Flight Paramedic | Educator University of Mississippi | MeduPros.com Brandon, Mississippi
Disclosure(s): No financial relationships to disclose
Some patient cases stay with you—not just because they were difficult, but because they rewrote your approach to transport medicine. In this rapid-fire, case-based session, flight paramedic and 2025 Tim Hines Award recipient Charles Swearingen walks through his five most complex, high-acuity transports of the year. These aren’t textbook calls—they’re the impossible ones.
From a 4-day-old with sepsis to a 64-year-old patient with stroke, rhabdomyolysis, hyperkalemia, and atrial fibrillation with RVR—all at once—this lecture explores the chaos, the clinical pivots, and the team-based wins that made the difference. Each case is told through the lens of what was missed, what mattered, and what transport teams can learn to do better.
You’ll leave with pearls on sepsis, airway obstruction, status asthmaticus, vent management, hyperkalemia treatment, stroke care, and knowing when to push for a CT before activating lytics—because sometimes, it’s not the protocol that saves the patient. It’s the crew that questions it.
Learning Objectives:
Evaluate complex transport cases involving multiple overlapping clinical priorities and time-sensitive decision-making
Analyze key factors that contributed to positive outcomes in high-risk, high-pressure environments
Apply real-world clinical pearls to future transports involving neonatal, pediatric, adult, and neurocritical patients
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