132 episodes

Emergency Medicine podcasts based on evidence based medicine focussed on practice in and around the resus room.

The Resus Room Simon Laing, Rob Fenwick & James Yates

    • Medicine

Emergency Medicine podcasts based on evidence based medicine focussed on practice in and around the resus room.

    Seizures; Roadside to Resus

    Seizures; Roadside to Resus

    Seizures are defined as a “paroxysmal electrical discharge of the neurones in the brain resulting in a change of function or behaviour”. All of us involved in Emergency Care will encounter patients with seizures which can occur for a number of reasons, with Epilepsy affecting 1 in 100 people in the UK.
    Being able to identify the cause, terminate ongoing seizures and provide ongoing investigation and care is complicated and of paramount importance, as some of these episodes carry with them a high morbidity and mortality rate.
    In this episode of Roadside to Resus we run through the following;
    The scale of the problem Causes of seizures Definition of status epilepticus Different forms of seizures Clinical assessment Investigations Antiepileptic’s Management& guidelines; both Pre and In-hospital RSI for status epilepticus Follow up and guidance As always we’d love to hear any thoughts or comments you have on the website and via twitter, and make sure you take a look at the references and guidelines linked below to draw your own conclusions.
    Enjoy!
    Simon, Rob & James

    • 1 hr 4 min
    January 2020; papers of the month

    January 2020; papers of the month

    Happy New Year!!
    We hope you've all had a great Christmas and New Year and that you managed to get some well earned time off over the festive period. 
    2019 saw us publish more insights from lead authors of the latest and most influential studies in Emergency Medicine and Critical Care, and we're really excited to say that we'll be delivering you even more in 2020 with some excellent RCTs, international guidelines and much, much more!
    This month we've got 3 papers to challenge practice across a wide array of practice. We start off with a paper that evaluates if we can change our d-dimer thresholds in suspected PE's and how many unnecessary work ups and scans that might decrease. Next, following on from our previous Hypothermia podcast, we have a look at a paper which looks at the best rewarming rates in patients with hypothermia, which may change your rewarming strategies.... Finally we have a think about our use of CT scanning in patients who gain a ROSC after cardiac arrest, and consider what benefit full body CT scanning might bring.
    Thanks to all of you for your support with the podcast over the last year and we look forward to bringing you some great stuff in 2020!
    Enjoy
    Simon & Rob

    • 32 min
    Pre-Hospital Critical Care; London Trauma Conference 2019

    Pre-Hospital Critical Care; London Trauma Conference 2019

    REBOA, ECMO, Thoracotomy? Where should we be focussing our attention in the world of Pre-hospital care?
    We were lucky enough to be invited to the London Trauma Conference on the Prehospital Day supported by the Norwegian Air Ambulance Foundation. The day focussed on the areas we can make a real impact to the outcomes of our pre-hospital critical care patients. We grabbed a few minutes time of the following speakers to hear their thoughts;
    Introosseous Access; Jerry Nolan
    Pre-hospital Blood products; Jostein Hagemo
    Communication under pressure; Dr Stephen Hearn
    Pre-hospital Critical Care - what should the near future look like? Dr Stephen Rashford
    Have a listen and as always we’d love to hear any thoughts or comments you have on the website and via twitter, and take a look at the references below to draw your own conclusions. We'll be back in the new year with monthly episodes of Papers of the Month and Roadside to Resus; have a great Christmas and New Year and we'll speak to you soon!
    Enjoy!
    Simon, Rob & James

    • 17 min
    December 2019; papers of the month

    December 2019; papers of the month

    Well the year has flown by and it's already time for December's Papers of the Month Podcast!
    Head injuries are a huge work load for those of us involved in Emergency Care. Identifying those at risk of deterioration from a traumatic brain injury is a priority, as early intervention and prognostication can make a huge difference to patient outcomes. CT scanning is relatively easy to access and with it investigation creep has lowered our threshold of investigation and use of radiology resources; first up we have a look at a paper that looks at the potential benefits from employing a number of different guidelines in identifying the patients with traumatic brain injury, whilst comparing the risk of over investigation.
    Next up we have a look at the commonly made diagnosis of urinary tract infection in the older population and a review paper that will help you make the right diagnosis when it's present and not over diagnose when not.
    Finally we have a think about the potential benefit of a fluid bolus during induction of anaesthesia for our patients undergoing RSI; can a 500 mL fluid bolus prevent cardiovascular collapse? And we also hear the authors insights on the great RCT.
    Make sure to get in touch with any comments on any of the reviews, and importantly make sure you check out the papers and draw your own conclusions.
    Enjoy!
    Simon & Rob

    • 35 min
    Angioedema

    Angioedema

    Angioedema is something we'll all encounter in the acute setting, whether we recognise it or not...
    Understanding the different causes and mechanisms is imperative to ensuring the patients get treatment that is not only effective, but in extremis potentially lifesaving. In this episode we talk through the condition; from clinical presentation, causative agents, mechanisms of action, differentials and the evidence base of treatment.
    Get in touch with any comments on the podcast, ensure to read the papers that are referenced yourself and draw your own conclusions.
    Enjoy!
    Simon & Rob
     

    • 31 min
    Community Emergency Medicine

    Community Emergency Medicine

    As care on our emergency and urgent care demand is on an ever upwards course, whilst alongside this the scope of what we can potentially deliver to patients is also increasing. In order to meet this demand and to deliver the best care possible to our patients we will need to look for other solutions.
    We were lucky enough to be invited to the First Community Emergency at the Royal Society of Medicine in London, hosted by the Physician's Response Unit. This event looked at the current challenges and explored solutions and opportunities for more collaborative working.
    In this podcast you'll hear from Tony Joy about the concept and practice of Community Emergency Medicine. You'll hear from Gareth Davies on the history of Pre Hospital Emergency Medicine, both challenges and achievements. Finally you'll hear from Bill Leaning, PRU clinical manager & HEMS paramedic about how to go about setting up a service.
    Please let us know any thoughts or feedback, and we'll be back with another podcast on a clinical topic for you in a few days time.
    Enjoy!
    Simon & James

    • 24 min

Customer Reviews

sydvdjvstj ,

Can not thank Simon & team enough

Thank you so much for not only starting but continuing this pod cast. The benefits I get from listening is priceless. Thank you thank you thank you!

Jon Hywel ,

Simple, clear and informative

As an EMT and aspiring Paramedic this podcast gives clear and concise information which is easy to fit around every day life & makes for great CPD.

kitten532 ,

Fantastic!

Student nurse here! Loving this podcast, very helpful for understanding conditions, treatment and evidence based practice! Thank you!

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