The Resus Room
Episodes
Devastating Brain Injuries
12 Feb 2018
Contributed by Lukas
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 ...
February 2018; papers of the month
01 Feb 2018
Contributed by Lukas
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 ...
Tranexamic Acid; time to treatment
22 Jan 2018
Contributed by Lukas
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...
Prehospital Care; FPHC conference
12 Jan 2018
Contributed by Lukas
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'...
January 2018; papers of the month
01 Jan 2018
Contributed by Lukas
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 t...
Handover; Roadside to Resus
11 Dec 2017
Contributed by Lukas
Handover matters. Handover of patient care occurs at multiple points in the patient's journey and is a crucial point for transference of information a...
December 2017; papers of the month
01 Dec 2017
Contributed by Lukas
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 su...
Traumatic Arrest; Roadside to Resus
20 Nov 2017
Contributed by Lukas
Traumatic Cardiac Arrest; for many of us an infrequent presentation and it that lies the problem. In our previous cardiac arrest podcast we talked abo...
Massive PE Thrombolysis
10 Nov 2017
Contributed by Lukas
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...
November 2017; papers of the month
01 Nov 2017
Contributed by Lukas
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,...
Return in spontaneous circulation; Roadside to Resus
16 Oct 2017
Contributed by Lukas
Last time in Roadside to Resus we discussed cardiac arrest with a view to obtaining a return in spontaneous circulation, ROSC. However gaining a ROSC ...
Pre-Hospital Care; BASICS & FPHC Conference '17
06 Oct 2017
Contributed by Lukas
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 invi...
October 2017; papers of the month
01 Oct 2017
Contributed by Lukas
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 ...
Cardiac Arrest; Roadside to Resus
21 Sep 2017
Contributed by Lukas
We have a significant way to go with respect to our cardiac arrest management. 'Cardiopulmoary Resuscitation is attempted in nearly 30,000 people who ...
Bicarbonate in arrest
11 Sep 2017
Contributed by Lukas
Bicarbonate use in cardiac arrest. The topic still provokes debate and multiple publications on the topic still hit the press reels. People talk of th...
September 2017; papers of the month
01 Sep 2017
Contributed by Lukas
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 pre...
Asthma; Roadside to Resus Part 2
21 Aug 2017
Contributed by Lukas
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 cover...
Asthma; Roadside to Resus Part 1
14 Aug 2017
Contributed by Lukas
Asthma is a common disease and presents to acute healthcare services extremely frequently. The majority of presentations are mild exacerbations of a k...
August '17; papers of the month
01 Aug 2017
Contributed by Lukas
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 ...
Acute Heart Failure; Roadside to Resus
20 Jul 2017
Contributed by Lukas
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 A...
Cervical Spine Immobilisation
10 Jul 2017
Contributed by Lukas
C-spine immobilisation is a controversial topic because of a lack of high quality evidence from clinical trials. Historical approaches have been chall...
July 2017; papers of the month
01 Jul 2017
Contributed by Lukas
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 o...
Double Sequential Defibrillation
21 Jun 2017
Contributed by Lukas
Guidelines. Algorithms. Evidence based medicine. These all play a significant part in the safe and effective management of the majority of our pati...
Mechanical CPR
15 Jun 2017
Contributed by Lukas
High quality manual cardiopulmonary resuscitation (CPR) with minimal delays has been shown to improve outcomes following out-of-hospital cardiac arres...
June 2017; papers of the month
01 Jun 2017
Contributed by Lukas
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...
BTS 2017 Oxygen Guideline; pre and in-hospital
19 May 2017
Contributed by Lukas
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 o...
Troponin Rule Out Strategies
15 May 2017
Contributed by Lukas
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 inf...
May 2017; papers of the month
01 May 2017
Contributed by Lukas
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 suppor...
Top 10 EM papers; 2016-17
25 Apr 2017
Contributed by Lukas
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 th...
Acute Cholecystitis; making the diagnosis
15 Apr 2017
Contributed by Lukas
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...
April 2017; papers of the month
01 Apr 2017
Contributed by Lukas
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 hy...
Trauma in the ED '17
18 Mar 2017
Contributed by Lukas
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 up with so...
Cardiac Arrest Centres
08 Mar 2017
Contributed by Lukas
Centralisation of care for specialist services such as stroke, trauma and myocardial infarctions is becoming more and more common place. But where wil...
March 2017; papers of the month
01 Mar 2017
Contributed by Lukas
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 mo...
Rhabdomyolysis
21 Feb 2017
Contributed by Lukas
Think of rhabdomyolysis and you'll think of an elevated creatine kinase (CK). The condition ranges from an asymptomatic period to a life-threatening ...
Epistaxis
15 Feb 2017
Contributed by Lukas
Epistaxis is an extremely common presentation to both Prehospital Emergency Services and Emergency Departments. The vast majority are benign and sel...
February 2017; papers of the month
01 Feb 2017
Contributed by Lukas
Welcome back to Papers of the Month. February holds a diverse number of topics on some really interesting areas of practice. We kick off with a snap s...
The AHEAD Study; scan all head injuries on warfarin??
16 Jan 2017
Contributed by Lukas
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 210...
Cardiac Arrest; when to stop?
14 Jan 2017
Contributed by Lukas
A lot of our podcasts have focussed on prognostic factors in arrest to help with the decision making of continuing or stopping resuscitation in cardia...
January 2017; papers of the month
01 Jan 2017
Contributed by Lukas
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 some further co...
Troponins replacing history taking?
15 Dec 2016
Contributed by Lukas
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 Emerge...
RSI Debate; the aftermath..
10 Dec 2016
Contributed by Lukas
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...
Should EM clinicians be allowed to RSI?
05 Dec 2016
Contributed by Lukas
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 on...
December 2016; papers of the month
01 Dec 2016
Contributed by Lukas
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 whe...
Upper GI Bleeding, what's the risk?
17 Nov 2016
Contributed by Lukas
Patients frequently present to the Emergency Department either with direct concern following an upper gastro intestinal bleed, or with a history that ...
PE; the latest controversy
10 Nov 2016
Contributed by Lukas
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 wit...
November 2016; papers of the month
01 Nov 2016
Contributed by Lukas
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 ...
Stroke thrombolysis
22 Oct 2016
Contributed by Lukas
Stroke thrombolysis has definitely put the spotlight back on to the topic of stroke over the last few years. Stroke thrombolysis has led to restructu...
One for the geeks; interval likelihood ratios
11 Oct 2016
Contributed by Lukas
Risk assessment, testing and risk management form the very heart of Emergency Medicine and Critical Care. Being aware of the evidence surrounding a to...
October 2016; papers of the month
01 Oct 2016
Contributed by Lukas
This month we cover a paper looking at the role of early craniectomy for raised intracranial pressure, the outcomes associated with advanced airway ma...
Asthma; New 2016 BTS Guidelines
29 Sep 2016
Contributed by Lukas
This week the British Thoracic Society have released an updated version of their guidelines on asthma. The document covers all aspects from diagnosis,...
Anti coagulated head injuries and delayed bleeds....
15 Sep 2016
Contributed by Lukas
In 2014 NICE updated their guidelines on Head Injury: assessment and early management. This included specific guidance for those patients on warfarin...
September 2016; papers of the month
01 Sep 2016
Contributed by Lukas
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 fo...
CXR in Blunt Trauma
22 Aug 2016
Contributed by Lukas
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 ...
Burns
10 Aug 2016
Contributed by Lukas
Burns are a common presentation to the ED and can result in a significant degree or morbidity and mortality. In this podcast we talk through the appro...
August 2016; papers of the month
01 Aug 2016
Contributed by Lukas
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 ...
PCI following ROSC
25 Jul 2016
Contributed by Lukas
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 arres...
5 Essential Papers
20 Jul 2016
Contributed by Lukas
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 ...
Sepsis: NICE 2016 Guideline Summary
13 Jul 2016
Contributed by Lukas
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...
July 2016; papers of the month
01 Jul 2016
Contributed by Lukas
We have a look at papers covering platelet transfusions for patients on antiplatelets who suffer intracerebral bleeds, the optimal dose for procedura...
How safe is ED sedation?
17 Jun 2016
Contributed by Lukas
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 Medi...
Carbon Monoxide
12 Jun 2016
Contributed by Lukas
Carbon Monoxide poisoning is definitely one of those differentials that you consider when the patients books into ED with '?carbon monoxide poisoning'...
June 2016; papers of the month
01 Jun 2016
Contributed by Lukas
For June we have a look at papers covering CT head imaging in delayed trauma presentations, risk stratifying TIAs, early administration of fluids in s...
May 2016; papers of the month
15 May 2016
Contributed by Lukas
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 a...
Heart failure, sedation, intubation, anaphylaxis & cardiac arrest; EBM updates in Resuscitation
04 May 2016
Contributed by Lukas
So this is a talk I gave at the EMCEF 22 conference. This covers a few of the papers we've discussed in the last 6 months on the podcast but a bit o...
REBOA; setting up a service with Sam Sadek & Zaf Qasim
24 Apr 2016
Contributed by Lukas
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 Cons...
Brohi, Nutbeam, Appleyard, Jones, Parsons & Newton; TraumaCare2016, Major Trauma in the ED
20 Apr 2016
Contributed by Lukas
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 Depart...
Hypothermia
06 Apr 2016
Contributed by Lukas
Rob Fenwick talks to us about this common condition and amongst others throws up a few surprises about the risks of rewarming. Enjoy
April 2016; papers of the month
30 Mar 2016
Contributed by Lukas
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 hyperop...
Type II Respiratory Failure
21 Mar 2016
Contributed by Lukas
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 ...
Needle Thoracostomy
12 Mar 2016
Contributed by Lukas
Needle decompression of a pneumothorax is a time critical and life saving procedure. Classical teaching is to perform this in the 2nd ICS midclavicula...
March 2016; papers of the month
05 Mar 2016
Contributed by Lukas
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...
Major Trauma; NICE guideline 2016
05 Mar 2016
Contributed by Lukas
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...
Status Epilepticus
05 Mar 2016
Contributed by Lukas
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 diff...
February 2016; papers of the month
05 Mar 2016
Contributed by Lukas
Welcome to February's papers of the month. This time we're talking about decompressing tension pneumothoraces, nasal oxygenation, prognosis of cardiac...
Anaphylaxis
05 Mar 2016
Contributed by Lukas
Rob Fenwick talks us through some key points regarding anaphylaxis and some recent literature which may be a surprise regarding biphasic reactions, en...
January 2016; papers of the month
05 Mar 2016
Contributed by Lukas
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 ...