ResusX:Podcast

In this final installment of the "Airway Hotseat," Dr. Terren Trott guides us through the intricacies of video airway analysis. Discussing cases ranging from inhalation injuries to challenging cardiac arrest intubations, Trott emphasizes the critical decisions and preparations required in emergency scenarios. The importance of a double setup, considerations for patients with potentially burned airways, and the strategic use of tools like bougies for difficult airways are highlighted. The episode delves into specific cases, such as a swollen epiglottis, and debate on intubation techniques. Trott wraps up with insights on troubleshooting tube placement and emphasizes the value of lube in facilitating smoother procedures. This episode offers a comprehensive exploration of airway management complexities, providing valuable lessons for medical professionals and enthusiasts alike.   

In this podcast episode, Dr. Terren Trott conducts a video airway review with three doctors. They discuss the use of video laryngoscopy at the University of Kentucky, emphasizing the importance of recording intubation videos for later asynchronous review. The focus is on challenging airways, with participants analyzing three different cases. Swami shares his approach to managing a soiled airway, advocating for leading with a suction catheter before the laryngoscope. The discussion covers techniques for controlling the tongue, including finger placement and suction catheter use. External Laryngeal Manipulation is highlighted as a valuable tool, offering insights into its application and benefits. The episode concludes with the analysis of a challenging intubation case, addressing issues such as glottic exposure loss, the proximity of the camera, and the potential need for alternative airway approaches during critical situations. The doctors stress the importance of preparedness, a standardized approach, and the role of the bougie in managing difficult airways. The podcast encourages a proactive mindset in airway management and prompts listeners to consider optimizing their techniques for various scenarios.

In this episode, titled "Why You Suck at Vascular Access," the speaker, known as The Vascular Guy, shares insights on improving ultrasound-guided vascular access. Reflecting on personal experiences, he emphasizes the shift from blind procedures to using ultrasound, highlighting it as a game-changer for success rates. The episode covers practical tips, such as the "Gel Tower" technique for pediatric patients, needle entry angles, and the importance of visualizing the catheter in a long view. The host addresses challenges like valve obstruction, offering strategies like bending the needle for better maneuverability. The episode concludes by stressing the significance of understanding ultrasound technology and making informed equipment choices. Listeners are encouraged to enhance their ultrasound skills for more effective vascular access procedures.

In this gripping episode of "A Curious Case" with Dr. Swaminathan and Dr. Hedayati, the hosts delve into a real-life medical case involving a 35-year-old woman with severe postabortion hemorrhage. The patient's critical condition is vividly described, prompting a detailed discussion on managing such emergencies. They emphasized key aspects such as early recognition, vital signs monitoring, and the importance of a collaborative approach. They walk through the use of uterotonic medications, the initiation of a Massive Transfusion Protocol, and the challenges of dealing with limited resources. The episode provides valuable insights into the complexities of postabortion hemorrhage cases, offering practical tips for healthcare professionals faced with these challenging scenarios. 

In this episode of the podcast, Dr. Max Hockstein, an Emergency Physician and Intensivist, delves into the intricacies of End-Tidal Capnography. The discussion covers the terminology surrounding this topic, its significance in understanding Minute Ventilation and Cardiac Output, and the concept of VQ matching in the lungs. Dr. Hockstein explains the working principles of modern End-Tidal measurement, including Non-Dispersive Infrared Absorption, and distinguishes between sidestream and mainstream Capnometry. The episode explores the phases of a Time Capnogram and the utility of End-Tidal in various medical scenarios, from intubation confirmation to resuscitation and preload responsiveness. The episode offers valuable insights into this critical aspect of medical monitoring and leaves listeners eagerly anticipating act two.  

In this episode of End-Tidal Act 2, Dr.Max Hockstein delves into a series of intriguing medical cases by analyzing Capnograms. These waveforms offer a unique window into respiratory and cardiac conditions, presenting challenges such as ventilator dyssynchrony, low cardiac output, and the distinctive Curare Cleft. The discussion covers scenarios like Endotracheal Tube Dislodgement, the Pigtail phase indicating poor compliance, and the classic shark fin appearance denoting obstruction. Max explores counterintuitive insights into Emphysema and highlights the distinctive Capnogram of a Single Lung Transplant. The episode concludes with a fascinating exploration of Cardiogenic Oscillations, where a large heart's pulsations influence lung CO2 levels. The audience gains valuable insights into critical care scenarios, making this episode a must-listen for healthcare professionals and enthusiasts alike.

In this episode, Dr. Mohammed Hagahmed, a faculty physician at the University of Pittsburgh Medical Center, shares a compelling case of a patient named Miss Z, a recent immigrant with COPD. Dr. Hagahmed discusses the challenges of caring for crashing patients, focusing on the critical importance of peri-intubation resuscitation. He delves into factors that can lead to peri-intubation cardiac arrest, such as hypoxemia, hypotension, and high shock index. He also discusses the choice of sedation and paralytic agents, emphasizing the need to ensure appropriate sedation when intubating patients. Dr. Hagahmed provides valuable insights into managing these high-risk scenarios and the latest research findings on the topic.

In this podcast episode, Dr. Evie Marcolini discusses a real case involving a 72-year-old patient who experienced a biking accident. The patient's condition raises important questions about managing blood pressure in neuropatients. Dr. Marcolini emphasizes the significance of tailoring blood pressure goals to the specific condition a patient is suffering from, be it Traumatic Brain Injury or Hemorrhagic Stroke. She underscores the need to maintain Cerebral Perfusion Pressure, highlighting the importance of individualized care based on the patient's health history. The episode also touches on various medical considerations, including the use of medications like fentanyl and the role of hydration in ensuring safe intubation. Ultimately, Dr. Marcolini's message is that thoughtful and well-informed blood pressure management can significantly impact patient outcomes.

In this episode, Dr. Sara Crager discusses the complexities of selecting vasoactive medications, known as "pressors," for patients in shock. She emphasizes the importance of not just memorizing tables but understanding the underlying principles of why, when, and which pressor to use. Dr. Crager points out the limitations of relying solely on evidence-based medicine for such decisions, highlighting the uniqueness of each patient and the importance of considering provider expertise. She explores various factors, including the need for vasoconstriction, vasodilation, increased inotropy, and concerns about side effects like arrhythmias and pulmonary pressures, to guide the thoughtful selection of the most suitable pressor or combination of pressors to improve tissue perfusion in shock patients.

In this podcast episode, Dr. Abhilash Koratala from the Medical College of Wisconsin provides a comprehensive overview of VEXUS (Venous Excess Ultrasound), a valuable tool for assessing a patient's hemodynamics and fluid status at the bedside. Dr. Koratala explains the three key components of evaluating the hemodynamic circuit, which includes Forward Flow, Fluid Responsiveness, and Backward Pressures of the heart. He emphasizes the importance of assessing Systemic Venous Congestion and its impact on organ perfusion, particularly the kidneys. VEXUS combines various ultrasound parameters, including Inferior Vena Cava, Hepatic Vein, Portal Vein, and Intrarenal Vein, to quantify venous congestion and predict the risk of organ injury. The podcast also includes practical insights and case examples of how VEXUS can guide treatment decisions and monitor patient response to therapy.