hems

What sits directly at the confluence of energy transformation and digital transformation? The answer: smart energy management systems! Driven by the urge to answer the singular question of how a consumer can utilize his energy in a flexible way, join us as we find out how with Tobias Mitter, CTO and MD at gridX, A pan-European firm striving to achieve its goal of providing affordable and reliable clean energy to all. Also in the discussion: Why the energy transition not about technology, but about creating an impact, and how to explain energy management to your grandparents!

Hosts: Chris Sass, Johan Oberg

GridX - https://gridx.ai  

GridX ultimate guide to retail electricity prices - https://www.gridx.ai/resources/the-ultimate-guide-to-retail-electricity-prices  

GridX days 2023 - https://www.gridx.ai/x  

I really enjoyed this episode chatting with Andrew Middleton, Managing Director at British Gas Zero and Steve Petrie, regional manager at British Gas Zero who also is a former British Gas engineer.

I brought along for the ride my friend Adam Gilhespy from Carno to help me host the conversation as he also is a former British Gas engineer and like Andrew  understands strategy and processes. 

For anyone who knows my podcast I started it so on the ground engineers could have a more amplified voice. Unfortunately, in the energy discourses I'm privileged to be a part of these days the coal face engineers are not always being listened too.

It is why it was refreshing when Andrew reached out and asked if he could come chat with us on the podcast. Andrew is one of my listeners and openly admits he has found it extremely useful to listen and learn from the engineers I have had on the show. 

Enjoy the show

In this episode we review the available evidence, and the pros and cons, of using mechanical CPR devices like the LUCAS or Autopulse for ski patrol and mountain rescue applications.

Episode links:

CPR With a Lucas Device - An example video from EMS training

Viglino et. al. - Outcomes of On-Hill Cardiac Arrests - More saves, probably because of younger patients, bystander CPR, shockable rhythms, and shorter time to defib.

WMS Guidelines on the Care of Avalanche Victims - Recommends LUCAS use for prolonged transports and extrications.

Putzer et. al. - LUCAS in Simulated Helicopter Rescue
"Physical strain during a realistic alpine rescue mission scenario at high altitude led to a significant reduction in quality of resuscitation. Resuscitation guidelines developed at sea level are not directly applicable in the mountain terrain."

Wang et. al. - CPR Quality at Altitude, Unacclimatized Rescuers

Egger et. al. - CPR Quality at High Altitude, Acclimatized Rescuers

Cascade Rescue 'Trauma One' Toboggan

YouTube: Alyeska Resort Patrol High Performance CPR in Toboggan

As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD.

Connect with us by email at wildernessmedicineupdates@gmail.com.

You can pay us a compliment and share the show with a new listener on any popular platform here.

Ihmiset -osion avausjaksossa RADplus-tiimin vieraana on Hetti Kirves, anestesiologi ja pitkän linjan ensihoitolääkäri, jonka kanssa paneudutaan siihen mitä tämä työ hänelle merkitsee ja miten työssä jaksaa. Mitä Hetti tarkoittaa sanomalla olevansa ”all-in”-ihminen, mikä työssä vuodesta toiseen motivoi ja miten omaa pääkoppaa parhaiten hoidetaan? Kuulemme myös ensihoidon paperitiikereistä eli vastuulääkäriydestä, mutta myös operatiivisen ensihoitolääkärin työstä ja Hetin näkökulmia työskentelystä eri ensihoidon lääkäriyksiköissä (FinnHEMS 10, FinnHEMS 30, Helsingin lääkäriyksikkö). Hetti kertoo, miten hän ylipäätään päätyi lääkäriksi, anestesiologiksi ja ensihoitoon sekä miten ensihoito hänen 15-vuotisen työkokemuksensa aikana on alana ja järjestelmänä kehittynyt. Lisäksi puhutaan mm. tiimityön merkityksestä, ilmailupuolelta saaduista opeista ja tieteen tekemisestä.

As we approach the 4th anniversary of FlightBridgeED, Eric takes some time to reflect on one of the earliest and most popular podcast series we produced - Ventilator Management. It has always been one of our company goals to help clarify the mysteries of ventilator management in pre-hospital medicine. In this retrospective glance mixed with new strategy and science, you will refresh and renew your understanding of cellular respiration and ventilator management. Download, subscribe, and rate wherever you get our podcast! Don’t forget to check out the brand new Ventilator Management: A Pre-hospital Perspective (2nd Edition) book available now at FlightBridgeED.com.

In this episode of The FlightBridgeED Podcast, we are joined by Dr. Zaffer Qasim to discuss the history, application, and data of REBOA (Resuscitative Endovascular Balloon Occlusion of the Aorta) for a variety of reasons including aortic aneurysm, trauma, and so much more. You won't believe what these things can do, and you might be carrying them in the field sooner than you think!

In this episode of The FlightBridgeED Podcast, a nightmare creeps from the tattered remains of a beaten and bruised patient. The wrenching grasp of death casts a long, dark shadow over the flight team as a crucial decision means life or death. What will happen? Will the patient survive? Join us for the mesmerizing tale of The Traumatic Airway.

In this episode of The FlightBridgeED Podcast, a patient's life perches precariously atop a critical decision. What terrifying malady stands behind this horrific situation? Could it be the gripping, wrenching grasp of a myocardial infarction, or could this be the result of an even more devious fiend? Then again, it could be door number 3…

In this episode of The FlightBridgeED Podcast, Eric discusses the issue of sodium bicarb treatment in acid-base disorders through the lens of new evidence and the overall metabolic state of the patient. As paradigms in treatment shift, all of our patients benefit. Join us for this episode of the podcast.

Pre-order this exciting new book from Eric Bauer and FlightBridgeED Ventilator Management: A Pre-Hospital Perspective, written in a conversational style that is in-depth, easy to understand, and practical in application is sure to be a go-to resource for your practice. Check out this short introduction of the book from the author himself, and go online to pre-order now for a discounted price.

In this episode of The FlightBridgeED Podcast, we continue our conversation about hemodynamic pharmacology started in our previous podcast titled Pure Vasopressors. Today’s conversation focuses on left ventricular dysfunction and how inodilators such as dobutamine, and milrinone are used.

In this episode of The FlightBridgeED Podcast, like a creature stepping forth from another dimension, an unexpected delivery catches the bewildered flight crew off guard in a dizzying rush to get on the ground. Join Eric as he presents the thrilling case of the In-Flight Delivery.