Podcasts by The Resus Room
Emergency Medicine podcasts based on evidence based medicine focussed on practice in and around the resus room.
Further podcasts by Simon Laing, Rob Fenwick & James Yates
Podcast on the topic Medizin
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December 2023; papers of the month from 2023-12-01T00:01
We've talked about Aortic Dissection before in our Roadside to Resus episode and the huge difficulties in picking out these rare but potentially devastating cases and this month we've got a fant...
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Blood gases; Roadside to Resus from 2023-11-15T00:01
Blood gases are really commonly used in ED, Critical Care, Respiratory Medicine and Prehospitally. In fact, you’d do well to walk 10 meters in an ED without being given one to sign off! But it’s...
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November 2023; papers of the month from 2023-11-01T00:01
Well this has been a huge month for Emergency Medicine and Critical Care in terms of papers!
We start off looking at REBOA; many resuscitationist's favourite concept or device with the mu...
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Spontaneous Pneumothorax; Roadside to Resus from 2023-10-16T00:01
In this episode we’re going to cover the ‘atraumatic’ or ‘spontaneous’ pneumothoraces and focus on some new key guidelines from the British Thoracic Society which came out in July this year and ...
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October 2023; papers of the month from 2023-10-01T00:01
Welcome back!
This month we kick off looking at an RCT which looks at whether we should convey patients with a ROSC from a likely cardiac cause (without a STEMI in their ECG) to a cardiac...
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End of Life Care; Roadside to Resus from 2023-09-19T00:01
Delivering excellent End of Life Care in the Emergency Care is a real challenge but also a huge privilege and has formed some of the most rewarding parts of our careers to date.
We've bee...
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ACPIC 2023; conference episode from 2023-09-15T13:28:32
Welcome back to the podcast, coming to you all the way from Australia!
Rob and James were fortunate enough to be invited to deliver the keynote and an airway masterclass at this year's Au...
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September 2023; papers of the month from 2023-09-01T00:01
Welcome back to the podcast!
We're back with three really interesting papers after our summer break, with some great points to think about with regards to our practice and patient outcome...
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August 2023; papers of the month from 2023-08-01T00:01
Welcome back, this is our last podcast before our short summer break!
We start off having a look at the physiological effects of prolonged resuscitation with a supraglottic device compare...
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Trauma Primary Survey; Roadside to Resus from 2023-07-14T00:01
So in this episode we’re going to run though the primary survey in trauma. This clinical assessment helps us identify and treat life threatening injuries and to rapidly intervene and correct the...
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July 2023; papers of the month from 2023-07-01T00:01
There have been some huge trials released over the last month and we've got three brilliant papers to discuss!
First up we take a look at an RCT on video versus direct laryngoscopy for pa...
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Traumatic Pneumothorax; Roadside to Resus from 2023-06-14T00:01
This is the first of two episodes looking at pneumothoraces. In this episode we're going to start out by taking a look at traumatic pneumothoraces.
Traumatic pneumothoraces are present in...
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June 2023; papers of the month from 2023-06-01T00:01
Welcome back to the podcast and to the first episode in collaboration with our new sponsors Zoll, a huge thanks to them in their support of free open access medical education!
First off t...
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Head Injury Updates; Roadside to Resus from 2023-05-18T05:33:31
The last time we took a good look at head injuries was back in 2018 in our Roadside to Resus episodes and for all of the foundational stuff on incidence, assessment, management and loads more m...
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May 2023; papers of the month from 2023-05-01T00:01
This month we start off with a paper looking at the first pass success rate of intubation in cardiac arrest when performing continual CPR versus pausing.
We then come on to two really int...
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Can't Intubate Can't Oxygenate; Roadside to Resus from 2023-04-17T00:01
Being in a situation of being unable to intubate and unable to oxygenate is an absolute time critical emergency.
Focus needs to be paid to the techniques and strategy to deal with this s...
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April 2023; papers of the month from 2023-04-01T00:01
Welcome back to the podcast!
This month we start off thinking about sepsis, specifically fluid management and whether a restrictive approach to fluid resuscitation in combination with ear...
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Neck of Femur Fractures; Roadside to Resus from 2023-03-16T00:01
So NOF's aren't the most glamorous of topics to cover on a podcast, but the difference we can make to patients but refining our care is huge.
Neck of femur fractures have a high and incr...
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March 2023; papers of the month from 2023-03-01T00:01
Welcome back to the podcast!
ECMO-CPR is a growing conversation in the world of cardiac arrest management. This month we have a look at a paper which adds some great evidence to the overa...
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Crush; Roadside to Resus from 2023-02-20T00:01
So in this episode we’re going to be covering crush injury.
When you think about it, visions of falling rocks, industrial accidents and high sp...
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February 2023; papers of the month from 2023-02-01T00:01
Welcome back!
Three more papers for you this month to inform and improve our care in acute and critical illness.
First up and following on from the recent DoseVF paper, we take a l...
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COPD; Roadside to Resus from 2023-01-16T00:01
Welcome back to our first Roadside to Resus episode for 2023!
We're back with the huge topic that is COPD. In this episode we're going to delve into the depths of the topic, helping us to...
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January 2023; papers of the month from 2023-01-01T00:01
Welcome to 2023 and a very happy New Year!
We hope you managed to get some time with your loved ones over the festive period and we're back with the podcast again to kick off the new year...
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Pacing; Roadside to Resus from 2022-12-16T00:01
So following on from our Bradycardia episode, we're going to look in detail at cardiac pacing.
Setting up emergency pacing in those compromised bradycardia patients can make a significant...
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December 2022; papers of the month from 2022-12-01T00:01
Welcome back to 200th episode of the podcast! A huge thank to all of you for your support and engagement.
Three more papers for you this month to challenge thinking across a board range o...
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Acute Behavioural Disturbance; Roadside to Resus from 2022-11-18T00:01
Acute Behavioural Disturbance (ABD), one of the most challenging, dangerous and serious presentations that we will encounter in emergency management of patients.
There is no widely accept...
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November 2022; papers of the month from 2022-11-01T00:01
Welcome back to the podcast and to November's Papers Of The Month.
First up we're taking a look at a paper that challenges the current American Heart Association (AHA) and European Societ...
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Bradycardia; Roadside to Resus from 2022-10-17T00:01
We’ve covered tachycardias, both narrow and broad before, but we need to complete the set. So this time we’ll be looking at the slower end of the spectrum, with bradycardias.
Bradycardia...
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October 2022; papers of the month from 2022-10-01T00:01
Welcome back to the podcast!
First up this month we're going have a think about fluid therapy, following an RCT focussing on those patients attending ED with moderate severity acute pancr...
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Extrication; Roadside to Resus from 2022-09-15T00:01
Despite all the improvements that we have seen in trauma care over the past 20 or more years RTCs are still, sadly, a really common cause of both death and disability, with the number of deaths ...
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September 2022; papers of the month from 2022-09-01T00:01
Welcome back to the podcast!
It's brilliant to be back after our summer break and we've got three great papers for you.
First up we take a look at a paper looking at the associatio...
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August 2022; papers of the month from 2022-08-01T00:01
Welcome back! This month we take a look at 3 papers covering the breadth of Emergency Care.
First up we look at a paper evaluating outcomes for patients discharged on scene by an EMS serv...
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Lactate; Roadside to Resus from 2022-07-18T00:01
So when people talk about patients having a high lactate we think about them being sick, it can at times be easy to slip into thinking that this equals sepsis or maybe ischaemia. And whilst the ...
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July 2022; papers of the month from 2022-07-01T00:01
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Intraosseous Access; Roadside to Resus from 2022-06-21T00:01
So, as we all know, there are loads of presentations that we see in Emergency Medicine that require us to gain rapid access to the circulation. Either to administer medicines around the body or ...
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June 2022; papers of the month from 2022-06-01T00:01
Welcome back to June '22 papers podcast!
This month we start off with a look at rocuronium dosing in RSI; could a simple change of dosage lead to an increased first pass success for our i...
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Leadership and Followership; Roadside to Resus from 2022-05-16T00:01
We talk a lot about the different skills involved in the management of the critically unwell patient; CPR, airway management, defibrillation, chest drains, RSI etc, etc…..but there is another as...
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May 2022; papers of the month from 2022-05-01T00:01
Welcome back to May's papers of the month!
First up this month we'll be looking at an RCT focussed on prehospital intra-arrest management and comparing an early move in arrest towards ECM...
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Acute Aortic Syndromes; Roadside to Resus from 2022-04-19T00:01
We have been wanting to do an episode on aortic dissections for quite a while now but you will see that what we’ve actually gone and done is created an episode on acute aortic syndromes…so we’ve...
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April 2022; papers of the month from 2022-04-01T00:01
Welcome back to April ‘22 papers of the month podcast!
We start off this month with a paper looking at the effect of a structured airway course on first pass success in novice and HEMS cl...
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Debrief - Roadside to Resus from 2022-03-08T00:01
Debrief is an extremely important topic both in the prehospital and in-hospital environment. It offers the opportunity to clarify, reflect and improve on future practice. But partaking in and ru...
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March 2022; papers of the month from 2022-03-01T00:01:30
Welcome back to March '22 Papers Podcast!
This month we have a think about causes and coping strategies for Emergency Clinicians involved in stressful cases; what can trigger us and more ...
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Broad Complex Tachycardia; Roadside to Resus from 2022-02-15T00:01
So in our last Roadside to Resus episode we covered narrow complex tachycardias. In that we delved pretty deep into the normal cardiac conductance along with the clinical assessment and their manag...
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February 2022; papers of the month from 2022-02-01T00:01
This month we’ve got three papers covering a wide variety of topics and practice in emergency care.
First up we’ll be looking at whether pre-charging the defibrillator prior to rhythm ana...
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Narrow Complex Tachycardia; Roadside to Resus from 2022-01-17T00:01
So in this episode we run through narrow complex tachycardias, not I hear you say a perfect visual topic for an audio platform like a podcast, but hold your horses…
No matter what your le...
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January 2022; papers of the month from 2022-01-01T00:01
Happy New Year!
Well we’ve got three really excellent papers to start off your new year with!
First up we take a look at the complication rates seen when performing a prehospital t...
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Ventilation; Roadside to Resus from 2021-12-15T00:01
Critically unwell patients often present with inadequate oxygenation and ventilation, in this episode we’re going to explore some of the physiology of critical illness, look at how we can improv...
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December 2021; papers of the month from 2021-12-01T00:01
Welcome back to December’s paper of the month podcast!
In the first paper this month we take a look at a paper that assesses the utility of CT scans for patients presenting with fever of ...
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Breaking Bad News; Roadside to Resus from 2021-11-15T00:01
Being involved in Emergency Care, by it’s very nature, sadly means that we will have to break bad news to patients and families both in the prehospital & in-hospital setting.
Breaking bad...
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November 2021; papers of the month from 2021-11-01T00:01
Welcome back to the papers of the month podcast!
First up we take a look at a paper assessing the importance of symptoms and sings in suspected Cauda Equina cases and consider which facto...
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Intubation; The Discussion from 2021-10-25T00:01
So following on from the Roadside to Resus episode on intubation there were a lot of questions from listeners that we didn't have the opportunity to answer. These included some clinical aspects ...
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Intubation; Roadside to Resus from 2021-10-14T00:01
Intubation is a key part of advanced airway management.
Although some of you out there may not intubate, we’ll be covering aspects where the identification of the need for intubation and ...
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October 2021; papers of the month from 2021-10-01T00:01
Welcome to October’s papers of the month!
Should patients who gain a ROSC following an out of hospital cardiac arrest go for an immediate angiogram if their ECG does not show an STEMI or ...
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Acute Coronary Syndrome; Roadside to Resus from 2021-09-15T00:01
So this time we're going to be looking at the HUGE topic of acute coronary syndrome (ACS)! ACS ranges from patients who appear well at the time of their presentation, to those that have arrhythm...
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September 2021; papers of the month from 2021-09-01T00:01
Welcome back after our summer hiatus to September’s Papers Podcast!
Firstly we take a look at two different strategies for managing agitation in the Emergency Department, to achieve rapid...
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August 2021; papers of the month from 2021-08-01T00:01
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 decelerati...
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Pre Alert; Roadside to Resus from 2021-07-19T00:01
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 ...
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July 2021; papers of the month from 2021-07-01T00:01
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 p...
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Subarachnoid Haemorrhage; Roadside to Resus from 2021-06-16T00:01
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.
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June 2021; papers of the month from 2021-06-01T00:01
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 ...
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Resuscitation Guidelines 2021; Roadside to Resus from 2021-05-05T08:11:01
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 Liaiso...
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May 2021; papers of the month from 2021-05-01T00:01
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 he...
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Newborn Life Support; Roadside to Resus from 2021-04-15T00:01
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 ...
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April 2021; papers of the month from 2021-04-01T00:01
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 w...
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Maternal Emergencies; Roadside to Resus from 2021-03-15T00:01
So this is the first of a pregnancy related double-header, with the focus being firmly set on the mother this month and next month we’ll focus in on NLS.
This month though we’re going to ...
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March 2021; papers of the month from 2021-03-01T00:01
So this month we've got a cardiac-arrest-fest for you! With 3 papers centered on the management of cardiac arrest, with some key points that will help inform and improve our practice.
Fir...
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Diabetic Ketoacidosis; Roadside to Resus from 2021-02-15T00:01
Welcome back to the podcast and our next Roadside to Resus episode, this time we’re taking a look at Diabetic Ketoacidosis, DKA.
In this episode we’ll be getting our heads around the path...
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February 2021; papers of the month from 2021-02-01T00:01
So three very different papers for you this month...
We start off having a look at a paper on the HINTS examination. This exam came to prominence a few years ago as a way to distinguish b...
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Supraglottic Airways; Roadside to Resus from 2021-01-18T00:01
So in this episode we’re going to have a deeper think about advanced airway management and specifically supraglottic use in the prehospital and ED environment.
Many prehospital service h...
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January 2021; papers of the month from 2021-01-01T00:01
Happy New Year!
Well 2020 certainly wasn't what we were all expecting, so here's hoping for a phenomenally better 2021. We've got some really exciting episodes for you this year including...
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Contrast Induced Nephropathy from 2020-12-14T00:01
So for decades people have talked about Contrast Induced Nephropathy…or Contrast Induced Acute Kidney Injury, depending on the decade and location of discussion. The theory being that diuresis, ...
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December 2020; papers of the month from 2020-12-01T00:01
Welcome back to December's Papers of The Month Podcast! Three more papers for you which will challenge and inform you practice.
First up we have a look at a systematic review and meta-ana...
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Anaphylaxis; Roadside to Resus from 2020-11-16T00:01
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 peo...
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November 2020; papers of the month from 2020-11-01T00:01
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 ...
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Poisoning; Roadside to Resus from 2020-10-15T00:01
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...
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October 2020; papers of the month from 2020-10-01T00:01
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 t...
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Toxidromes; Roadside to Resus from 2020-09-15T00:01
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 ...
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September 2020; papers of the month from 2020-09-01T00:01
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...
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August 2020; papers of the month from 2020-08-01T00:01
Ultrasound in Cardiac Arrest; Roadside to Resus from 2020-07-20T00:01
The more you delve into cardiac arrest, the more it seems that delivering the essentials well is the key to great outcomes; timely recognition, high quality chest compressions, with early and ap...
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July 2020; papers of the month from 2020-07-01T00:01
There are more great pieces of research to enjoy this month!
We start off with a paper following on nicely from our Roadside to Resus episode on Stabbing, which looks at the ability of pr...
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TXA in GI Bleeds, HALT-IT; Roadside to Resus from 2020-06-18T23:08:21
Tranexamic Acid (TXA) has gained a significant amount of attention over the last few years as multiple studies have shown it's utility in decreasing haemorrhage and associated mortality. It has ...
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June 2020; papers of the month from 2020-06-01T00:01
Welcome back to June’s Papers Podcast!
Traditionally when you’re taught about working a patient up for a potential diagnosis you’ll find a list of signs, symptoms and tests that you need ...
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Transfer; Roadside to Resus from 2020-05-25T00:01
Transfers of patients happen all the time. It's easy to think about transfers as only those that involve an ambulance and moving patients from one hospital to the next, but in reality it's far m...
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May 2020; papers of the month from 2020-05-01T00:01
Welcome to May's papers of the month podcast. Hope you are all well and keeping safe.
This month James joins Simon to discuss some of the great work published following the London Trauma ...
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Pelvic Injury; Roadside to Resus from 2020-04-20T00:01
Fractures of the pelvis are found reasonably often in major trauma, but they’re a really challenging presentation. They are difficult to assess and accurately diagnose in the prehospital setting...
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Respiratory Strategies in COVID-19 from 2020-04-10T18:07:29
So COVID-19 has produced a multitude of challenges to healthcare providers, the response to these challenges has been phenomenal.
One uncertainty is the strategy we should employ for hypo...
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April 2020; papers of the month from 2020-04-01T00:01
First we hope you're all well. The world has changed dramatically over the the last few weeks and you are all doing a phenomenal job of providing healthcare under extremely challenging circumsta...
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Cutting Edge PHEM; Roadside to Resus from 2020-03-17T00:01
Excellent practice is led by following the high quality evidence based medicine, and there have been a lot of great papers published in the last 12 months!
We were kindly invited to the F...
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March 2020; papers of the month from 2020-03-01T00:01
We've got a great spread of topics for you this month, stretching all the way from Prehospital Critical Care, to core Emergency Medicine topics.
Those of us seeing 'non-specific' complain...
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Stabbing; Roadside to Resus from 2020-02-14T00:01
Figures for the year ending September 2019 showed a 7% rise in offences involving knives or sharp instruments recorded by the police (to 44,771 offences). This is 46% higher than when comparable...
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February 2020; papers of the month from 2020-02-01T00:01
Welcome back!
Three very different topics and papers for you this month. First up we have a look at the risk/benefit of sending troponins on patients aged 65 years an older when presentin...
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Seizures; Roadside to Resus from 2020-01-15T00:01
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 patie...
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January 2020; papers of the month from 2020-01-01T00:01
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 insi...
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Pre-Hospital Critical Care; London Trauma Conference 2019 from 2019-12-12T00:01
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 Prehospit...
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December 2019; papers of the month from 2019-12-01T00:01
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 tho...
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Angioedema from 2019-11-18T00:01
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 patient...
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Community Emergency Medicine from 2019-11-11T00:01
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 ...
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November 2019; papers of the month from 2019-11-01T00:01
We've got some papers this month that focus on our sickest patients!
If you had a patient that you found in cardiac arrest and you believed they had a PE, would you thrombolyse them durin...
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Can TXA save lives in head injuries, CRASH-3; Roadside to Resus from 2019-10-15T00:01
So an incredibly important paper, CRASH-3 has just been published in the Lancet, which looks at the treatment of head injuries with Tranexamic Acid (TXA).
TXA has been shown to save lives...
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October 2019; papers of the month from 2019-10-01T00:01
Welcome to October '19 papers podcast.
You can't go far without the topic of TXA as a treatment for anything that bleeds being mentioned! With the publication of CRASH-2 and the WOMAN tri...
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Shock in Trauma; Roadside to Resus from 2019-09-16T12:00
So as promised, and following on from our previous shock episode, this time we've covered the topic of shock in Trauma. It's a massive topic and one that we all, yet again, can make a huge diffe...
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September 2019; papers of the month from 2019-09-01T00:01
We start off this month with a much talked about paper in the pre-hospital services, what benefit does Pre Hospital Critical Care bring to cardiac arrest victims? We are lucky enough to have the...
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Stroke Management; Roadside to Resus from 2019-08-15T00:01
Following on from our previous Roadside to Resus episode on Stroke, in this episode we look at the rapidly evolving area of stroke management. <...
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August 2019; papers of the month from 2019-08-01T00:01
Well the summer has definitely hit and we hope you get a chance for a break... making sure you spend spend some time listening to our Heat Illness episode on a beach somewhere!
It's a wid...
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Stroke; Roadside to Resus from 2019-07-15T00:01
Stroke is a common presentation to all Emergency Health care providers, with around 150,000 strokes occurring in the UK each year! Our impact and treatment can be hugely significant and in this ...
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July 2019; papers of the month from 2019-07-01T00:01
Welcome back!
This month we're finishing off our theme of syncope with a paper that looks to answer the big question; in those with undifferentiated syncope, does hospitalisation result i...
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Heat Illness; Roadside to Resus from 2019-06-17T00:01
If you live in the UK you may be fooled in to thinking that Heat Illness isn't really something we need to worry about...but you'd be wrong! Each year there are 800 deaths due to Heat Illness an...
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June 2019; papers of the month from 2019-06-01T00:01
Status Epilepticus in children, lying and standing blood pressures in syncope or presyncope and decompressing paediatric tension pneumothoraces.
You'll no doubt have seen and heard about ...
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Drowning; Roadside to Resus from 2019-05-15T00:01
Drowning is a huge worldwide problem, and here in the UK there are around 350 accidental deaths from drowning each year.
From the patient who is potentially well enough for discharge on s...
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May 2019; papers of the month from 2019-05-01T00:01
So first up a huge welcome to SJTREM, the free open access journal who we've teamed up with in the delivery of the podcast, every paper they publish is available online to read for free.
...
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GCS 8, intubate? from 2019-04-15T00:01
'Patients with GCS scores of 8 or less require prompt intubation', that's what ATLS tells us.
The mantra of GCS 8, intubate has pervaded teaching for those involved in the manage...
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April 2019; papers of the month from 2019-04-01T00:01
So we've got a massively important paper that we're going to kick off April's Papers of the Month podcast with, which is the RCT we've been waiting for; whether patients who have a ROSC should g...
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Advanced Airway Management Updates from 2019-03-18T00:01
We were lucky enough to be back at the fantastic TraumaCare Conference last week.
There were a whole host of fantastic talks on offer and the Emergency Medicine stream, arranged by our ve...
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March 2019; papers of the month from 2019-03-01T00:01
We've got a broad array of topics and papers for you this month!
First up we look at a paper from the NEJM assessing the potential benefits in providing ventilations to patients undergoin...
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Hypothermia; Roadside to Resus from 2019-02-14T00:01
Hypothermia is a common problem for both pre and in-hospital clinicians. Understanding the underpinning physiology helps us deliver first class care to our patients, decreasing associated morbid...
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February 2019; papers of the month from 2019-02-01T00:01
Ketamine and trauma are the topics for this months papers.
The three papers we cover are really important for all of us involved in the care of critically unwell patients. Hypotensive res...
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Shock; Roadside to Resus from 2019-01-14T00:01
If you're involved in the care of critically unwell patients then you will frequently encounter patients who are shocked. The European Society of Intensive Care Medicine defines shock as;
January 2019; papers of the month from 2019-01-01T00:01
Happy New Year!! Hopefully you got a bit of downtime over the festive period and are feeling suitably refreshed and ready to attack 2019!
We've got 3 great papers to kick off the year. Fi...
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Christmas Special '18 from 2018-12-20T00:01
Festive greetings to all!
We hope you've had a fantastic 2018 and have some time off over Xmas and New Year to celebrate with friends and family. We thought we'd bring you some of the mos...
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Cardiac Arrest Masterclass; London Trauma Conference 2018 from 2018-12-17T00:01
Cardiac arrest management is core business of a resuscitationist and practice is constantly evolving in the pursuit of improving patient outcomes.
We were lucky enough to be invited to t...
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December 2018; papers of the month from 2018-12-01T00:01
Well the year maybe coming to a close but the high quality papers keep on coming out!
We've got 3 great articles to cover in this episode which have some key points to reflect on in our p...
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Chemical Burns, Maternal arrest, Amputation and Mental Toughness; BASICSFPHC18 Day 2 from 2018-11-23T00:01
We were delighted to be back to cover the joint Faculty of Prehospital Care and BASICS conference, day 2, held at the Royal College of Surgeons of Edinburgh. Again we were absolutely spoilt for...
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Sick Paeds, Extrication and Drowning; BASICSFPHC18 Day 1 from 2018-11-20T00:01
We were delighted to be invited to cover the joint Faculty of Prehospital Care and BASICS conference held at the Royal College of Surgeons of Edinburgh.
This two-day prehospital extravaga...
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Cricoid Pressure; Roadside to Resus from 2018-11-08T00:01
We've heard a lot about advanced airway management recently, with some really significant publications over the last few months and in the last few weeks in JAMA we've had another!
Cricoi...
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November 2018; papers of the month from 2018-11-01T00:01
Welcome back to November's Papers Podcast! We've got 3 great papers for you again this month.
First up we take a look at a paper that looks to quantify the amount of experience needed to ...
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Burns; Roadside to Resus from 2018-10-15T00:01
With bonfire night approaching we thought it would be a good time to have a think about burns.
However burns are a significant issue at all times of year with around 130,000 presentations...
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October 2018; papers of the month from 2018-10-01T00:01
Welcome back to October's Papers Podcast, this month we move airway from advanced airway management and bring you a broad array of papers.
First up we have a look at the relative success ...
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September 2018; papers of the month from 2018-09-14T00:01
So we're back with September's papers of the month a little later than usual but we wanted to give you a little time to digest AIRWAYS-2... before we give you some more prehospital research on a...
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Intubation or supraglottic airway in cardiac arrest; AIRWAYS-2 from 2018-08-28T15:38:50
So we're back from our summer hiatus with a real treat. The long awaited AIRWAYS-2 paper has just been released and we've been lucky enough to speak with the lead author, Professor Jonathan Beng...
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August 2018; papers of the month from 2018-08-01T00:01
Welcome to August's papers of the month.
So this is our last offering for the summer until whilst we take a short break until September, so we had to finish off we 3 great papers!
...
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Adrenaline in Cardiac Arrest; PARAMEDIC2 from 2018-07-25T00:01
Drugs in cardiac arrest are controversial. Prehospital research is notoriously difficult to perform. PARAMEDIC2 has just published in the New England Journal of Medicine and is a multi centre ra...
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Head Injury; Roadside to Resus from 2018-07-16T00:01
Head injury worldwide is a significant cause of morbidity and mortality.
Besides prevention there isn't anything that can be done to improve the results from the primary brain injury, the...
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July 2018; papers of the month from 2018-07-02T00:01
Welcome to July's papers podcast.
There has been a plethora of superb and thought provoking papers published this month and we've got the best 3 that caught our eye for you.
In th...
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External Haemorrhage; Roadside to Resus from 2018-06-20T00:01
Managing external haemorrhage is easy right?! Then why does haemorrhage remain a major cause of death from trauma worldwide? Ok, some of that is from internal sources, but….
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June 2018; papers of the month from 2018-06-01T00:01
Welcome back to our monthly round up of the best papers in the resuscitation world.
Again we've got 3 great papers covering some really important points of practice. First up we have a lo...
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Paediatric Arrest; Roadside to Resus from 2018-05-21T00:01
The management of a cardiac arrest can be stressful at the best of times, but add into that the patient being a child and you have the potential for an overwhelmingly stressful situation.
Top 10 Trauma Papers 2018 from 2018-05-10T00:01
Professor Simon Carley from St. Emlyns caught up with us at the superb Trauma Care Conference and talked through his top papers in trauma from the last 12 months.
There's something for ev...
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May 2018; papers of the month from 2018-05-01T00:01
Dare we say it, we think this month's papers podcast is the best yet, we've got 3 superb papers and topics to consider!
The literature has been pretty airway heavy this month so we've got...
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Statistics Demystified from 2018-04-23T00:01
Evidence based medicine (EBM) allows us to deliver the best care to our patients and understanding the concepts involved is crucial.
Over the last 18 month we've been building an online c...
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Trauma Care 2018 from 2018-04-18T15:44:55
For this episode we’ve been lucky enough to catch a number of the speakers from the traumacare conference.
First up, conference organiser Caroline Leech (EM + PHEM consultant) gave us a f...
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A case to make you think... from 2018-04-08T23:03:30
In this episode Rob takes us through a case he saw recently that brought about some invaluable learning.
We're not going to give you anymore clues than that!
Enjoy!
April 2018; papers of the month from 2018-04-01T00:01
Welcome back to April's papers of the month.
We've got 3 papers this month that look to challenge our work up strategies for the critically unwell. First up we look at a paper on...
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RSI; Roadside to Resus from 2018-03-20T00:01
Gaining control of the airway in a critically unwell patient is a key skill of the critical care team and littered with potential for difficulty and complications.
NAP4 highlighted the re...
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The Crystalloid Debate from 2018-03-12T00:01
How often do you prescribe or give i.v. fluids to your patients? How much thought goes into what's contained in that fluid? What effect will you fluid choice have on your patient?
Two tri...
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March 2018; papers of the month from 2018-03-01T00:01
Welcome to March's papers of the month. We know we're biased but we've got 3 more superb papers for you this month!
First up we review a paper looking at oxygen levels in patient's with a...
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Sepsis; Roadside to Resus from 2018-02-22T00:05
So the three of us are back together and going to take on Sepsis!
It's vital to have a sound understanding of sepsis. It has a huge morbidity and mortality but importantly there is so muc...
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Devastating Brain Injuries from 2018-02-12T00:01
On a not infrequent basis we will come across patients in hospital who have a CT head scan that appears to show an unsurvivable event. Having sourced opinion from our neurosurgical and neurology...
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February 2018; papers of the month from 2018-02-01T00:01
Welcome back, we've got 3 absolute beauties of papers for you this month!
You'll have struggled not to have heard about the ADRENAL trial, a trial of iv steroids in the sickest of patient...
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Tranexamic Acid; time to treatment from 2018-01-22T00:01
In this episode we cover a paper that you have to know about!
The use of tranexamic acid(or TXA) has become widespread in the case of major trauma and post partum haemorrhage. This time w...
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Prehospital Care; FPHC conference from 2018-01-12T15:50:47
Prehospital Care is evolving rapidly and is one of the most exciting and dynamic specialties to be involved with at the moment.
As a reflection of it's progress the Faculty of Pre Hospita...
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January 2018; papers of the month from 2018-01-01T00:01
Happy New Year!!
Welcome back to the podcast and what we hope will be a superb year. We've got three excellent papers that are extremely relevant to our practice ...
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Handover; Roadside to Resus from 2017-12-11T00:01
Handover matters.
Handover of patient care occurs at multiple points in the patient's journey and is a crucial point for transference of information and inter professional working.
December 2017; papers of the month from 2017-12-01T00:01
You've got a critically unwell patient who needs an RSI. You've got lots of things to think about but specifically do you ramp them up or keep them supine, additionally do you use a checklist or...
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Traumatic Arrest; Roadside to Resus from 2017-11-20T00:01
Traumatic Cardiac Arrest; for many of us an infrequent presentation and it that lies the problem.
In our previous cardiac arrest podcast we talked about the approach to the arresting pati...
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Massive PE Thrombolysis from 2017-11-10T00:01
If you talk to people about the topic of thrombolysis in PE they'll tell you about the controversy of the submassive category, but there's a universal acceptance that thrombolysing massive PE's ...
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November 2017; papers of the month from 2017-11-01T00:01
Welcome back to November's papers podcast!
This month we've got some great topics to discuss.
We look at another paper on the topic of oxygen therapy, this time a hug article from ...
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Return in spontaneous circulation; Roadside to Resus from 2017-10-16T00:01
Last time in Roadside to Resus we discussed cardiac arrest with a view to obtaining a return in spontaneous circulation, ROSC.
Howe...
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Pre-Hospital Care; BASICS&FPHC Conference '17 from 2017-10-06T16:20:18
This podcast covers some highlights from the talks at the BASICS and The Faculty of Pre-Hospital Care 2017 Conference.
We were lucky enough to be invited by Caroline Leech to cover the da...
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October 2017; papers of the month from 2017-10-01T00:05
Welcome back to October's papers podcast!
This month we have a look at a paper that shines further light on the use of ultrasound in predicting fluid responsiveness in the spontaneously v...
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Cardiac Arrest; Roadside to Resus from 2017-09-21T00:01
We have a significant way to go with respect to our cardiac arrest management.
‘Cardiopulmoary Resuscitation is attempted...
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Bicarbonate in arrest from 2017-09-11T00:01
Bicarbonate use in cardiac arrest.
The topic still provokes debate and multiple publications on the topic still hit the press reels. People talk of the increased rate of ROSC and the impr...
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September 2017; papers of the month from 2017-09-01T00:01
So we're back with some superb topics this month;
- Early or late intubation in ICU patients, which is associated with worse outcomes?
- What are the predictors of a poor outco... Listen
Asthma; Roadside to Resus Part 2 from 2017-08-21T00:05
This is the second part of the Roadside to Resus discussion on asthma. Make sure you’ve listened to part 1 before delving into this one!
Part 2 covers
- Ketamine
- Ultra... Listen
Asthma; Roadside to Resus Part 1 from 2017-08-14T00:05
Asthma is a common disease and presents to acute healthcare services extremely frequently.
The majority of presentations are mild exacerbations of a known diagnosis and are relatively sim...
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August '17; papers of the month from 2017-08-01T00:01
We're back with more great papers for you this month, hot off the press!
There's been a lot of talk over the last few years about apnoeic oxygenation and whether it really holds any benef...
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Acute Heart Failure; Roadside to Resus from 2017-07-20T00:01
This is the first of a new series of Roadside to Resus podcasts. We've been joined by James Yates, a Critical Care Paramedic with the Great Western Air Ambulance to make it a truly multidiscipli...
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Cervical Spine Immobilisation from 2017-07-10T00:01
C-spine immobilisation is a controversial topic because of a lack of high quality evidence from clinical trials. Historical approaches have been challenged, however NICE guidance continues to re...
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July 2017; papers of the month from 2017-07-01T00:01
We're back with 3 superb topics this month!
First off we have a look at the utility of ultrasound for the detection of pneumothoraces in the context of blunt trauma.
Next we look a...
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Double Sequential Defibrillation from 2017-06-21T00:05
Guidelines. Algorithms. Evidence based medicine. These all play a significant part in the safe and effective management of the majority of our patients. As a result there is a danger that treatm...
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Mechanical CPR from 2017-06-15T00:01
High quality manual cardiopulmonary resuscitation (CPR) with minimal delays has been shown to improve outcomes following out-of-hospital cardiac arrest (OHCA). There are concerns that the qualit...
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June 2017; papers of the month from 2017-06-01T00:05
We're back with another look at the papers most relevant to our practice in and around The Resus Room.
The WOMAN trial was a huge trial that looked at tranexamic acid in post partum haemo...
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BTS 2017 Oxygen Guideline; pre and in-hospital from 2017-05-19T15:48:56
Oxygen is probably the drug that we give the most but possibly has the least governance over. More has got to be good except in those at high risk of type II respiratory failure right?? Well as...
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Troponin Rule Out Strategies from 2017-05-15T00:01
How many patients are admitted from your ED with suspected cardiac chest pain? What strategy of testing do you employ to rule out acute myocardial infarction? When and why do you send troponins ...
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May 2017; papers of the month from 2017-05-01T00:01
This month we've got a good variety of topics.
We look at an recent systematic review and meta analysis on the prognostic value of echo in life support, an update from Blyth's paper in 20...
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Top 10 EM papers; 2016-17 from 2017-04-25T12:30
This podcast is taken from a talk I gave at Grand Rounds at The Bristol Royal Infirmary on the Top 10 Papers in EM over the last 12 months.
Many of these have been covered in previous pod...
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Acute Cholecystitis; making the diagnosis from 2017-04-15T06:37:01
Acute cholecystitis is a diagnosis that we make frequently in the Emergency Department. But like all diagnostic work ups there is a lot to know about which parts of the history, examination and ...
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April 2017; papers of the month from 2017-04-01T00:00
This month we look at a paper concentrating on the risk of contrast induced nephropathy in contrasted CT scans, looking specifically at the need to hydrate at-risk patients prior to and followin...
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Trauma in the ED '17 from 2017-03-18T00:00
So today Rob and I were lucky enough to be asked to attend the Trauma Care Conference 2017, to listen to some of the great talks and catch ...
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Cardiac Arrest Centres from 2017-03-08T00:00
Centralisation of care for specialist services such as stroke, trauma and myocardial infarctions is becoming more and more common place. But where will it stop and what does it mean for the spec...
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March 2017; papers of the month from 2017-03-01T00:00
Welcome back to Papers of the Month. March has given us some great papers.
We kick off with a couple of papers looking at rib fractures, associated morbidity and...
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Rhabdomyolysis from 2017-02-21T00:00
Think of rhabdomyolysis and you'll think of an elevated creatine kinase (CK). The condition ranges from an asymptomatic period to a life-threatening condition with a hugely associated rise in CK...
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February 2017; papers of the month from 2017-02-01T00:00
Welcome back to Papers of the Month. February holds a diverse number of topics on some really interesting areas of practice.
We kick of...
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The AHEAD Study; scan all head injuries on warfarin?? from 2017-01-16T00:30
Those of us who are a bit longer in the tooth have spent most of our careers not scanning everyone who sustained a head injury on warfarin, but in 2104 Listen
Cardiac Arrest; when to stop? from 2017-01-14T08:00
A lot of our podcasts have focussed on prognostic factors in arrest to help with the decision making of continuing or stopping resuscitation in cardiac arrest. There would appear to be a huge va...
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January 2017; papers of the month from 2017-01-01T01:00
Happy New Year!!!
The publishing world seems to have wound down a bit for the festive break, but 4 papers caught out eye that can add s...
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Troponins replacing history taking? from 2016-12-15T00:30
As the years tick by our healthcare systems work harder and harder to ensure that acute coronary syndromes are picked up as they present to our Emergency Departments,...
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RSI Debate; the aftermath.. from 2016-12-10T23:16:46
So my talk at the ICS SOA 2016 conference on whether ED should be allowed to intubate certainly provoked some discussion, which was fortunate as it wa...
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Should EM clinicians be allowed to RSI? from 2016-12-05T15:30
RSI delivered by EM clinicians is common place throughout the globe, in the UK however it still seems a contentious topic, with recent data showing only 20% of ED RSIs being performed by EM clin...
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December 2016; papers of the month from 2016-12-01T00:30
Welcome to December's Papers of the month where we'll be looking at the papers recently published that have caught our eye.
First up, what happens when clinicians override clinical decisi...
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Upper GI Bleeding, what's the risk? from 2016-11-17T05:00
Patients frequently present to the Emergency Department either with direct concern following an upper gastro intestinal bleed, or with a history that points towards the diagnosis.
When th...
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PE; the latest controversy from 2016-11-10T05:00
It's never long before the topic of pulmonary embolism makes it back into the controversial lime light and a recent paper on the association of PE with syncope is the lastest reason.
The ...
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November 2016; papers of the month from 2016-11-01T05:00
This month the literature seems to be focussed on cardiac arrest
In this podcast we'll cover a paper looking at the significance of chest compression rate, ultrasound for prognostication ...
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Stroke thrombolysis from 2016-10-22T05:00
Stroke thrombolysis has definitely put the spotlight back on to the topic of stroke over the last few years. Stroke thrombolysis has led to restructuring of stroke care in the UK and has helped ...
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One for the geeks; interval likelihood ratios from 2016-10-11T07:56:55
Risk assessment, testing and risk management form the very heart of Emergency Medicine and Critical Care.
Being aware of the evidence surrounding a topic is key to delivering high level c...
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October 2016; papers of the month from 2016-10-01T05:00
This month we cover a paper looking at the role of early craniectomy for raised intracranial pressure, the outcomes associated with advanced airway managements in prehospital cardiac arrest and ...
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Asthma; New 2016 BTS Guidelines from 2016-09-29T09:55:36
This week the British Thoracic Society have released an updated version of their guidelines on asthma. The document covers all aspects from diagnosis, treatment and follow up, in this podcast we...
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Anti coagulated head injuries and delayed bleeds.... from 2016-09-15T05:00
In 2014 NICE updated their guidelines on Head Injury: assessment and early ...
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September 2016; papers of the month from 2016-09-01T05:00
Here's a look at some of the papers that caught our eye this month.
We cover a paper looking at the the potential benefits of ketofol over propofol for conscious sedation, the role of agg...
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CXR in Blunt Trauma from 2016-08-22T05:00
Where does the role of a chest X-ray lie in major trauma?
With the ever increasing use of CT and ultrasound in the resus room what role does the old school CXR hold? How many injuries wil...
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August 2016; papers of the month from 2016-08-01T05:00
Here's a look at some of the papers that caught our eye this month.
In this podcast we cover a paper looking at the significance of findings with the history, physical exam and imaging in...
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PCI following ROSC from 2016-07-25T05:00
If you've had an MI with a STEMI or a new LBBB the decision to go to the cath lab is pretty straight forward. If you've collapsed with a cardiac arrest of presumed cardiac aetiology (the majorit...
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5 Essential Papers from 2016-07-20T05:00
I haven't always read papers and with the time pressures of training and life it's impossible for us to be on top of all of the literature. But over the last few years I've come across some pape...
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Sepsis: NICE 2016 Guideline Summary from 2016-07-13T20:00:39
So the long awaited new NICE Guidelines on Sepsis have just been released. I'm no sepsis expert, I'm not on a panel involved with the guidelines but I am someone who is going to be trying to use...
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July 2016; papers of the month from 2016-07-01T02:00
We have a look at papers covering platelet transfusions for patients on antiplatelets who suffer intracerebral bleeds, the optimal dose for procedural sedation with ketamine in children, a new m...
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How safe is ED sedation? from 2016-06-17T18:22:41
Sedation is becoming an ever more significant part of our work in the Emergency Department. At the end of May 2016 the Royal College of Emergency Medicine Published the Listen
Carbon Monoxide from 2016-06-12T06:02:11
Carbon Monoxide poisoning is definitely one of those differentials that you consider when the patients books into ED with '?carbon monoxide poisoning'...... but how much ...
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June 2016; papers of the month from 2016-06-01T05:00
For June we have a look at papers covering CT head imaging in delayed trauma presentations, risk stratifying TIAs, early administration of fluids in severe sepsis and most importantly the utilit...
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May 2016; papers of the month from 2016-05-15T10:16:25
Here's a look at some of the papers that caught our eye this month. We have a look at patient positioning for RSI, the implication of hypothermia on arrival in the ED and the reliability of clin...
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Heart failure, sedation, intubation, anaphylaxis&cardiac arrest; EBM updates in Resuscitation from 2016-05-04T13:00
So this is a talk I gave at the EMCEF 22 conference. This covers a few of the papers we've d...
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REBOA; setting up a service with Sam Sadek&Zaf Qasim from 2016-04-24T09:45:09
In this episode we were lucky enough to catch up with Sam Sadek, EM Consultant at The Royal London hospital and HEMS doctor and also Zaf Qasim EM Consultant in Delaware in the United States. Bot...
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Brohi, Nutbeam, Appleyard, Jones, Parsons&Newton; TraumaCare2016, Major Trauma in the ED from 2016-04-20T16:06:24
So we were lucky enough to be asked to cover the Trauma Care Conference and specifically today's day focussing on Major Trauma in the Emergency Department. We managed to to get a few minutes of ...
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Hypothermia from 2016-04-06T06:26:56
Rob Fenwick talks to us about this common condition and amongst others throws up a few surprises about the risks of rewarming. Enjoy
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April 2016; papers of the month from 2016-03-30T12:54:39
Here's a look at some of the papers that caught our eye this month. We cover the best way to diagnose heart failure, the risks associated with hyperopia and the utility of ETCO2. Take the time ...
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Type II Respiratory Failure from 2016-03-21T08:49:24
So in this short podcast we're going to run over the summary of recommendations just published by the British Thoracic Society and the Intensive Care society on the Listen
Needle Thoracostomy from 2016-03-12T11:28:46
Needle decompression of a pneumothorax is a time critical and life saving procedure. Classical teaching is to perform this in the 2nd ICS midclavicular line but is this the easiest and most effe...
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March 2016; papers of the month from 2016-03-05T11:57:48
This month we're looking at the JAMA paper on the new sepsis definitions, adverse event rates in ED sedation, interventional treatment for the over 80's with ACS and more!
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Major Trauma; NICE guideline 2016 from 2016-03-05T11:54:46
A look at the headlines from the newly released guidance from NICE. Some bits of this may prove tricky to implement with current systems including the time to RSI....
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Status Epilepticus from 2016-03-05T11:50:21
We talk through some core content on epilepsy, some algorithims for treatment, some of the evidence base that surrounds the topic and some of the difficulties surrounding decision making
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February 2016; papers of the month from 2016-03-05T11:45:40
Welcome to February's papers of the month. This time we're talking about decompressing tension pneumothoraces, nasal oxygenation, prognosis of cardiac arrest with respect to duration and more!
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Anaphylaxis from 2016-03-05T11:39:36
Rob Fenwick talks us through some key points regarding anaphylaxis and some recent literature which may be a surprise regarding biphasic reactions, enjoy!
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January 2016; papers of the month from 2016-03-05T11:08:53
Here are the papers that caught our eye this month including direct vs video laryngoscopy, ultrasound for shortness of breath, ecg findings in PE and more!
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