ResusX:Podcast

In this video, Dr. Steve Haywood discusses crucial preparations and considerations before initiating intubation in critical care and emergency medicine settings. He emphasizes the importance of being aware of potential complications and taking necessary steps to prevent adverse outcomes. Dr. Haywood introduces a mnemonic, SOAP P-ME-E, to guide the pre-intubation checklist. The mnemonic includes the following key elements: suction, oxygenation, airway equipment, pharmacology, positioning, monitor setup, emergency backup plan, and end-tidal CO2 monitoring. Dr. Haywood highlights the gravity of every intubation having the potential for adverse events, stressing that even successful intubations can lead to death. He explains the risks associated with post-intubation cardiac arrest and the high mortality rates associated with such events. The discussion delves into the selection of induction agents, particularly Ketamine, highlighting its advantages over other agents while acknowledging its potential complications. The importance of proper positioning, monitoring, and emergency backup plans, including video laryngoscopy and bougie usage, are also emphasized. This informative video provides critical insights and practical tips for healthcare professionals involved in intubation procedures, with the ultimate goal of enhancing patient safety and optimizing outcomes. Remember to like and subscribe to our channel for more valuable content on critical care and emergency medicine!

Register HERE for the ResusX:ROSC conference!  In this video, Sara Crager discusses the management of Unstable A-Fib (Atrial Fibrillation). She highlights the importance of distinguishing between primary and secondary causes of instability before considering immediate cardioversion. Sara emphasizes that not all patients with A-Fib and low blood pressure require immediate intervention. Factors such as fluid status, electrolyte levels, and sympathetic activity should be evaluated to determine the underlying cause of instability. Sara advocates for a comprehensive approach that goes beyond the choice between beta blockers and calcium channel blockers. She introduces seven key questions to guide the management of Unstable A-Fib, including primary versus secondary causes, rate versus rhythm issues, the necessity of immediate cardioversion, electrolyte correction, fluid status assessment, and the use of appropriate medications. Sara suggests considering Amiodarone as a go-to option for rate and rhythm control in unstable A-Fib cases, while also addressing blood pressure support with medications like phenylephrine or vasopressin. Overall, this video provides valuable insights and strategies for effectively managing Unstable A-Fib. Check out https://www.resusx.com for education on resuscitation

In this ResusX video Dr. Rory Spiegel discusses the use of phenobarbital for treating alcohol withdrawal. He explains the physiology of alcohol withdrawal, which involves an imbalance between excitatory and inhibitory neurotransmitters in the brain, mainly glutamate and GABA, leading to symptoms like tachycardia, seizures, and agitation. Traditionally, benzodiazepines, which work by augmenting the effects of GABA, have been used for treating alcohol withdrawal. They require the presence of GABA in the system to work effectively. Rory prefers a symptom-triggered approach for treatment, which means the severity of the disease state determines the medication dosage. This approach has been found to be more effective and less likely to lead to complications compared to a fixed dosing approach. He critiques lorazepam, a commonly used medication for alcohol withdrawal, for its short half-life and the need for constant re-dosing, which necessitates intensive monitoring and an ICU stay. Dr. Spiegel suggests phenobarbital as a superior option due to its predictability in dosage and effect, wide therapeutic effect, safety, and long half-life that allows for a built-in taper. This makes the monitoring process simpler and reduces the need for ICU stays.        

In this episode, Dr. Colin McCloskey, an EM Intensivist from University of Hospitals Cleveland, talks about transvenous and epicardial pacers, and explains how to place a transvenous pacer. He emphasizes that transvenous pacing is a high acuity low opportunity event that requires deliberate practice to achieve competence. McCloskey outlines the common indications and contraindications for transvenous pacing and stresses the importance of knowing the location of the kit and the contents of the kit before attempting to place a transvenous pacer. He also provides step-by-step instructions on how to place a transvenous pacer, including the use of a sterile sheath, the connection to the pacer box, and how to achieve mechanical capture. McCloskey discusses potential pitfalls and offers solutions to overcome them. Overall, he emphasizes that transvenous pacing is a simple procedure that is within the skill set of healthcare providers.

Welcome to another episode of the ResusX:FOAMed! Today, we have a special and personal story from Dr. Mike Winters about an anaphylaxis case that hits close to home. Mike shares the experience of when his son Hayden had a severe anaphylactic reaction after eating an oatmeal raisin cliff bar. This incident fueled Mike's passion for understanding, recognizing, and treating anaphylaxis. In this episode, we discuss the definition, clinical features, and latest guideline updates on anaphylaxis. We also delve into the various clinical formulas, pathophysiology, and the importance of treating anaphylaxis as a distributive, hypovolemic, and cardiogenic form of shock. Join us as we explore the critical goals of anaphylaxis treatment, including the administration of oxygen, intravenous fluids, and epinephrine. We'll also discuss second-line medications and their role in anaphylaxis management. Lastly, we'll touch upon the discharge and follow-up care of patients who have experienced an anaphylactic reaction. Don't miss this gripping and informative episode that can help you better manage and treat anaphylaxis in your clinical practice. #AnaphylaxisAwareness #EmergencyMedicine #AnaphylacticShock #EpinephrineTreatment #ResuscitationTips #AllergicReactions #AnaphylaxisManagement #LifeSavingTips #AnaphylaxisEducation #EmergencyResponse #AllergyEmergencies

Discover the Power of the Cognitive Pause During Resuscitation with Dr. Anand Swaminathan! In this ResusX:FOAM episode, Anand shares invaluable insights and life-saving techniques about the crucial role of cognitive pause in resuscitation and critical care. 1. The Science of Cognitive Pause with Dr. Anand Swaminathan - Why It Matters 2. Cognitive Pause in Resuscitation: Maximizing Success 3. The Role of Cognitive Pause in Critical Care Decision-making 4. Real-life Cases: Cognitive Pause in Action 5. Expert Tips from Dr. Swaminathan: Mastering Cognitive Pause for Better Outcomes Watch the YouTube video here.

Chest pain can be a concerning chief complaint in a standard patient, but chest pain in pregnancy can be down right frightening. The differential diagnosis ranges from benign to life threatening. Thankfully we have Dr. Tarlan Hedayati to take us through the threatening possibilities as well as a practical approach to the workup of these patients. She'll discuss spontaneous coronary artery dissection (S.C.A.D.), pulmonary embolism, aortic dissection and more. This lecture was recorded from the ResusX:ReVolved conference in 2022. Signup for our weekly newsletter so you never miss any education from us: https://www.resusx.com/newsletter

In this first episode, Dr. Scott Weingart talks about how arterial lines are used to help people who are in cardiac arrest. He talks about how important it is to keep an eye on blood pressure all the time and how arterial lines can give more accurate and reliable readings than non-invasive methods. Dr. Weingart also talks about the benefits and risks of putting arterial lines in people who are in cardiac arrest and how to do it. He says that putting in and taking care of arterial lines requires proper training and experience. Throughout the episode, Dr. Weingart talks about his own experiences and thoughts as an emergency doctor and critical care specialist. This gives listeners important information about how arterial lines can be used to help when managing a code. This episode is a must-listen for anyone who cares for patients in cardiac arrest. The insights and practical tips shared by Dr. Weingart are sure to be valuable for clinicians at all levels of experience. For more on ResusX, check out the website www.ResusX.com