Intra-aortic Balloon Pump Counterpulsation therapy is a miracle of modern science that has roots going to the 1960’s. We have come a long way since those days and now, although not a high volume request, flight crews are regularly transporting patients with these lifesaving devices in place. Because this service is not a high volume request, it’s very important to ensure you understand how an IABP works, what the numbers mean, and how you can help and hinder the mechanical function through the use of medications. Did you know that by giving a medication you believe could help stabilize your patient’s blood pressure, you may actually be potentiating the deficit the patient’s weak, and fragile heart is already experiencing? Download and join us as Eric Bauer takes us through the IABP Pearls. If you love what you are hearing from us, please take a moment and review our show in iTunes, Stitcher, Google Play Music, or wherever you get your podcasts. Your review could mean the difference in others like you hearing this information, or not. Be a part of building the future of pre-hospital, critical care, and emergency medicine!