The Resus Room

Exploring the challenges of diagnosing acute aortic syndrome in the ED, the significance of stroke thrombectomy, and the impact of ventilation bag size on cardiac arrest outcomes. Analyzing key papers on aortic dissection, thrombectomy for strokes, and ROSC rates based on bag size.

This episode of the podcast explores the significance of blood gases in different medical environments. It covers topics such as acid-base balance, respiratory and metabolic aspects of blood gases, anion gap in metabolic acidosis, venous blood gas analysis, and interpreting blood gases. The hosts provide valuable insights into the role of arterial samples and offer a systematic approach to interpreting results.

This podcast discusses the groundbreaking UK-REBOA trial and its implications for trauma management. They also explore the Cryostat-2 study's findings on high-dose cryoprecipitate for hemorrhage in trauma patients. Additionally, they analyze a paper on key performance errors in intubation and the significance of video laryngoscopy in emergency medicine.

This podcast explores the new guidelines for spontaneous pneumothoraces, focusing on patient-centered management. It covers the pathophysiology, presentation, and management options for spontaneous pneumothorax. The hosts discuss the changes in BTS guidelines, highlighting the benefits of conservative management. They also delve into the assessment and management of patients, including the role of needle decompression for tension pneumothorax. The podcast concludes with a discussion on ongoing trials challenging current practice.

This podcast discusses the implications of conveying patients with ROSC from cardiac arrest centers, timing of surgery for acute appendicitis, and the use of bicarbonate, calcium, and magnesium in cardiac arrest. It explores the findings of studies and the importance of well-designed prospective trials for more definitive evidence.

The hosts discuss the challenges of end-of-life care, including limited scope of practice and lack of education. They explore the importance of lasting power of attorney and advanced decision to refuse treatment forms. The speakers also highlight the role of language and accessing support in this type of care. They delve into the management of symptoms and approach to terminal hemorrhage. Overall, the podcast provides valuable insights on delivering excellent end-of-life care in the emergency care setting.

In this episode of the podcast, Rob and James catch up with speakers from the Australian College of Paramedicine International Conference, including Richard Armour discussing identifying patients requiring chest compressions at overdose prevention sites, Nick Roder on intubation in the setting of airways and inhalation burns, Dr. Tegwyn McManamny on care of the older person and delirium, Olivia Hedges on palliative care, and Chelsea Lanos on organ donation after out-of-hospital cardiac arrest in Canada.

The podcast discusses three interesting papers: the benefits of whole body CT in post-arrest patients, a pilot study on reduced dose systemic fibromyelysis in massive PE, and the use of post-mortem CT scans in trauma patients to determine cause of death. The speakers analyze the findings, address limitations, and explore potential implications for patient care.

Welcome back, this is our last podcast before our short summer break! We start off having a look at the physiological effects of prolonged resuscitation with a supraglottic device compared with endotracheal intubation, which raises some really interesting questions about our ongoing ventilation strategy in resuscitations. Next up we look at an RCT comparing RSI to DSI in critically injured patients and the effect on peri-intubation hypoxia. Finally we take a look at the practice of lateral canthotomy for retrobulbar haemorrhage/orbital compartment syndrome. How effective is the procedure and how competent are EM clinicians compared to Opthalmogists? Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom and we'll see you back in September! Simon & Rob

So in this episode we’re going to run though the primary survey in trauma. This clinical assessment helps us identify and treat life threatening injuries and to rapidly intervene and correct them, so getting it right really matter1.  How this is done is hugely dependant upon the setting (either pre or in-hospital) as it is affected by the access to the patient, the number of people there to contribute to care and the challenges that the scene or hospital environment might hold. We run through a model of primary survey that looks to gain as much information as possible in a rapid and effective pattern and discuss the slightly different approaches we all take, along with  rationale behind them. Finally we cover the communication of the primary survey to the team, strategies that we can undertake to achieve this and how this can affect the momentum and onwards care of the patient.  We found this a really useful topic to consider in some depth and we hope it's of use to you too! Once again we'd love to hear any comments or questions either via the website or social media. Enjoy! Simon, Rob & James