170 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

    • Health & Fitness
    • 4.9 • 440 Ratings

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

    August 2021; papers of the month

    August 2021; papers of the month

    Welcome to August 2021’s papers podcast!
    Three more great papers for you this month which have challenged and informed our practice.
    First up we look Impact of ambulance deceleration with patients lying flat vs 30 degrees head up on intracranial pressure in patients with a head injury.
    Next, is a patient with a refractory VF arrest more likely to have a positive finding on coronary angiography than one with non-refractory VF?
    And finally, in patients with blunt chest wall injury, does the presence of a flail chest indicate a worse morbidity and mortality compared to rib fractures alone? And what do the findings mean for our clinical examination focus?
    Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
    We're giving you all a summer break from us and we'll be back again with our Papers of the Month and Roadside to Resus episodes in September.
    Enjoy!
    Simon and Rob

    • 28 min
    Pre Alert; Roadside to Resus

    Pre Alert; Roadside to Resus

    So welcome back to another Roadside to Resus episode!
    Pre alerts are a key part of the interface between pre hospital and in hospital care of the critically unwell patient, when made and received in an effective manner they can really benefit the patient and the system. But too often we hear of friction associated with pre alerts and recent discussions on social media has really highlighted this.
    In this episode we explore the pre alert, the guidance that exists already on the topic, the challenges of both making and receiving those pre alerts and our four major questions; why we pre alert, what we should pre alert, how to pre alert and when to pre alert.
    Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
    Enjoy!
    Simon, Rob & James

    • 1 hr 3 min
    July 2021; papers of the month

    July 2021; papers of the month

    Another month and 3 more papers!
    First up we have a look at a paper that has grabbed a lot of recent headlines in the form of TTM2. So we now seem to have the answer to whether comatose patients following out of hospital cardiac arrest benefit from therapeutic hypothermia over maintenance of normothermia.
    Next up we take a look at a paper which adds some real value to our assessments of maxillofacial injuries and can help inform our assessment of the likelihood of fracture and need for imaging.
    Lastly we take a look at the whether iv vs io access in cardiac arrest might make a difference to outcomes when it comes to the use of adrenaline.
    Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
    Enjoy!
    Simon and Rob

    • 28 min
    Subarachnoid Haemorrhage; Roadside to Resus

    Subarachnoid Haemorrhage; Roadside to Resus

    So this time we're going to be talking about subarachnoid haemorrhage. So this is going to be a short and punchy look at a really important and interesting topic in subarachnoid haemorrhage.
    We run through the approach to headache and then focus on the specific features and findings that we should be looking for with regards subarachnoid haemorrhage. We then consider who we should be investigating further, what value a CT head brings and the sticky subject of who should be going on to have a lumbar puncture.
    Finally we consider the the management once the diagnosis of SAH is reached and how we can ensure the best outcomes for our patients.
    At the time of recording NICE has published its draft version of Subarachnoid Haemorrhage Caused by a Ruptured Aneurysm; diagnosis and management, which will be a great resource once finalised.
    Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
    Enjoy!
    Simon, Rob & James

    • 52 min
    June 2021; papers of the month

    June 2021; papers of the month

    This month we've got three papers that have challenged our practice both from an in-hospital and pre-hospital perspective.
    Firstly we consider a paper that looks at admission saturations for patients with exacerbations of COPD and compare this to the BTS guidance on oxygen therapy, regarding altering oxygen saturations for those proven not to be hypercapnoeic. Should we be aiming for 88-92% or 94-98%?
    Next we look at a paper from the team at KSS looking at dispatch to older trauma victims and consider whether current triggers for HEMS dispatch are set at the appropriate level to catch those in this cohort that may benefit from critical care interventions.
    Lastly we look at a paper evaluating the QRS width in PEA cardiac arrests and consider firstly whether a broad QRS complex is predictive of hyperkalaemia and secondly whether we would treat patients based off this finding?
    Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
    Enjoy!
    Simon and Rob

    • 34 min
    Resuscitation Guidelines 2021; Roadside to Resus

    Resuscitation Guidelines 2021; Roadside to Resus

    So the Resuscitation Council UK have today published new guidelines on resuscitation based on the European Resuscitation Council 2021 Guidelines and recommendations from the International Liaison Committee on Resuscitation.
    We were lucky enough to catch up with two key members of both ERC and RCUK, Gavin Perkins and Jasmeet Soar, gaining their valuable insights into the new guidelines.
    As well as this Simon, Rob and James pick out some other key points from the guidelines and discuss how these may translate into systems and practice.
    Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
    Enjoy!
    Simon, Rob & James

    • 44 min

Customer Reviews

4.9 out of 5
440 Ratings

440 Ratings

Nattie3090 ,

Superb!

I’m a nurse and really enjoy listening to this podcast! Recommend it to all!

Veraduckworth ,

Great Education and Ideas

Thank you both for well presented educational content. Not only did I learn well, but also came across ideas I could take back to my department(Anaesthesia and Crit Care). It is easy to find ourselves too busy to read papers these days, but I listened to this while making some curtains. I will remember K+ in hypothermic cardiac arrests every time I open or close them!

Jamie Willson ,

Ohhhhhh it’s a splendid business

Ohhhhhh it’s a splendid business

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