Pediatric Patients in Transport: A Different Framework
Pediatric patients in the transport environment are not small adults. The anatomic, physiologic, and pharmacologic differences are not trivial variations on adult medicine —…
Blog
Teaching, evidence, and the work behind the curve.
Mechanism-first posts on what actually happens at the bedside — and the reasoning that gets you to the right move next time.
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Transport Pharmacology: Drugs That Matter in the Aircraft
Transport pharmacology is different from bedside pharmacology in ways that matter clinically. The drugs are the same, but the context changes everything: limited formulary,…
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Stroke: Recognition, Time Targets, and the Treatment Decision
Stroke management is a race against two clocks simultaneously: the clock measuring how long brain tissue has been ischemic, and the clock measuring how…
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The Primary Survey: ABCDE as a Reasoning Framework
The primary survey is the most important clinical skill in trauma care and the one most often taught incorrectly. Understanding why the sequence is…
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Sepsis: Recognition, Criteria, and the First Hour
Sepsis kills because it is misread at the edges. Not in the obvious presentation — the febrile patient with hypotension and a white count…
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Mechanical Ventilation: The Framework Behind the Settings
Mechanical ventilation is not a set-and-forget intervention. It is a continuously active clinical decision — one that the nurse or transport clinician at the…
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Altitude Physiology for Flight and Transport: Beyond the Gas Laws
Altitude physiology is not a niche topic. For flight and transport clinicians, it is the lens through which every patient assessment and intervention decision…
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ABG Interpretation: The Reasoning Loop, Not the Sequence
ABG interpretation is the skill most clinicians think they have and fewer actually do. Not because the mechanics are hard — the steps are…