Critical Levels Critical Levels

On this month’s episode, we’re joined by Dr. Bonnie Snyder to discuss BVM as well her recently published paper in Resuscitation: Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest. 
 
During the episode, you’ll hear us cover:
 
There is nothing basic about the BVM - it is not a benign intervention
Rate and volume based on the guidelines 
Consequences of excessive rate/volume Consequences of under ventilation  General airway management
positioning  suction airway adjuncts mask seal C-E technique 2 person technique  waveform capnography and other real time feedback importance of proper volume importance of proper pressure  BVM sizing 
Dr. Snyder’s study 
research question/impetus P-I-C-O results feedback  next steps

On this month’s episode, we’re joined by Dr. Katie Lin to discuss TBI and the crashing brain. 
 
During the episode, you’ll hear us cover:
 
head injury differentials and history gathering 
ischemic vs hemorrhagic 
head injury etiology 
head injury pathophysiology 
assessment
3 step neuro exam 
pupil assessments 
signs/symptoms of herniation 
ECG changes
management 
avoid/manage the H bombs (hypoxia, hypotension, hyperventilation) airway management  ICP management  other medications  seizure management  paediatrics 
neuroprognostication 

On this month’s episode, we’re joined by Dr. Janice Tijssen to discuss pediatric cardiac arrest. During the episode, you’ll hear us cover:
The importance of our early interventions
What is cardiac arrest
incidence/epidemiology etiology  risk factors/past medical history outcomes sociodemographics Differences between adult and pediatric cardiac arrest
Simplifying our response
Symptomatic bradycardia
The importance of scene time
The importance of CPR/ventilation
IV vs IO, SGA vs ETT
Epinephrine  
PRIME study
Family presence during arrest 
Disposition

On this month’s episode, we’re joined by Dr. Louisa Marion-Bellemare to discuss Suboxone (buprenorphine/naloxone) and managing patients who use illicit and controlled drugs. During the episode, you’ll hear us cover:
history of the drug crisis  lay of the land of the current drug crisis historical treatments opiate pharmacology  healthcare utilization  stigma  suboxone use  patient advocacy

On this month's episode, we chat with Matt Smith about wilderness medicine. 
As we shift from a high resource to a low resource setting, there are 3 main concepts to consider:
- Ideal to real
- High risk to low risk
- Stable to unstable
These concepts are important as we shift our practice and prepare ourselves. 
For this patient context, we need to focus on the things we can't replace, and learn to manage that.
Our approach to these patients need to be algorithmic, and focus on doing the basics well. Two mnemonics (H-E-M-P; A-B-C-D-E) are presented to help with our approach.
Lastly, hypothermia assessment and management is discussed.

On this month’s episode, we discuss acute coronary syndrome (ACS) with Dr. Jess McLaren
We define ACS, we cover pathophysiology, and some common causes. Importantly we discuss the assessment of this patient population - paying attending to both objective and subjectives signs and symptoms. We spend some time talking about electrocardiograms, and perhaps most importantly, we chat about the management of this patient.