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 overall picture; with an RCT on ECPR in refractory of out of hospital cardiac arrest. How will this compare to the amazing results from the ARREST trial? Next up is a really informative paper looking at the utility of ultrasound in suspected testicular torsion in children, this may make a difference to your investigation strategy. Lastly we look a a paper describing the journey of a quality improvement project on p ..read more

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 speed RTCs may come to mind, but actually a crush injury can be sustained in a huge variety of ways without such vivid circumstances. Definitions according to the Faculty of Prehospital Care are that; ‘A crush injury is a direct injury resulting from crush.  Crush syndrome is the systemic manifestation of muscle cell damage resulting from pressure or crushing’ So in the episode we’re going to run through all of the bits that we normally cover ..read more

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 look at a study looking at the combined effect of vector change, esmolol and capping adrenaline administration in refractory VF with regards patient out ones. Could this be associated with even better patient outcomes? Secondly we take a look at the utility of fentanyl lozenges in providing effective analgesia to patients in remote settings. Does this have potential for both prehospital and in-hospital patients prior ..read more

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 deliver the best possible care for this frequently encountered presentation. Along with the standard coverage from incidence, to pathophysiology, to presentation and treatment, we'll also be covering those topics that you've specifically asked for; The mechanism behind hypercapnoeic respiratory failure, in those patients given to much oxygen Is there a role for end tidal CO2 interpretation in those spontaneo ..read more

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. First up, we take a look at a paper assessing whether there is benefit to treatment with thrombolytics or anticoagulants for patients in cardiac arrest due to a presumed MI. Next up we look at the potential harm in administering steroids to patients with COVID-19 nor requiring supplemental oxygen. Finally, we take a look at a paper assessing the potential use of point of care lactate in predicting the need f ..read more

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 difference to patient outcomes, and doing so in a timely and slick fashion can be a real challenge. In this episode we'll be discussing all forms of pacing, strategies for ensuring the greatest likelihood of success and the details of setup and analgesia/sedation strategies for external pacing. Once again we'd love to hear any comments or questions either via the website or social media. Enjoy! Simon, Rob &am ..read more

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 of Emergency Care. First up we take a look at DOSE VF, an RCT look at the best defibrillation strategy for refractory VF. Next we take a look at another RCT looking at the potential benefit of dexamethasone, in order to reduce pain in patients suffering with renal colic. Last up, we've talked a lot about the importance of first pass success in advanced airway management, but what (if any) is the association wit ..read more

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 accepted definition of ABD. Really it’s an umbrella term for a patient presenting with a triad of features, secondary to a specific underlying cause, made up of; Delirium Severe agitation and aggressive behaviour Autonomic dysfunction In this episode we're going to run through ABD, it's causes, the approach and investigation. Excellent management of these cases relies upon high quality team working, planning, comm ..read more

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 Society of Cardiology (ESC) guidelines that recommend when right ventricular myocardial infarction, that patients are not administered nitrates due to the risks of compromise of cardiac output.  Secondly we look at an RCT, with some really clever blinding, that looks at different BP targets for intubated and ventilated patients in ICU who have sustained a cardiac arrest. Finally we take a look at a paper f ..read more

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. Bradycardias can be a physiological state in athletes, but they can also be of significant concern. They occur due to a multitude of reasons, some cardiac and some not and they can require no treatment at all right up to those peri-arrest patients where you’ll be cracking open your critical care drugs and starting to pace them externally before getting them to definitive care. In this episode we take an in-depth loo ..read more