Episode 40 – Advanced Practice Makes Perfect w/Bill Hinckley (Part 1)

 

Is the Registered Nurse/Paramedic crew configuration optimal for HEMS? In this podcast episode, we are joined by Dr. Bill Hinckley to discuss advanced practice models. Bill is a rare breed that defines “passion” in HEMS, to say the least. His experience coupled with being an overwhelmingly nice guy led to a lengthy discussion. We did not want to cheat your experience, so we split the podcast episode into two separate parts.

This first part focuses primarily on Bill’s experience as an EM physician, flight physician, and medical director for University of Cinncinatti Health’s Air Care and Mobile Care. We talk about the pitfalls and successes of advanced practice versus standard crew configurations. We touch on specific models involving nurse practitioners, resident-level physicians, and attending-level physicians which leads into a discussion regarding the current state of American HEMS. You don’t want to miss it!

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Den Hartog Injury 2015 Survival benefit of physician-staffed HEMS assistance for trauma

Fukuda JAMA Surg 2018 Association of Prehospital ALS by physician with survival after blunt trauma OOHCA from MVC

Garner Emerg Med Australasia 2004 The role of physician staffing of HEMS in prehospital trauma response

Garner EMJ 2015 HIRT Head injury retrieval trial

https://emj.bmj.com/content/26/2/128.short

https://www.airmedandrescue.com/features/docs-onboard

http://ispub.com/IJAMT/2/1/9638

http://www.tamingthesru.com/air-care-education

https://www.uchealth.com/aircare-mobilecare/

http://www.ampa.org/

https://acctforpatients.org/

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