I felt like epidural vs subdural bleed is super easy to tell. I thought SAH would've been easy with just look for circle of Willis, but the example I posted above doesn't show that.
For the hemodynamic monitoring thing, what eventually made sense to me was more of the IA Med way of teaching where you have to picture where the blockage/failure is at. In their videos, I felt like it wasn't very helpful and didn't make sense. I started coming up with crazy ways to brute force memorize it for the FP-C and then it kinda clicked when I saw the pattern, haha. I was like oh... that's what they meant. So now I just write it out in the order it goes through the heart, CVP --> RV --> PA --> PCWP --> SVR and I am good to go. In the two months I've been working flight, I have yet to utilize this knowledge, haha. The hospitals around here do use IABP still, I heard we get those type of calls every once in awhile and do drills on them. When I was an EMT on a CCT unit, we did those calls every once in awhile and those patients would have a swan/pulmonary artery catheter usually, but I only knew what it was and not much more, when I was an EMT. Sounds like swan are outta style and IABP is being switched out with Impella, which I got some online training for. P2 and fluids, lol. No wedging/PCWP either. They say the PA diastolic is the same or similar to wedge so use that instead. *shrug* Crazy to go from ALS ground paramedic to having to learn all this. Sucks to study so much of it and not really have the experience with it, see it, touch it, and just know it for the testing environment or a bunch of online videos.
For the hemodynamic monitoring thing, what eventually made sense to me was more of the IA Med way of teaching where you have to picture where the blockage/failure is at. In their videos, I felt like it wasn't very helpful and didn't make sense. I started coming up with crazy ways to brute force memorize it for the FP-C and then it kinda clicked when I saw the pattern, haha. I was like oh... that's what they meant. So now I just write it out in the order it goes through the heart, CVP --> RV --> PA --> PCWP --> SVR and I am good to go. In the two months I've been working flight, I have yet to utilize this knowledge, haha. The hospitals around here do use IABP still, I heard we get those type of calls every once in awhile and do drills on them. When I was an EMT on a CCT unit, we did those calls every once in awhile and those patients would have a swan/pulmonary artery catheter usually, but I only knew what it was and not much more, when I was an EMT. Sounds like swan are outta style and IABP is being switched out with Impella, which I got some online training for. P2 and fluids, lol. No wedging/PCWP either. They say the PA diastolic is the same or similar to wedge so use that instead. *shrug* Crazy to go from ALS ground paramedic to having to learn all this. Sucks to study so much of it and not really have the experience with it, see it, touch it, and just know it for the testing environment or a bunch of online videos.