The Resus Room

In this podcast, they discuss the benefits of thrombolytics or anticoagulants for patients in cardiac arrest due to a presumed MI, the potential harm of administering steroids to COVID-19 patients not requiring supplemental oxygen, and the use of point of care lactate in predicting the need for in-hospital blood product resuscitation.

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

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 (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  

This podcast covers three interesting topics: challenging guidelines on nitrate administration during myocardial infarction, different blood pressure targets for post cardiac arrest patients, and healthcare professionals' perceptions of interprofessional teamwork in critical incidents.

We’ve covered tachycardias, both narrow and broad before, but we need to complete the set.  So this time we’ll be looking at the slower end of the spectrum, with bradycardias. Bradycardias can be a physiological state in athletes, but they can also be of significant concern. They occur due to a multitude of reasons, some cardiac and some not and they can require no treatment at all right up to those peri-arrest patients where you’ll be cracking open your critical care drugs and starting to pace them externally before getting them to definitive care. In this episode we take an in-depth look at the cause, electrophysiological pathways, assessment and treatments for bradycardias. Enjoy! Simon, Rob & James

This podcast dives into three interesting topics: fluid therapy in acute pancreatitis, intubation performances in prehospital anesthesia, and surgical vs conservative management of chest wall trauma. The hosts discuss the study designs, outcomes, and implications of each topic, emphasizing the need for collaboration between specialists and a clearer evidence base.

Despite all the improvements that we have seen in trauma care over the past 20 or more years RTCs are still, sadly, a really common cause of both death and disability, with the number of deaths annually in the UK sitting somewhere between 1500-1900 per annum. Survivors, who have serious injuries and are left with ongoing disabilities, total 22,000 people per year. So anything we can do to improve care to these patients is definitely worth looking at and learning about! Extrication is the process of injured (or potentially injured) patients being removed from vehicles involved in road traffic collisions. The fundamentals behind extrication have been based upon protecting the spine and not worsening an injury of it, but at the potential cost of other time critical injuries and with limited to no sound evidence base. The EXIT project brings evidence to the practice of extrication and in this podcast we discuss the findings and implications for practice with the lead author Tim Nutbeam, Clare Bosanko (an EM & PHEM consultant) along with the three of us. We also get the opportunity to hear from Freddie, a patient extricated from a high energy RTC and hear his perspective on Extrication. Enjoy! Simon, Rob & James

Welcome back to the podcast! It's brilliant to be back after our summer break and we've got three great papers for you. First up we take a look at a paper looking at the association the a geriatric assessment can make on the mortality of patients aged 65 years and older, admitted with significant injuries to our UK major trauma centres. Next up we take a look at a newly proposed method to simple chest compressions in cardiac arrest, by comparing it to chest and abdominal compression and decompressions. Finally we take a look at the diagnosis and management of TMJ dislocations and guarantee there will be a new technique in there for all of you! Simon & Rob

This month in Emergency Care, the podcast covers papers on outcomes for non-conveyed patients by EMS, prevalence of midline C-spine tenderness in non-trauma population, and the risk of laryngospasm in pediatric sedation.