Ep 232 - April 2024 Monthly Round Up - Bougies, cardiac arrest, trauma, sepsis, race and medicine and choosing with intention
Jun 5, 2024
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Topics discussed include the efficacy of bougies for intubations, advancements in cardiac arrest management and trauma care, healthcare disparities based on race, intentional decision-making, and addressing EDI issues in emergency medicine.
Using a bougie during tracheal intubations increases first-pass success rates, highlighting its effectiveness in intubation procedures.
Innovative approaches like dual sequence defibrillation have shown success in improving outcomes for cardiac arrest patients, emphasizing the importance of timely interventions.
Effective management of traumatic cardiac arrests involves rapid interventions and specific steps for conditions like cardiac tamponade and exsanguination, emphasizing the critical role of prompt and targeted care.
Deep dives
Effect of Bougie Use on First Attempt Success in Tracheal Intubations
Using a bougie during tracheal intubations increases the likelihood of achieving first-pass success. A systematic review and meta-analysis revealed that planning to use a bougie initially resulted in a statistically significant ratio of 1.1 for successful intubations. This method was found to be more effective compared to techniques without a bougie, showing a 13% improvement in success rates. The study emphasized the importance of first-pass success as a quality indicator in intubation procedures.
Cardiac Arrest Management Innovations
Innovative approaches to managing cardiac arrest, such as dual sequence defibrillation, have shown significant success rates in improving patient outcomes. Evidence presented by speakers like Sheldon Cheskis highlighted the importance of complete defibrillation for successful outcomes, emphasizing the need for simultaneous defibrillation techniques for better results. These advancements in cardiac arrest management underscore the critical role of timely and effective interventions in saving lives during emergency situations.
Traumatic Cardiac Arrest Management Strategies
Zane Perkins' presentation shed light on effective strategies for managing traumatic cardiac arrests, distinguishing between conditions like cardiac tamponade and exsanguination. The presentation emphasized the time-critical nature of interventions for these cases, with higher survival rates achieved when rapid interventions are performed. Perkins outlined a structured approach involving specific steps for thoracotomies to enhance patient outcomes and highlighted the importance of prompt and targeted interventions in improving survival rates.
Promoting Equity and Inclusivity in Healthcare
Discussions led by speakers like Rita Das and Sivanthi Sivarandaraja at the RKEM CPD conference emphasized the need for addressing issues of race, equity, and inclusivity in healthcare settings. They highlighted the historical impact of race on medical practices and urged healthcare professionals to actively work towards creating a more inclusive and supportive environment for all individuals. These discussions underscored the significance of self-awareness, compassion, and creating safe spaces to promote diversity and address disparities in healthcare.
Choosing with Intention and Empowering Decisions
Liz Crow's insights on decision-making and intention emphasized the importance of making deliberate choices and commitments in one's personal and professional life. By encouraging individuals to align their decisions with their values and goals, Crow emphasized the power of intentional decision-making and the impact of saying 'no' when necessary. Her discussion highlighted the value of self-awareness, compassion, and making choices that resonate with personal values and well-being for more fulfilling and purposeful outcomes.
Welcome to St Emlyn's Monthly Round Up Podcast, your go-to source for the latest insights, developments, and discussions in emergency medicine and critical care. Each month, Iain and Simon bring you in-depth analysis, evidence-based practices, and practical advice to enhance your clinical practice and professional development.
You can find an in-depth set of shownotes on St Emlyn's. Please do also like and subscribe, wherever you get your podcasts.
This month's content includes...
Introduction
00:00 - 00:34
Do Bougies increase first pass success?
00:34 - 04:28
Cardiac arrest management - dual sequence defibrillation, personalised care and drones for AEDS.
04:28 -10:50
Trauma - Cardiac tamponade vs exsanguination
10:50 - 13:35
Sepsis - effect of the microcirculation
13:35 - 15:23
A history of race and medicine
16:54 - 18:36
Differential attainment
18:37 - 19:27
What can we do about addressing EDI issues?
19:28 - 22:20
Choosing with intention
20:21 - 26:55
The ARC-H Principle
26:56 - 28:32
Closing thoughts
28:33 - 30:10
Recommended Conferences
