The Resus Room

Latest Episodes:

April 2023; papers of the month Apr 01, 2023

Show notes

Welcome back to the podcast!

This month we start off thinking about sepsis, specifically fluid management and whether a restrictive approach to fluid resuscitation in combination with earlier vasopressors is advantageous over a liberal approach.

Next we have a look at a study evaluating the diagnostic benefit of ultrasound in the prehospital setting.

Finally we have a think about the benefit that traumatic brain injury patients may benefit from with regards to beta blocker therapy.

Once again we'd love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.

Simon & Rob

Neck of Femur Fractures; Roadside to Resus Mar 16, 2023

Show notes

So NOF's aren't the most glamorous of topics to cover on a podcast, but the difference we can make to patients but refining our care is huge.

Neck of femur fractures have a high and increasing incidence. They occur predominantly in frail patients who have the greatest risk of complications, both from the injury and medical interventions.

In this episode we'll be running through their presentation, discuss both the clinical and radiological diagnostics. We'll also be looking in depth about both pharmacological and non-pharmacological methods of pain relief and have a think about where fascia-iliaca compartment blocks sit with regards to pre and in- hospital practice.

Finally we'll move on to the definitive surgical approach and in-hospital care.

Once again we'd love to hear any comments or questions either via the website or social media.

Enjoy!

Simon, Rob & James

March 2023; papers of the month Mar 01, 2023

Show notes

Welcome back to the podcast!

ECMO-CPR is a growing conversation in the world of cardiac arrest management. This month we have a look at a paper which adds some great evidence to the overall picture; with an RCT on ECPR in refractory of out of hospital cardiac arrest. How will this compare to the amazing results from the ARREST trial?

Next up is a really informative paper looking at the utility of ultrasound in suspected testicular torsion in children, this may make a difference to your investigation strategy.

Lastly we look a a paper describing the journey of a quality improvement project on paramedic intubation and see the phenomenal results that the method led to.

Once again we'd love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.

Simon & Rob

Crush; Roadside to Resus Feb 20, 2023

Show notes

So in this episode we're going to be covering crush injury.

When you think about it, visions of falling rocks, industrial accidents and high speed RTCs may come to mind, but actually a crush injury can be sustained in a huge variety of ways without such vivid circumstances.

Definitions according to the Faculty of Prehospital Care are that;

'A crush injury is a direct injury resulting from crush.

Crush syndrome is the systemic manifestation of muscle cell damage resulting from pressure or crushing'

So in the episode we're going to run through all of the bits that we normally cover, from pathophysiology, to presentation and onto treatment. We'll also be looking at the controversy and evidence behind tourniquet use, fluid therapy, electrolyte management and much, much more!

Once again we'd love to hear any comments or questions either via the website or social media.

Enjoy!

Simon, Rob & James

February 2023; papers of the month Feb 01, 2023

Show notes

Welcome back!

Three more papers for you this month to inform and improve our care in acute and critical illness.

First up and following on from the recent DoseVF paper, we take a look at a study looking at the combined effect of vector change, esmolol and capping adrenaline administration in refractory VF with regards patient out ones. Could this be associated with even better patient outcomes?

Secondly we take a look at the utility of fentanyl lozenges in providing effective analgesia to patients in remote settings. Does this have potential for both prehospital and in-hospital patients prior to iv access.

Finally we cover a paper looking at prehospital management of acute behavioural disturbance; the need for restraint, the need for sedation and the subsequent effects on the patients.

Once again we'd love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.

Simon & Rob

COPD; Roadside to Resus Jan 16, 2023

Show notes

Welcome back to our first Roadside to Resus episode for 2023!

We're back with the huge topic that is COPD. In this episode we're going to delve into the depths of the topic, helping us to deliver the best possible care for this frequently encountered presentation.

Along with the standard coverage from incidence, to pathophysiology, to presentation and treatment, we'll also be covering those topics that you've specifically asked for;

The mechanism behind hypercapnoeic respiratory failure, in those patients given to much oxygen
Is there a role for end tidal CO2 interpretation in those spontaneously ventilating in acute exacerbations of COPD
How do we tease out those for home care versus those that require hospital admission
What is the role of Magnesium in these patients

Once again we'd love to hear any comments or questions either via the website or social media.

Enjoy!

Simon, Rob & James

January 2023; papers of the month Jan 01, 2023

Show notes

Welcome to 2023 and a very happy New Year!

We hope you managed to get some time with your loved ones over the festive period and we're back with the podcast again to kick off the new year.

First up, we take a look at a paper assessing whether there is benefit to treatment with thrombolytics or anticoagulants for patients in cardiac arrest due to a presumed MI.

Next up we look at the potential harm in administering steroids to patients with COVID-19 nor requiring supplemental oxygen.

Finally, we take a look at a paper assessing the potential use of point of care lactate in predicting the need for in-hospital blood product resuscitation.

Once again we'd love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.

Simon & Rob

Pacing; Roadside to Resus Dec 16, 2022

Show notes

So following on from our Bradycardia episode, we're going to look in detail at cardiac pacing.

Setting up emergency pacing in those compromised bradycardia patients can make a significant difference to patient outcomes, and doing so in a timely and slick fashion can be a real challenge.

In this episode we'll be discussing all forms of pacing, strategies for ensuring the greatest likelihood of success and the details of setup and analgesia/sedation strategies for external pacing.

Once again we'd love to hear any comments or questions either via the website or social media.

Enjoy!

Simon, Rob & James

December 2022; papers of the month Dec 01, 2022

Show notes

Welcome back to 200th episode of the podcast! A huge thank to all of you for your support and engagement.

Three more papers for you this month to challenge thinking across a board range of Emergency Care. First up we take a look at DOSE VF, an RCT look at the best defibrillation strategy for refractory VF.

Next we take a look at another RCT looking at the potential benefit of dexamethasone, in order to reduce pain in patients suffering with renal colic.

Last up, we've talked a lot about the importance of first pass success in advanced airway management, but what (if any) is the association with mortality in prehospital RSI?

Once again we'd love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.

Simon & Rob

Acute Behavioural Disturbance; Roadside to Resus Nov 18, 2022

Show notes

Acute Behavioural Disturbance (ABD), one of the most challenging, dangerous and serious presentations that we will encounter in emergency management of patients.

There is no widely accepted definition of ABD. Really it's an umbrella term for a patient presenting with a triad of features, secondary to a specific underlying cause, made up of;

Delirium
Severe agitation and aggressive behaviour
Autonomic dysfunction

In this episode we're going to run through ABD, it's causes, the approach and investigation. Excellent management of these cases relies upon high quality team working, planning, communications and strategies to keep all involved safe and we'll be discussing each of those in turn.

Enjoy!

Simon, Rob & James

Our TOPPODCAST Picks

Follow Us

Stay Connected

Related Podcasts

Links

Stay Connected

Our TOPPODCAST Picks

Follow Us

Stay Connected

The Resus Room

Related Podcasts

1

2

3

4

5

6