01.21 The Sucky Subarachnoid, Part II. The hard part
12 Oct 2020
Contributed by Lukas
In this episode, we finish our 2-part episode on treating a significant subarachnoid bleed in the critical care realm. Hope you enjoy. reach out...
01.20 The Sucky Subarachnoid, Part I
07 Oct 2020
Contributed by Lukas
This first part is a look into the ED care of a 50's female with subarachnoid hemorrhage following a ruptured aneurysm. These are incredibly dynamic p...
01.19 Usefully Using ABG's and Other Stuff, Part II
21 Sep 2020
Contributed by Lukas
Hey everyone! In this episode we'll be covering part II of the ABG Q&A session. Three questions seem to always come up anytime I'm teaching ABG's:...
01.18 Usefully using ABG's and other stuff, Part I
09 Sep 2020
Contributed by Lukas
Hey everyone! In this part one of our ABG Q&A session, I'll be covering what the actual blood gas is, what pH is really measuring, and how to read...
01.17 The Trainwreck Newborn, Part II
26 Aug 2020
Contributed by Lukas
I got a new Mic!! In this episode we'll be finishing our trainwreck newborn episode with the flight crew coming in to facilitate the transfer of this ...
01.16 The Trainwreck Newborn, Part I
12 Aug 2020
Contributed by Lukas
In this episode we'll be following an EMS crew as they respond to a newborn that was delivered at home and is found to be pretty sick upon their arriv...
01.15 Pulling the Trigger. How to be a good clinician.
30 Jul 2020
Contributed by Lukas
In this episode, I'm discussing the anecdotal traits that I've seen in the EMS community that seems to define good vs poor clinicians in emergency and...
01.14 In's and Out's of Pressure Control Ventilation
21 Jul 2020
Contributed by Lukas
today we're discussing pressure control ventilation. What are the advantages and disadvantages? What is it? Most importantly, if you're ventilating a ...
01.13 The Nightmare OB Patient
01 Jul 2020
Contributed by Lukas
In this episode we are reviewing a case of a nightmarish high risk OB call. We've all had these calls, where we think it's going to be totally simple....
01.12 Resuscitate the Dying, Shocky Patient
15 Jun 2020
Contributed by Lukas
Hey everyone, in this episode we'll be talking about shock and how to fight it. when you're at the scene of a call, or at bedside and are presented wi...
01.11 EMS, Destroying Lives Since Forever
28 May 2020
Contributed by Lukas
Hey everyone, in this episode we're going to talk about stress, hyper-vigilance, being an asshole, and much more. I want to give a huge thank you to D...
01.10 Start to Finish, Saving the Heatstroke patient
11 May 2020
Contributed by Lukas
In today episode, we're discussing heatstrokes. Starting with the EMS response, ED care, ICU care, and the eventual outcomes, we'll delve into everyth...
01.09 Ventilator Strategies for the COVID Patient
23 Apr 2020
Contributed by Lukas
Today we'll be talking about managing the intubated COVID patient on a ventilator. I know many, if not most, of our listeners are prehospital provider...
01.08 Tachyarrhythmias, EKG Mastery Series
08 Apr 2020
Contributed by Lukas
Today we'll be discussing WPW in terms of treatment options for you in the field. There are many presentations of WPW, from narrow regular, to wide co...
01.07 Pediatric DKA, the Right Way
23 Mar 2020
Contributed by Lukas
Hey everyone, today we'll be discussing the proper way to both treat and transport a pediatric DKA patient. We'll go over the treatments and why they ...
01.06 The Badassery of Base Excess
11 Mar 2020
Contributed by Lukas
Hey everyone! In this episode we're doing a little ABG review and talking about Base Excess and why the heck we care about it in our interpretation of...
01.05 The Sick SOB Patient, EKG Mastery Series
26 Feb 2020
Contributed by Lukas
Note: This case is completely fictional and is not based on any real patient!! The following case is about a fictional patient that developed a ...
01.04 Why the heck do we care... About the Oxyhemoglobin Curve?
12 Feb 2020
Contributed by Lukas
Hey guys! In this episode, we answer that annoying question from back in medic school... Why the hell do I give two craps about the Oxyhemoglobin Curv...
01.03 Sucky Lung Compliance, Hard to Vent Patient
31 Jan 2020
Contributed by Lukas
This episode deals with the patient who is hard to ventilate or hard to bag. This can be very frustrating for our clinicians and can be very dangerous...
01.02 Make Your BiPAP Patient Love You
22 Jan 2020
Contributed by Lukas
In this episode we discuss BiPAP comfort. After placing a patient on 15/5 they can still appear to be super uncomfortable, and there are several reaso...
01.01 Demystifying BiPAP in 15 minutes Part I
13 Jan 2020
Contributed by Lukas
Hey everyone, in this episode we'll be talking about the components of pressure support in our patients and hopefully making everyone a bit more comfo...
Coffee Break HEMS Intro
07 Jan 2020
Contributed by Lukas
Just taking a second to introduce myself and let everyone know what we're all about. The podcast focus's on critical care medicine in the prehospital ...