ResusX:Podcast

Dr. Chris Doty, an emergency medicine physician and former program director, shares his insights on the recent trends in the specialty. He discusses the aftermath of a residency crisis and the notable improvement in matching spots. The conversation dives into the debate of residency lengths, the impact of burnout exacerbated by the pandemic, and the necessity for systemic changes in medical education. Doty also highlights the evolving landscape of fellowships and the importance of choosing the right residency to ensure a fulfilling career.

Join critical care expert Nick Ghionne, also known as @PulmToilet, as he delves into the complex management of refractory hypoxemia. He shares transformative strategies for optimizing ventilator settings, emphasizing the importance of driving pressure and the effective use of PEEP. Nick highlights the life-saving role of proning in ARDS and discusses the nuanced application of adjunct therapies like nitric oxide. Tune in for practical tips that can enhance patient outcomes in critical care!

Let’s talk about saving two hearts at once this Valentine's Day. Get 20% off and access the full ResusX: ReUnion conference—featuring this episode and over 60 expert-led lectures available for lifetime replay: Click Here. In this episode, Dr. Shaila Quazi demystifies resuscitative hysterotomy, the life-saving procedure formerly known as the perimortem C-section. Learn when to act, how to assemble the right teams, and the step-by-step approach that can maximize survival for both mother and baby. Packed with practical mnemonics, real-world cases, and expert insights, this is a must-listen for anyone in emergency or critical care medicine. Because nothing says “I care” more than being ready to save lives. 

Dr. Tarlan Hedayati, an expert in cardiac arrest resuscitation, shares her profound knowledge on dual defibrillation strategies. She delves into the significance of dual sequential defibrillation in improving outcomes for shock-refractory VFib patients. Discover how vector change and timing can enhance the effectiveness of shocks. Dr. Hedayati also discusses findings from the DOSE-VF trial, shedding light on neurological survival rates. This enlightening conversation is essential for anyone involved in managing cardiac arrest scenarios.

Dr. Amal Mattu, a leading expert in acute care medicine and cardiology from the University of Maryland, shares invaluable insights on post-arrest ECG interpretation. He emphasizes the dangers of misreading early ECGs, particularly the risks associated with VTach mimics. Listeners will learn when to repeat ECGs and when to refer patients for catheterization. Dr. Mattu also discusses life-threatening conditions like hyperkalemia and sodium channel toxicity that can look like VTach. His real-case examples make the discussion both practical and engaging.

What happens when you need to intubate a patient, but their airway is filled with vomit, blood, or thick secretions? In this episode, Dr. Shyam Murali takes us through the SALAD (Suction-Assisted Laryngoscopy and Airway Decontamination) technique, a life-saving approach to managing contaminated airways. Learn how to optimize suction, clear the airway, and improve intubation success with game-changing strategies like the suction park and SALAD poke methods. If you’re in emergency or critical care medicine, this episode is packed with must-know airway management skills that could save a life!

How do you manage a patient with status epilepticus when every second counts? In this episode, Dr. Derek Isenberg outlines a step-by-step algorithm for seizure management, emphasizing high-dose benzodiazepines, evidence-based second-line agents, and the growing role of ketamine for refractory seizures. Learn why time is critical, how to identify non-convulsive status with continuous EEG, and how aggressive early intervention can make all the difference. Tune in to sharpen your seizure management skills and bring cutting-edge care to your practice!

Is it safe to administer 3% hypertonic saline through a peripheral IV during a neurologic emergency? In this episode, Dr. Salim Rezaie breaks down the evidence and challenges the need for central lines in time-sensitive cases. Learn why bolusing hypertonic saline through a peripheral line can reduce intracranial pressure more effectively while avoiding delays and central line complications. Packed with data and practical insights, this discussion is essential for anyone managing critical care patients. Don’t miss this thought-provoking episode on advancing emergency medicine!

What is auto-PEEP, and why can it lead to life-threatening complications in ventilated patients? In this episode, Dr. Anozie breaks down the physiology behind auto-PEEP, its dangerous effects like dynamic hyperinflation and cardiovascular instability, and how to spot its subtle signs on ventilator waveforms. With a focus on practical solutions, from adjusting ventilator settings to optimizing PEEP, this episode equips you with the knowledge to protect your patients and save lives. Don’t miss this vital discussion on ventilator management and critical care!

Dr. Anand Swaminathan, an emergency physician specializing in resuscitation, shares his expertise on tackling refractory shock. He emphasizes the importance of a 'cognitive pause' to reassess treatment when patients don't respond to vasopressors. The discussion delves into potential hidden causes like acidosis, hypothyroidism, and occult bleeding that can hinder effective care. Through a systematic approach, Dr. Swaminathan advocates for thorough evaluations, transforming how healthcare providers address these complex cases.