The Resus Room

Dive into the intriguing world of adrenal insufficiency and crises! Discover how cortisol regulates our wellbeing and the complexities of diagnosing adrenal issues. The conversation sheds light on recent guidance to improve awareness and management, as well as practical strategies like 'sick day rules' for those on steroids. Learn about critical management steps in emergencies, including key interventions for hypotension and the importance of collaboration with endocrinology teams. This is a must-listen for anyone interested in enhancing patient care!

Tom Roberts, an Emergency Medicine Registrar and collaborator on the SHED study, dives into the critical world of subarachnoid hemorrhage diagnosis. He discusses how non-invasive blood pressure readings can mislead in pre-hospital settings, raising important clinical questions. The conversation also explores the SHED study's findings on CT scan accuracy for SAH detection and the vital role of naloxone in improving outcomes during out-of-hospital cardiac arrests. It's a captivating blend of research insights and practical implications for emergency medicine.

Dive into the critical world of pulmonary embolisms, where early recognition can save lives. Discover the complexities of diagnosis, including risk factors and the intricate role of scoring systems like PERC and WELL. Learn how to navigate treatment options in emergencies and address unique challenges, such as those faced by pregnant patients. The podcast also highlights the importance of ongoing management and prevention strategies that ensure effective patient care. Join the hosts as they unravel the fascinating evidence behind pulmonary embolism!

This month's discussion dives into groundbreaking research on dual sequential defibrillation, focusing on how shock interval timings can improve outcomes for patients with refractory ventricular fibrillation. The hosts also tackle the best prognostication tools for upper GI bleeds, analyzing their effectiveness in clinical settings. Lastly, the potential risks associated with tranexamic acid use in trauma patients are evaluated, highlighting concerns over venous thromboembolism and the discrepancies in clinical practices across countries.

The discussion kicks off with insights on the UK REBOA trial, diving into its questionable benefits for trauma patients compared to standard care. There’s an intriguing look at dual sequential defibrillation methods for treating refractory VF, especially in obese patients, and how they stack up against traditional techniques. Finally, the potential of video livestreaming from medical scenes is explored, examining how it might improve dispatch accuracy and resource allocation in emergency situations. It's a blend of science and innovation!

Exploring the complexities of Acute Kidney Injury (AKI) from anatomy and physiology, etiologies, diagnosis, and management. Emphasizing the importance of clear definitions, fluid management, and comprehensive care. Decision-making for catheterization and strategies for treating AKI in hospitals are also discussed. A valuable episode bringing clarity to a complicated topic.

This podcast discusses the groundbreaking PREOXI trial comparing pre-oxygenation methods in critically unwell patients. They also explore the use of lidocaine patches for rib fractures and the benefits of CT head scans for patients with a first seizure. Additionally, the hosts banter about creating a podcast-inspired sticker album and humorously discuss trading stickers in hospitals during the Euros football matches.

The podcast delves into major incidents and the new triage process in the UK, emphasizing the importance of preparation. They discuss the Ten Second Triage (TST) and Major Incident Triage Tool (MITT) to be implemented soon. Insights from Phil Cowburn, an EM & PHEM consultant, are shared. Efficient 10-second triage application and continuous patient reassessment are highlighted for better response in major incidents.

This podcast delves into the significance of three key papers from June 2024. They discuss the prevalence of radiological abnormalities in first episode psychosis and the need for MRI in initial assessment. Additionally, they compare the effectiveness of physician gestalt vs. screening tools for predicting sepsis in critically ill patients. Lastly, they explore the impact of gastric distension on resuscitation outcomes post-cardiac arrest.

Exploring the art of creating the optimal environment for cardiac arrest management, focusing on workflow efficiency, team dynamics, and patient care optimization. Emphasis on strategic preparation, equipment selection, and coordination for enhanced patient outcomes. Delving into the importance of anticipating obstacles and refining workflows for managing critically ill patients effectively.