ResusX:Podcast

Haney Mallemat
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Aug 9, 2024 • 18min

Breaking the RV Death Spiral

In this episode, Dr. Kristen Adorno takes us through the urgent management of acute right heart failure, focusing on the "RV death spiral" caused by massive pulmonary embolism. Recorded at the ResusEM6: The Broken Heart Conference, Dr. Adorno provides a step-by-step guide to resuscitating these critically ill patients, from avoiding common pitfalls like unnecessary intubation to the strategic use of vasopressors and ECMO. Her practical, pathophysiology-driven approach is designed to empower clinicians to handle these challenging cases with confidence. This episode is packed with essential insights for anyone involved in emergency and critical care.
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Aug 6, 2024 • 13min

Getting to the Heart of the Matter: Breaking Down the Resuscitative Thoracotomy

In this episode, Dr. Zaf Qasim takes us through the critical and complex procedure of Resuscitative Thoracotomy, as presented at the ResusX: Golden Hour conference. Dr. Qasim discusses the HOTTT algorithm, which includes Hemorrhage control, Oxygenation, Thoracostomy, Transfusion, and Trauma ultrasound, providing a step-by-step guide to managing patients with severe trauma. He offers practical tips on performing thoracotomies, addressing common challenges, and ensuring the best possible outcomes. This episode is packed with life-saving tips and is a must-listen for anyone in emergency medicine or trauma care.
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Aug 2, 2024 • 11min

Peripheral Vasopressors

In this episode, Dr. Eddy Gutierrez dives into the world of peripheral vasopressors, presenting a case for their use over traditional central lines. Recorded at the ResusX: ReWired conference, Dr. Gutierrez discusses the benefits of peripheral vasopressors, including reduced patient morbidity and faster hemodynamic stabilization. He offers practical advice on the best practices for placing peripheral IVs, optimal dosing, and protocols to ensure safety. Additionally, Dr. Gutierrez provides essential tips for managing extravasation injuries, making this episode a must-listen for healthcare professionals aiming to enhance their emergency care techniques.
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Jul 30, 2024 • 31min

The Sick DKA Patient

In this episode, Dr. Sara Crager dives deep into the management of critically ill DKA patients. Speaking at the ResusX: ReWired conference, she explains that DKA isn't just about high blood sugar but involves a complex balance of insulin supply and demand. Dr. Crager offers practical strategies for fluid resuscitation, aggressive electrolyte replacement, and avoiding common pitfalls such as premature intubation. With real-world examples and clear explanations, she provides valuable insights into handling these challenging cases, making this episode a must-listen for anyone in emergency and critical care medicine.
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Jul 26, 2024 • 8min

VT Storm (Part 2)

In this episode, Dr. Daniel Patino returns to dive into the advanced procedures for managing refractory ventricular tachycardia and ventricular fibrillation, straight from the ResusX: ReWired conference. Learn about innovative techniques like vector change defibrillation, double sequential defibrillation, and stellate ganglion blocks that go beyond standard protocols. Dr. Patino also explores the potential of VA-ECMO in critical resuscitation efforts. Packed with practical advice and cutting-edge strategies, this episode is a must-listen for anyone looking to enhance their skills in emergency medicine and critical care. Tune in for an engaging and informative session that could make all the difference in life-or-death situations.
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Jul 23, 2024 • 9min

VT Storm (Part 1)

In this episode, Dr. Daniel Patino dives into the complex world of refractory ventricular tachycardia and ventricular fibrillation during cardiac arrest. Kicking off a two-part series from the ResusX: ROSC conference, Dr. Patino focuses on the critical medications needed to manage these life-threatening conditions. Learn about the roles of amiodarone, beta-blockers, lidocaine, and magnesium, along with practical tips for their use. He also discusses special considerations for conditions like Brugada syndrome and torsades. With a clear and engaging style, Dr. Patino provides essential knowledge for anyone involved in emergency medicine. Tune in to arm yourself with strategies to handle these challenging cardiac emergencies effectively.
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Jul 19, 2024 • 14min

Partial REBOA: The Future of Trauma Care?

In this episode, Dr. Jeremy Kaswer explores the future of trauma care with Partial REBOA (Resuscitative Endovascular Balloon Occlusion of the Aorta). Recorded at the ResusX: Golden Hour conference, Dr. Kaswer dives into how Partial REBOA could revolutionize the management of severe hemorrhagic shock by limiting blood loss and maintaining perfusion to vital organs. He reviews the evolution of REBOA, its clinical applications, and the latest advancements, including the game-changing pREBOA Pro. With insights from recent studies and real-world applications, Dr. Kaswer highlights the potential of Partial REBOA to save lives in both hospital and prehospital settings. Tune in to discover how this innovative technique might become the new standard in trauma resuscitation.
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Jul 16, 2024 • 9min

F the Bougie

In this episode, Dr. Terren Trott, an ardent advocate of the Bougie, shares his journey from his first life-saving intubation with the Bougie to the latest groundbreaking studies. Recorded at the ResusX: ReVolved conference, Dr. Trott reviews key research, including the 2018 BEAM trial and the recent 2021 multi-center Bougie trial, revealing surprising results that challenge previous assumptions about the Bougie's superiority. Despite the mixed findings, Dr. Trott underscores the importance of tracking personal first-pass success rates and striving for excellence in airway management. This episode is a must-listen for emergency medicine professionals looking to refine their intubation techniques and enhance patient care.
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Jul 12, 2024 • 7min

DSI v. RSI

In this episode, Dr. Salim Rezaie reveals groundbreaking findings from the first-ever randomized clinical trial comparing Delayed Sequence Intubation (DSI) and Rapid Sequence Intubation (RSI). Discover why DSI significantly outperforms RSI in reducing peri-intubation hypoxemia among agitated trauma patients. Dr. Rezaie dives into the study's methodology, key outcomes, and practical implications, highlighting how DSI can enhance patient safety and intubation success rates. With compelling data and expert insights, this episode is a must-listen for emergency medicine professionals seeking to optimize their intubation strategies and improve patient care.
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Jul 9, 2024 • 17min

It Ain't Sepsis, It's a (Thyroid) Storm

In this episode, Dr. George Willis uncovers the elusive and dangerous thyroid storm, often mistaken for sepsis in emergency settings. From the ResusX: Reset conference, Dr. Willis presents a case that challenges the usual sepsis diagnosis, revealing the telltale signs and effective treatment strategies for thyroid storm. Learn why this condition, with a high mortality rate, is frequently missed and how to diagnose it correctly with the help of TSH and free T4 tests. Dr. Willis shares step-by-step guidelines on using beta blockers, antithyroid medications, and the importance of ultrasound in managing heart failure symptoms. This episode is packed with essential insights for healthcare professionals to improve patient outcomes in critical care situations.

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