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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

    • Gezondheid en fitness
    • 4,7 • 3 beoordelingen

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

    Acute Kidney Injury; Roadside to Resus

    Acute Kidney Injury; Roadside to Resus

    Acute Kidney Injury is common, complicated and holds significant morbidity and mortality. But...if we recognise it, we can make a real difference to our patients' outcomes.
    In this episode we run through the anatomy, physiology and aetiologies.
    We have a think about the multitude of definitions of AKI and then take each of the pre renal, renal and post renal categories and think about the ways we can optimise our care in each.
    We also have a think about who needs to be admitted and who can be safely managed in the community.
    This was a hugely valuable episode for us all to research and bring clarity to a complicated topic, we hope it does the same for you too!
    Once again we’d love to hear any thoughts or feedback either on the website or via X @TheResusRoom!
    Simon, Rob & James

    • 59 min.
    July 2024; papers of the month

    July 2024; papers of the month

    There's a huge paper to talk about this month in the PREOXI trial, a multi centre RCT looking at the pre oxygenation strategy in critically unwell patients undergoing RSI, with patients either getting high flow oxygen through a facemask or NIV. The results are pretty remarkable and may well be practice changing as we'll discuss in the podcast!
    Next up we take a look at a feasibility of lidocaine patches for older patients with rib fractures and the potential benefit in terms of pain and respiratory complications.
    Lastly we take a look at the benefit of performing a CT head scan in the Emergency Department for patients with a first fit. At times this can feel like a significant utilisation of resources, but what is the yield of positive scans and impact on patient care?
    Once again we’d love to hear any thoughts or feedback either on the website or via X @TheResusRoom!
    Simon & Rob

    • 30 min.
    Major Incident Triage; Roadside to Resus

    Major Incident Triage; Roadside to Resus

    So this month we’re looking at major incidents and specifically the triage process that is now coming into play in the UK and further afield that you need to know about!
    We normally stick pretty strongly to clinical topics; they’re pretty easy to focus on because you can imagine how extra knowledge in a certain clinical area could make a difference to presentations that we see pretty commonly. And being brutally honest, making the effort to prepare and rehearse what we might do, on the off chance that we ever come across a major incident, can be difficult to motivate yourself to do.
    But this is probably an area that investing a bit of time in, really thinking about how you would act in a major incident, could make a phenomenal difference to what may be one of the most, if not the most challenging clinical days of your career.
    In the episode we run through Ten Second Triage (TST) and the Major Incident Triage Tool (MITT). They replace the previous triage methodologies and are to be implemented by the end of this month. We also cover some other aspects of planning and approach for being the first responder at a major incident, and we were lucky enough to gain some insights to the new triage process from Phil Cowburn, an EM & PHEM consultant who was involved in their development.
    Once again we’d love to hear any thoughts or feedback either on the website or via X @TheResusRoom!
    Simon, Rob & James

    • 57 min.
    June 2024; papers of the month

    June 2024; papers of the month

    Welcome back to June's Papers of the month!
    We kick off this month looking at the work up of patients with a first episode of psychosis. With these patients there is a chance of a psychosis secondary to an underlying structural cause. Getting neuro-imaging to look for this prior to psychiatric assessment is tricky though, often with a need for sedation and then the subsequent delay for psychiatric assessment. Our first paper looks at the yield of positive scans for these patients and helps us to understand a bit more about the need for this.
    Secondly; sepsis screening tools are commonplace in most emergency services and departments, but how do they compare against senior clinician gestalt?
    Finally we look at the association of gastric distension in cardiac arrest and the rates of ROSC, should we be concentrating more on decompression of gastric volume intra-arrest?
    Once again we’d love to hear any thoughts or feedback either on the website or via X @TheResusRoom!
    Simon & Rob

    • 31 min.
    Cardiac Arrest, Start With The End In Mind; Roadside to Resus

    Cardiac Arrest, Start With The End In Mind; Roadside to Resus

    We’ve covered Cardiac Arrest management (as in the medical delivery of it) in a previous Roadside to Resusepsiode. Since then we've had some updates with Paramedic-2, Refractory VF, Airways-2  and a whole host of other papers. But what we haven't talked much about is the art of creating the environment, space & workflow to deliver the best medical care possible. 
    Whilst these might seem like less exciting and important parts of the package, they probably require a greater degree of skill and knowledge than running the medical aspects of the arrest. To do them with excellence you need to anticipate every single objective/obstacle that could stand in your way, including the medical interventions involved and the challenges of that unique case and environment. 
    In this episode we run through the aspects of a cardiac arrest right from the initiation of the case to the clearing/transfer to onwards care. We talk about the use of immediate, urgent and definitive plans and then run through how these translate into both in-hospital and prehospital arrests.
    We personally got a lot out of preparing and thinking about this episode, so we hope you find it useful too!
    We’d love to hear any thoughts or feedback on this slightly different style of episode either on the website or via X @TheResusRoom!
    Simon & James

    • 56 min.
    May 2024; papers of the month

    May 2024; papers of the month

    Welcome back to the podcast and three great papers for May's episode!
    First up we take a pretty deep look into refractory VF. This follows on from our our review of DOSE-VF in December '22's papers of the month and our recent Roadside to Resus on the topic. In that we discussed the possibility that many of the cases we see at pulse checks as being refractory VF may actually have had 5 seconds or more, post shock, where they jumped out of VF but then reverted back into it. This paper is a secondary analysis of DOSE-VF and reveals what really happen to these 'refractory VFs' by interrogating the defibrillators. What difference will it make to our strategy for recurrent and refractory VF?
    Next up we take a look at elderly patients presenting to the Emergency Department with abdominal pain with an analysis of the features that predict a serious abdominal condition.
    Lastly we look at the how different pressures exerted to the facemask when ventilating neonates can make in terms of bradycardia and apnoea.
    Once again we’d love to hear any thoughts or feedback either on the website or via X @TheResusRoom!
    Simon & Rob

    • 27 min.

Klantrecensies

4,7 van 5
3 beoordelingen

3 beoordelingen

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