ResusX:Podcast

In this episode, Dr. Kim Chavez tackles the terrifying challenge of managing unstable bradycardia. From the ResusEM6: The Broken Heart Conference, Dr. Chavez walks you through a structured approach to handle these critical situations with confidence. Learn how to quickly assess symptoms, interpret EKGs, and understand the vital signs that guide treatment decisions. Dr. Chavez breaks down essential medications like atropine and epinephrine and provides a deep dive into the nuances of transcutaneous and transvenous pacing. With practical tips and a calm, methodical approach, this episode equips you with the knowledge to manage bradycardia emergencies effectively. Don't miss this essential guide for emergency medicine professionals.

In this episode, Dr. Mohamed Hagahmed takes us "Beyond ATLS," challenging traditional trauma care protocols and offering fresh perspectives from the ResusX: Golden Hour conference. He highlights the critical importance of rethinking the ABCs of trauma care, emphasizing that airway management isn't always the first priority. Dr. Hagahmed delves into practical strategies for preventing hypoxia, choosing the best induction agents, and mastering intubation techniques. He also underscores the need for comfort with cricothyrotomy and the importance of addressing pain and sedation to prevent PTSD in trauma patients. This episode is packed with valuable tips to help you enhance your trauma care approach and ensure better patient outcomes.

In this episode, Dr. Haney Mallemat breaks down the critical steps of post-ROSC care, emphasizing that the real work begins after you get the pulse back. Dr. Mallemat takes us through the essential phases of post-arrest management, from the first crucial 15 minutes to the next 45 minutes, and finally to ICU-level care. Learn how to prevent re-arrest, fine-tune patient stability, and ensure neurologic intact survival with practical tips and insights. This episode is a must-listen for anyone in emergency medicine looking to master the art of post-resuscitation care.

In this episode, Dr. Chris Hicks demystifies the Massive Hemorrhage Protocol (MHP), shedding light on one of the most misunderstood aspects of trauma resuscitation. Recorded at the ResusX: Golden Hour conference, Dr. Hicks explains why it's not just about blood transfusion but about supporting clotting and maintaining perfusion to vital organs. He reveals the importance of early intervention with blood products, calcium, and tranexamic acid, and the critical need for recognizing when to activate and deactivate MHP. With practical insights and real-world examples, this episode is a must-listen for anyone in emergency medicine and trauma care.

In this episode from the ResusX: ROSC conference, Dr. Lindsey Ewing reveals the latest insights and strategies for managing prehospital cardiac arrest. Learn why on-scene resuscitation often leads to better patient outcomes, and how new protocols shape how emergency responders approach critical care. Dr. Ewing discusses the importance of addressing reversible causes on-site, the emerging use of point-of-care ultrasound, and the intriguing phenomenon of CPR-induced consciousness. Tune in to discover the balance between rapid transport and on-scene stabilization, and why some "dead" patients might surprise you with spontaneous recovery. This episode is a must-listen for all emergency medicine professionals seeking to enhance their resuscitation techniques.

In this episode, we uncover the game-changing benefits of pigtail chest tubes for trauma patients, demonstrating why bigger isn't always better. Join us as we walk through a detailed, hands-on guide on how to use these smaller, less painful chest tubes for conditions like pneumothorax and hemothorax. Learn essential tips, from marking the insertion site with a syringe to properly positioning your patient, and discover why pigtail chest tubes are not only easier to insert and remove but also more comfortable for patients. Perfect for medical professionals seeking to enhance their trauma care techniques, this episode is a must-watch for all in critical care and emergency medicine.

In this episode, Dr. Matt Salzman joins us to delve into the fascinating world of toxicology in critical care. We explore the life-saving applications of high-dose insulin therapy for beta-blocker and calcium channel blocker overdoses, and why early intervention is crucial. Dr. Salzman also sheds light on the controversial use of lipid emulsion therapy and methylene blue, providing a balanced perspective on their efficacy and potential risks. To cap it off, we dive into a fun and insightful rapid-fire round, uncovering the latest trends in toxicology, his favorite Philly tacos, and more. Tune in for a blend of expert advice and informative conversation that you won't want to miss!

 In this podcast episode, Dr. Zaf Qasim discusses the complexities and critical considerations when managing trauma in pregnant patients. He emphasizes the importance of understanding normal pregnancy physiology, including cardiovascular, respiratory, and hematological changes, to identify abnormalities effectively. Dr. Qasim highlights the priority of treating the mother first, as this also benefits the fetus, and underscores the need for early multidisciplinary involvement. He covers essential modifications in procedures, airway management, and imaging techniques tailored to pregnant trauma patients. Additionally, he addresses the resuscitative hysterotomy (perimortem cesarean section), stressing the urgency and coordination required for successful outcomes. This episode provides valuable guidance for healthcare providers facing these challenging scenarios through practical insights and detailed explanations.

In this podcast episode, Dr. Sara Crager explains how to effectively understand and respond to ventilator alarms, emphasizing that these alarms are tools to provide critical information about a patient’s pulmonary physiology. She breaks down the key concepts of resistance and compliance in the lungs and identifies two main alarms that matter most: Low Tidal Volume and High Peak Pressure. By understanding how to interpret these alarms through examining Peak and Plateau Pressures, healthcare providers can diagnose issues such as air leaks, decreased lung compliance, and increased airway resistance, thereby improving patient care and outcomes.

In this episode, Dr. Steven Haywood discusses the critical importance of allowing patients to exhale properly during non-invasive ventilation (NIV). He explains the differences between old school invasive mechanical ventilation with a two-limb circuit and modern NIV systems with a single limb, highlighting the necessity of exhalation ports to prevent mechanical and physiological dead space. Haywood elaborates on the evolution of mask designs, particularly how vented masks became essential for severe COPD and asthma exacerbations but posed challenges during the COVID-19 pandemic, leading to a switch back to non-vented masks with viral filters. He emphasizes the physician's responsibility to ensure the correct use of equipment to avoid patient harm and concludes with advice on selecting appropriate masks and ventilators for non-invasive ventilation.