
John Wilmas
Physician and EMS Medical Director at Mercy Hospital St. Louis; Chief Physician Advisor and Medical Director at Air Methods Corp., co-host of the Air Methods Prehospital EDucation (AMPED) Podcast.
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Sep 16, 2026
Air Methods Prehospital EDucation Podcast Ep. 68: Competing Currents
7:34
7:42
7:50
23:25

Phil MoyHOST
Can one of you kind of refresh our audience as to what that means in regards to the patient's heart and why then a balloon pump is indicated for that?

John WilmasGUEST
So ejection fraction simply means how much of the blood is coming out of the heart or is being ejected from the heart with every beat.

John WilmasGUEST
I think most people, well, most non-medical people think that when the heart beats, 100% of the blood comes out of it and it gets pumped forward.
15 MINS LATER

Phil MoyHOST
For context, a regular systolic blood pressure is around 120 millimeters of mercury.
Air Methods Prehospital EDucation Podcast Ep. 67: Strategic Restraint
7:14
7:30
7:46
10:02

Phil MoyHOST
And Dr. Wilmes, do you want to explain an ER mentality when you have that 88% on room air, who's somebody who's short of tachycardic, who's 33 years old, what your typical workup is?

John WilmasGUEST
I was kind of joking about PE, but you hear hypoxemia, young person, tachycardic.

John WilmasGUEST
Certainly still infection is going to be high on the list, right? So does he have a pneumonia? Does he have a viral pneumonitis? Those sorts of things.

Phil MoyHOST
So tell us what you're worried about and what you're always going to be watching for, especially with the 33-year-old gentleman with pneumonia, labs really getting funky, a complete whiteout of his right lung.