This week’s Grand Rounds started off with Dr. Paulsen walking us through how to create an enriching learning environment for our students and junior residents in the Emergency Department. Dr. Gleimer then presented an inspirational R4 Case Follow Up of a v.fib cardiac arrest that lived to tell the tale on his experience and second lease on life. Lastly, Drs. Gottula and Skrobut skillfully demonstrated best practice patterns for managing STEMI patients in helicopter EMS transport.