152 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
    • 4.9 • 366 Ratings

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

    Anaphylaxis; Roadside to Resus

    Anaphylaxis; Roadside to Resus

    Welcome back to the podcast!
    In this episode of Roadside to Resus we're going to take a look Anaphylaxis, which has been highlighted on a national level of concern as NICE state ‘many people do not receive optimal management following their acute anaphylactic reaction’.
    Much of the problem lies within a lack of understanding of what actually constitutes an anaphylactic reaction and the knock on effect this has to the treatment provided.
    In this episode we'll explore the definition of anaphylaxis and the significant differences that can be seen in the presentation. We have a a think about the pathophysiology and reasons behind the variance in presentations and how this affects the importance of treatments available and their relative importance.
    Anaphylaxis is known to have a a number of patients who have a biphasic reaction, it predicates the need to convey patients to hospital and a period of observation; however the frequency and severity of these biphasic reactions can help to inform this further and for that reason we take a look at the literature on it.
    We've covered angioedema before in a separate episode, but we briefly cover the similarities and differences and how this affects management.
    Lastly we cover the follow up and management that these patients require.
    We'd love to hear any comments or feedback you have and make sure to take a look at the references and resources below.
    Enjoy!
    Simon, Rob & James

    • 1 hr
    November 2020; papers of the month

    November 2020; papers of the month

    Welcome to November’s papers of the month podcast!
    This month we kick things off looking at TXA in trauma and consider in complex scenes and resource limited environments if TXA could be administered effectively in an IM rather than IV route? We also get an authors inside view from Professor Ian Roberts.
    Next up; does the anatomical location of a head injury affect the risk of an intracerebral bleed and could this affect those patients that can go without a scan?
    And finally we have a look at the importance of a chest X-ray in COVID-19 and consider how accurate the X-ray is at both picking up and ruling out the infection.
    Enjoy!
    Simon & Rob 

    • 31 min
    Poisoning; Roadside to Resus

    Poisoning; Roadside to Resus

    So in our Toxidrome Roadside to Resus episode we covered the initial management of a poisoned patient, some of the constellation of features to look out for and the specific management. But what about specific agents and circumstances that require particular knowledge and management both in the prehospital environment and in ED?
    Well in this episode we’ll cover these by running through;
    Paracetamol poisoning and treatment Calcium channel blocker overdose Beta blocker overdose High dose insulin euglycaemic therapy Activated charcoal Intralipid therapy Cardiac arrest due to toxicology We'd love to hear any comments or feedback you have and make sure to take a look at the references and resources below.
    Enjoy!
    Simon, Rob & James

    • 1 hr
    October 2020; papers of the month

    October 2020; papers of the month

    Welcome back to the Papers of the Month podcast, once again we've got 3 more papers to inform, discuss and hopefully improve our practice.
    First up we have a look at a paper which looks to quantify the prognostic utility of lactate in our sick Resus patients; we often look at the initial lactates and draw conclusions for what they mean, but this paper helps us understand the results a bit further.
    For our patients that sustain a head injury, the NICE guidelines advocate that all patients on direct oral anticoagulants should have a CT head scan, irrespective of clinical findings or other high risk features of the patients history. Quantifying the risk that these patients have for an intracranial bleed is really important, as to date it isn't fully understood. Our second paper looks at this directly and can help inform practice, guidelines and discussions with patients.
    Finally; we often think about how we can improve resuscitation of our patients in cardiac arrest, look for the latest treatment and evidence, but it can be easy to overlook how our actions can significantly affect their loved ones who may be present at this time. We take a look at a fascinating study looking at the impact of inviting patients in to witness the resuscitation in its entirety and the effect that this has in regards too PTSD. In our opinion this paper holds a huge amount to think about and is a game changer!
    Finally keep an eye out for our CPD portal and app which is in the final stages of testing and will be out very shortly!! We'll be keeping you up to date on twitter @TheResusRoom with its launch

    Enjoy!
    Simon & Rob

    • 33 min
    Toxidromes; Roadside to Resus

    Toxidromes; Roadside to Resus

    Drug ingestion both accidental and intentional accounts for a significant proportion of attendances at UK Emergency Departments and 999 calls.
    In 2016 there were >2,500 registered deaths in England and Wales related to drug misuse, which had increased by nearly 60% in a decade.
    So without a doubt we are all going to come across critically unwell patients with drug ingestions. But inappropriate drug use is not confined to illicit substances, with many prescription drugs being misused to ill effect and also overdosed in an attempt to end patients lives.
    In this podcast we’re going to run through the assessment of patients presenting with a possible drug ingestion, cover the potential toxidromes you may encounter and talk about the management of these presentations. Specifically we take a look at serotonin syndrome, sedative toxidrome and both cholinergic and anti-cholinergic syndrome.
    In next months Roadside to Resus we'll take a look at specific medications of overdose; paracetamol, beta blockers, calcium channel blockers and the intricacies of their management along with other key parts of critical care including the management of cardiac arrest due to toxicity.
    Make sure to take a look at the references and resources below.
    Enjoy!
    Simon, Rob & James

    • 58 min
    September 2020; papers of the month

    September 2020; papers of the month

    Welcome back!!
    So we've had a small summer hiatus and are now back with another Papers of The Month and a jam packed line up of episodes for the rest of the year!
    We start off this month with a paper which looks to evaluate if there is any benefit on mortality with the use of checklists for endotracheal intubation.
    Next up we take a look at the factors in cardiac arrest that are most important with regards to prognostication; what should your attention and handover be most focussed upon?
    Finally we take a look at a paper suggesting that blood gases following ROSC can help us prognosticate for our patient and how this might this affect our practice.
    Finally keep an eye out for our CPD portal and app which is in the final stages of testing and will be out very shortly!! We'll be keeping you up to date on twitter @TheResusRoom with its launch
    All references can be found on our webpage at TheResusRoom.co.uk
    Enjoy!
    Simon & Rob

    • 31 min

Customer Reviews

4.9 out of 5
366 Ratings

366 Ratings

i lick toilet seats ,

Resus room

Love these podcasts. Up to date and well informed stuff 👍

rwbris91 ,

Great

Really useful set of podcasts, directly relevant and useful to ED junior doctors , nurses and paramedics.

Good CPD and learning.

Also thanks for continuing to podcast about something other than Covid 19. A welcome break!

Keep up the good work

Geezer1205 ,

Great Podcasts

These podcasts are really informative and a helpful and good form of CPD. I’m fortunate to have a lot of downtime in my role offshore. These occupy my time and keeps me up to date. Thank you and please keep it up!!

Top Podcasts In Medicine

Listeners Also Subscribed To