The Resus Room

Dive into fascinating discussions around pulse oximetry's role in diagnosing vascular injuries from trauma. Discover insights from a substantial RCT comparing intravenous and intraosseous access during cardiac arrest—how do they really stack up? Plus, uncover surprising trends linking high intubation attempts to better success rates among U.S. EMS agencies. The conversation offers a critical look at how differences in practice might shape outcomes and highlights the need for further research in emergency medical protocols.

Tim Nutbeam, an expert in extrication techniques and lead author of the Faculty of Pre-Hospital Care's consensus statement, discusses urgent topics surrounding motor vehicle collisions. With over a million deaths yearly, he emphasizes the need for improved extrication practices. The conversation delves into tailored emergency protocols, the role of multidisciplinary training, and innovative recommendations for spinal injury management. Nutbeam also highlights the importance of compassionate care and swift actions during emergencies to enhance patient outcomes.

Dive into the latest research on post-resuscitation pneumothorax, revealing that around 11% of patients may be affected after CPR. Explore the complexities of diagnosing vertigo with a new clinical risk score that aims to improve patient assessment in the emergency department. Lastly, the discussion tackles the challenges of pre-alerts and the need for better communication between emergency services and departments, highlighting the importance of streamlined processes for optimal patient care.

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.