167 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 • 437 Ratings

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

    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
    May 2021; papers of the month

    May 2021; papers of the month

    Welcome back to May's Papers of the Month Podcast!
    Three more papers for you on three varied topics. We start off with the use of end tidal carbon dioxide in the content of prehospital head injuries.Taking a look at a paper delving a bit deeper into the utility of end tidal CO2 when compared with arterial CO2 measurements on arrival in ED, in patients having received a prehospital anaesthetic; how accurate is end tidal and what level should we be aiming for?
    Next we consider the importance of frailty in the outcomes of our older trauma patients and the ability of three different screening tools in identification of this cohort of high risk patients presenting to our hospitals.
    Finally we take a look at a treatment which some prehospital services have already employed and others are considering; the use of CPAP for patients presenting with acute respiratory distress. Does the evidence support its use?
    Once again we'd love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
    Simon & Rob

    • 35 min
    Newborn Life Support; Roadside to Resus

    Newborn Life Support; Roadside to Resus

    So last month we considered Maternal Emergencies and the approach and interventions we can make in order to minimise complications during pregnancy and during childbirth. As promised this month we're looking at the next step along the process and focussing on Newborn Life Support.
    Dealing with newborns has the potential to be really stressful but hopefully by concentrating on the fundamentals and guidelines we'll all be able to approach the situation with greater confidence.
    Let us know any thought and comments you have on the podcast.
    Enjoy!
    Simon, Rob & James

    • 1 hr 38 min
    April 2021; papers of the month

    April 2021; papers of the month

    Well if last month was based on cardiac arrest, this month takes a deeper look at airways!
    First up we take a look at a paper that benchmarks the use of video laryngoscopy, specifically with the C-MAC and gives some really useful information from a Swiss HEMS service on first-pass success, the relevance of operator experience on success and factors that alter intubation success.
    Next up we're looking at blood in the airway with epistaxis...okay it's a tenuous link, but it pretty much works! The NOPAC study looks at the use of TXA in atraumatic epistaxis and compare it to placebo use, will TXA come up trumps in this setting?
    Finally we take a look at the use of scalpel cricothyroidotomy within the London HEMS service over a 20 year period, with a number of things we can learn from this experience.
    Once again we'd love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
    Simon & Rob

    • 29 min

Customer Reviews

4.9 out of 5
437 Ratings

437 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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