All tagged Airway Management

Episode 97: 2023 Resuscitation Update

Episode 97: 2023 Resuscitation Update

Ed Bauter
Cardiac Arrest, FOAMed

The gang gets back together and discusses new resuscitation data from 2022.

Blood-Pressure Targets in Comatose Survivors of Cardiac Arrest

Question and Methods: double-blind RCT out of Denmark whether high or low arterial blood-pressure targets would be superior in preventing death or severe anoxic brain injury in comatose survivors of OHCA. Enrolled 789 patients

RePHILL Study

Question and Methods: Multicenter RCT out of the UK that investigated prehospital resuscitation using PRBCs and plasma versus normal saline to improve tissue perfusion or mortality in adult trauma patients with hemorrhagic shock.

Mike's favorite study about Refractory VFib

Question and Methods: Shock-refractory VFib remains a common occurrence during OHCA → does dual sequential defib and vector-changing defib improve outcomes in patients with refractory VF? Primary outcome measure was survival to hospital discharge; secondary outcomes termination of VF, ROSC, good neurologic outcome at hospital discharge

Head and thorax elevation during cardiopulmonary resuscitation using circulatory adjuncts is associated with improved survival

Question and Methods: Does the use of a head up device as part of a CPR bundle improve survival from OHCA?

Episode 95: Haney Mallemat and Medicine in Social Media

Episode 95: Haney Mallemat and Medicine in Social Media

Ed Bauter
Cardiac Arrest, Controversy, Interview

Dr. Haney Mallemat (@criticalcarenow) joins Dan to discuss how social media can influence medicine and how recent medical events have shined a light on CPR and bleeding control.

In a matter of a few days, the world was shocked to hear that actor Jeremy Renner had been traumatically injured while on vacation in Nevada and Buffalo Bills player Damar Hamlin experienced a cardiac arrest on the field. These two tragic events have shown the world, albeit briefly, how important early CPR and bleeding control are to survival.

Episode 77: Dr. Jim Ducanto and Everything Airway

Episode 77: Dr. Jim Ducanto and Everything Airway

Ed Bauter

Dr. Jim Ducanto is an anesthesiologist that discusses airway management like it's the final scene of an action movie. It's very exciting, and your learn a lot without even realizing it. When we initially recorded this interview, we considered breaking it into two separate parts, but there's just too much good information in this show to break it apart. You're going to want to listen to this episode twice: once to listen, and once to take notes. Dr. Ducanto makes airway management exciting, and we're thrilled to have him on the show. As a fun bonus, at the end of the episode you'll be able to used to acronym BEEF SALAD correctly and impress all your friends.

Episode 55: Outbreak EMS

Episode 55: Outbreak EMS

Daniel Schwester
Airway Management, Controversy, FOAMed, Health and Safety, MD1

Dan and Ed sit down on short notice to get some information together about what we as EMS clinicians are up against with the arrival of novel coronavirus.

This is a totally off-label discussion about personal protective equipment, airway management, patient assessment, and items that we are seeing on social media and the FOAMed world.

Please follow your local policies and guidelines, and involve your medical director and leadership with any modifications to your practice.

Follow us at Overrun Productions' YouTube channel, and the MD1 Program YouTube channel for daily updates and practice tips. Leave us questions in the comments section, and we can have our medical director, Dr. Mark Merlin, share his answers on them!

The Overrun is on YouTube at:

https://www.youtube.com/channel/UCGqDBcqJl3B0HLigT5Wl9AA

MD1 Program on YouTube:

https://www.youtube.com/channel/UC93VE2Sr9AC3sMCN0W7uLQA

We're using the Johns Hopkins University Coronavirus Resource center for our data:

https://coronavirus.jhu.edu/map.html

Twitter has been a good resource for FOAMed lately; here's some of the experts we're following:

Minh LeCong: @ketaminh

Salim R. Rezaie, MD:@srrezaie (www.rebelem.com)

Episode 44: Our Cric Show

Episode 44: Our Cric Show

Ed Bauter
FOAMed, Medicine, Airway Management

We talk about a wide variety of all things cricothyroidotomy: mental prep and training, the difference in the techniques that are out there, which one might work better, and lots of other stuff. We also shoutout to a LOT of other resources that will help you to really understand this low frequency, but critical procedure.

If this is in your scope of practice; or possibly in a situation where a clinician will use this; you need to know about this to be able to care for your patient.

Dr. Rich Levitan’s website:

https://www.airwaycam.com

Dr. Scott Weingart’s website:

https://emcrit.org

The EMCrit podcast can be found on iTunes (just like us!)…it’s one of the best around with literally hundreds of topics!

SMACC was an amazing prehospital/emergency/and critical care conference that changed how many of us looked at conferences and learning. Check out their stuff here:

https://smacc.net.au/blog/

New England Journal of Medicine paper on comparing cric techniques:

https://www.jwatch.org/em200503300000002/2005/03/30/open-cricothyroidotomy-vs-seldinger-technique

Here’s the case study about the NG tube going into the spinal column…

https://www.sciencedirect.com/science/article/abs/pii/S0196070911000755