Shows
The Resus RoomPre-Alert '25; Roadside to ResusHow, when and why to make the call… The pre-alert is one of the most powerful and sometimes most painful parts of emergency care. It can feel like the Spanish Inquisition, trigger tension between pre-hospital and ED teams, or drop another challenge into an already overflowing department. But done well, a pre-alert isn't an irritation; it's an opportunity to line up critical care for the next patient and genuinely improve outcomes. In this episode, Simon, Rob and James break down The UK NHS Ambulance Services and Emergency Department Pre-Alert Guideline, jointly released in July 2025 by RC...
2025-10-2052 minThe Resus RoomAdvancing Cardiac Arrest Care, SPEAR; Roadside to ResusThis is a pretty special episode! If you're involved in cardiac arrest management or care of critically unwell patients then there's some ground breaking practice we'll be discussing with the two founders of the SPEAR course; Jon Barratt; Lt Col, British Army Emergency Medicine and PHEM Consultant, University Hospitals of the North Midlands Clinical Lead - Research and Clinical Innovation, Yorkshire Air Ambulance MERIT Consultant, West Midlands Ambulance Service Senior Lecturer, Academic Department of Military Emergency Medicine Paul Rees; Surgeon Commander Royal Navy Consultant, East Anglian Air Ambulance & Barts Heart Centre Lead for Resuscitation...
2025-07-221h 10The Resus RoomJuly 2025; papers of the monthWelcome back to Papers of the Month! Three more papers to both inform and challenge our practice across the spectrum of emergency care. First up we look at a systematic review and meta-analysis on noradrenaline vs adrenaline for our medical post-ROSC patients; what evidence exists out there and should we all be delivering noradrenaline as our first line treatment for those with shock? Next up a paper to really challenge the treatment algorithm for status epilepticus in paediatrics, with an RCT of midazolam and ketamine versus midazolam alone. There are some huge differences here in...
2025-07-0130 minThe Resus RoomPain; Roadside to ResusIt's something we all encounter in emergency and prehospital care, probably more than anything else, yet it's a topic we've not given a full episode to… until now! Up to 70% of prehospital patients and 60–90% of ED attendees report pain, with half of all ED presentations having pain as the primary complaint. That's millions of patients across Europe every year and we're not always optimising our approach! In this episode, we're diving deep into acute pain management; from understanding the complex biopsychosocial definition of pain, right through to tailored pharmacological and non-pharmacological strategies, plus everything in betw...
2025-06-191h 06The Resus RoomJune 2025; papers of the monthWelcome back to June 2025's papers podcast! Having been cynical about CPR feedback devices in the past we take a look at a recent paper on their use and their potential impact to both ROSC and survival for patients, when compared to standard practice; is it time to integrate them more definitively into our practice? Next up we take another look at the use of adrenaline in traumatic arrest. We've covered this before and there's some interesting data and discussion to be had around the topic and the paper. Finally, we all know...
2025-06-0132 minThe Resus RoomGCS; Roadside to ResusWelcome back! In this episode, we're diving deep into something we all think we know, the Glasgow Coma Scale. The GCS has been a fundamental part of assessing patients with altered consciousness for over 50 years. You'll find it in trauma scores, neurology exams and practically every prehospital and ED handover. But here's the thing, is it as reliable and useful as we think? In this episode, we'll explore the origins of the scale, what it was designed for and how it's been used (and maybe misused...) since. We take a look at how reproducible it...
2025-05-1547 minThe Resus RoomMay 2025; papers of the monthWelcome back to the podcast! We've got three papers this month covering the breadth of Emergency Care presentations and locations; from prehospital arrests, ketamine for analgesia in trauma and those complex elderly patients presenting with abdominal pain. First up we look at the use of prehospital thrombolysis for out of hospital cardiac arrest, something some critical care services are using for suspected PEs and MIs. But what are the outcomes for these patients and how accurate are the clinical suspicions that lead to the thrombolysis? Next up we look at an excellent prehospital...
2025-05-0143 minThe Resus RoomOpioid Overdose; Roadside to ResusOpioid toxicity is a major and growing challenge across the UK and beyond, with nearly 10 deaths every day from opioid overdose and over a million adults using Class A drugs annually, the impact on emergency services is enormous. In this episode, we're diving deep into the recognition and management of acute opioid toxicity in the emergency setting, including the reversal using naloxone. We'll run through; The scale of the problem, including the rise of novel synthetic opioids like fentanyl and nitazenes. A breakdown of opioid pharmacology, including receptor types, potencies, and onset of action...
2025-04-1550 minThe Resus RoomApril 2025; papers of the monthWelcome back to April's Papers of the Month! First up this month we have a think about posterior circulatory strokes, which can mimic benign vertigo, and can be really tricky to differentiate between a completely benign issue or a stroke that is really important to pick up. Clearly imaging everyone is one option but completely impractical when you consider the gold standard of MRI. So having a bedside tests to rule in or out the diagnosis of stroke would be a huge help. Our first paper looks at the use of three bedside scoring systems; HINTS, TriAGe+...
2025-04-0133 minThe Resus RoomElectrical Injuries; Roadside to ResusWelcome back to The Resus Room! This time, we're diving into the fascinating and often overlooked world of electrical injuries. From household mishaps and workplace accidents to tasers and even lightning strikes, electrical injuries can range from minor shocks to life-threatening cardiac arrests. As always, we'll be taking you through the full spectrum of care, from first contact at the roadside to critical management in resus. And let's be honest, there's a real lack of clear guidance out there when it comes to managing these cases. So, we've done the legwork, scoured the literature, and we're here to ma...
2025-03-181h 04The Resus RoomMarch 2025; papers of the monthWelcome back to March 2025's papers podcast! We start off this month with a fascinating paper looking at the experiences of relatives who were witness to unsuccessful resuscitation. We often talk on the podcast about the impact of medical or technical interventions, but this paper offer us an opportunity to consider the huge impact of our non-technical elements of practice and reflect on how we can best support relatives whilst still performing resuscitation to the best of our abilities. Next up we look at a paper deriving and validating a new adult trauma triage score...
2025-03-0134 minThe Resus RoomMaternal Arrest; Roadside to ResusCardiac Arrest in pregnancy affects around 1: 12-30,000 women in the developed world. As you'd expect the risk of death for mother and child is extremely high, but some causes of arrest are reversible and we can make a real impact with our care and treatment of these cases Now it goes without saying that these are some of the most emotive, complex and technically challenging Resuscitations that you could think to be involved in; by definition young female arrest with unborn babies involved. Thankfully this is not going to be a case that...
2025-02-121h 05The Resus RoomBronchiolitis; Roadside to ResusWelcome back to the first Roadside to Resus episode for 2025!! In this episode, we're diving into a seasonally appropriate, and really paediatric common presentation for anyone involved in emergency care….Bronchiolitis. Now although it's one of the most common respiratory illnesses affecting kids, bronchiolitis can easily cause confusion and concern around the severity of illness, whether to convey/admit/discharge, and also which treatments are indicated and which aren't, including the perennially hot topic of bronchodilators. In this episode we're going to and delve into all of those aspects & explore the evidence and guid...
2025-01-1552 minThe Resus RoomJanuary 2025; papers of the monthHappy New Year!!! We hope you've had some time off over the festive period and now we're back to kick start the new year with three more great papers. Syncope is common presentation to the Emergency Department, accounting for 1% of presentations. Without a clear precipitant of the event it can be challenging to identify those patients who have a higher risk of associated morbidity and mortality, and furthermore those who would benefit from further investigation and observations. Our first paper looks at syncope risk-stratification tools and sheds some light on their utility. Acute...
2025-01-0134 minThe Resus RoomDecision Making, Prioritisation, Leadership & EBM; 50 Shades of Critical Care Roadside to ResusThis is an episode we've been wanting to cover for a long time now! In it we explore the challenges in entering and developing in prehospital critical care, which translate into pretty much developing in any new role both in and out of health care. We cover some pretty personally challenging experiences and the strategies that both clinicians new to prehospital critical care may find useful to employ. We also discuss how supervisors can use these techniques to both guide and support new clinicians. The four main areas discussed are; Decision making Prioritisation of ta...
2024-12-1159 minThe Resus RoomDecember 2024; papers of the monthA really strong line up of papers to bring this year's evidence round up to a close! First up we take a look at a paper evaluating the utility of pulse oximetry (along with several other diagnostic tests) in identifying vascular injury following trauma, a really interesting look at an approach we didn't know much about. Next up we run through PARAMEDIC-3, a huge RCT looking at the best vascular access strategy for patients in cardiac arrest, will the result of this paper change our approach? And finally we look at a paper...
2024-12-0132 minThe Resus RoomExtrication Consensus Statement FPHC; Roadside to ResusMotor vehicle collisions or road traffic collisions are a massive problem worldwide. Data from the World Health Organisation reports that there are around 1.2 million deaths every year and this is the leading cause of death internationally for children and young adults aged 5-29 years. In the UK there are around 1,500 deaths annually and also around 60,000 patients with significant and life changing injuries, which is 7 patients every hour!! So anything we can do to improve patient care following an MVC is definitely a worthwhile venture. We've looked at Extrication here on the podcast before but we're b...
2024-11-1443 minThe Resus RoomNovember 2024; papers of the monthWelcome back to the podcast and to November's Papers of the Month! We start off looking at the rate of pneumothoraces in patients following ROSC after a medical cardiac arrest. What is the incidence? Are there any risk factors? And how might this affect our index of suspicion and imaging practice? We've spoken before about how difficult vertigo can be as a presentation to the Emergency Department; really common, often benign but with differentials that include posterior circulatory strokes, tumours and infections. Our second paper looks at a clinical risk score for patients presenting with...
2024-11-0134 minThe Resus RoomAdrenal Crisis; Roadside to ResusIn this episode we're going to be running through adrenal presentations; both Adrenal insufficiency and Adrenal Crisis. There are some parts of these that aren't completely understood and a lack of a universal definition of Adrenal Crisis, but both insufficiency and a crisis are similar problems at different points on a spectrum and solid understanding of the endocrinology and physiology can really help to improve care in this area. There is huge potential for improving current morbidity and mortality. We'll run through both primary and central adrenal insufficiency, describe how this leads to different effects on mineralocorticoids...
2024-10-1554 minThe Resus RoomOctober 2024; papers of the monthWelcome back to October's Papers of the Month. We've been really spoilt with three fantastic papers to discuss this month! First up we take a look at the accuracy of non-invasive blood pressure readings in critically unwell patients in the prehospital environment and see how they could falsely reassure in both hypotension and hypertension. Next up we take a look at the superb SHED study, which looks to evaluate the accuracy of a plain CT head in identifying subarachnoid haemorrhage at different time frames. Currently NICE recommend an LP after a negative scan if the s...
2024-10-0137 minThe Resus RoomPulmonary Embolism; Roadside to ResusPE's (or Pulmonary Emboli) are a key part of Emergency Care, something that many of us will consider as a differential diagnosis multiple times of a daily basis, in a similar way to acute coronary syndrome, so we need to be absolute experts on the topic! A PE normally occurs when a Deep Vein Thrombosis shoots off to the pulmonary arterial tree, occurring in 60-120 per 100,000 of the population per year The inhospital mortality is 14% and the 90 day mortality is around 20%. But this is proportional to its size, and risk stratifying PE's once we've got...
2024-09-161h 04The Resus RoomSeptember 2024; papers of the monthWelcome back after the summer break! Three more papers for you to feast your ears on this month and as always make sure you go and check them out yourselves after you've had a listen! First up, following on really nicely from the DOSE-VF paper on dual sequential defibrillation we take a look at the paper that looks at the association between shock interval and VF termination. We might be biased but this shines a light on an area that could make a huge difference to the outcomes for patients with refractory VF! ...
2024-09-0135 minThe Resus RoomAugust 2024; papers of the monthThe UK REBOA trial left many with doubts over its utility for trauma patients in ED. The time from injury to its use was around 90 minutes and the trial was stopped when it didn't reduce and maybe even increased mortality compared to standard care alone. But what effect does REBOA have when used prehospitally and how feasible is it? Our first paper, from London HEMS, looks at this and gives a fascinating insight into it's use and the physiological response seen with it. We've recently looked at dual sequential defibrillation for refractory VF with the D...
2024-08-0131 minThe Resus RoomAcute Kidney Injury; Roadside to ResusAcute Kidney Injury is common, complicated and holds significant morbidity and mortality. But...if we recognise it, we can make a real difference to our patients' outcomes. In this episode we run through the anatomy, physiology and aetiologies. We have a think about the multitude of definitions of AKI and then take each of the pre renal, renal and post renal categories and think about the ways we can optimise our care in each. We also have a think about who needs to be admitted and who can be safely managed in the...
2024-07-1659 minThe Resus RoomJuly 2024; papers of the monthThere's a huge paper to talk about this month in the PREOXI trial, a multi centre RCT looking at the pre oxygenation strategy in critically unwell patients undergoing RSI, with patients either getting high flow oxygen through a facemask or NIV. The results are pretty remarkable and may well be practice changing as we'll discuss in the podcast! Next up we take a look at a feasibility of lidocaine patches for older patients with rib fractures and the potential benefit in terms of pain and respiratory complications. Lastly we take a look at the benefit...
2024-07-0130 minThe Resus RoomMajor Incident Triage; Roadside to ResusSo this month we're looking at major incidents and specifically the triage process that is now coming into play in the UK and further afield that you need to know about! We normally stick pretty strongly to clinical topics; they're pretty easy to focus on because you can imagine how extra knowledge in a certain clinical area could make a difference to presentations that we see pretty commonly. And being brutally honest, making the effort to prepare and rehearse what we might do, on the off chance that we ever come across a major incident, can be...
2024-06-1857 minThe Resus RoomJune 2024; papers of the monthWelcome back to June's Papers of the month! We kick off this month looking at the work up of patients with a first episode of psychosis. With these patients there is a chance of a psychosis secondary to an underlying structural cause. Getting neuro-imaging to look for this prior to psychiatric assessment is tricky though, often with a need for sedation and then the subsequent delay for psychiatric assessment. Our first paper looks at the yield of positive scans for these patients and helps us to understand a bit more about the need for this. ...
2024-06-0131 minThe Resus RoomCardiac Arrest, Start With The End In Mind; Roadside to ResusWe've covered Cardiac Arrest management (as in the medical delivery of it) in a previous Roadside to Resusepsiode. Since then we've had some updates with Paramedic-2, Refractory VF, Airways-2 and a whole host of other papers. But what we haven't talked much about is the art of creating the environment, space & workflow to deliver the best medical care possible. Whilst these might seem like less exciting and important parts of the package, they probably require a greater degree of skill and knowledge than running the medical aspects of the arrest. To do them with excellence you need to...
2024-05-1556 minThe Resus RoomMay 2024; papers of the monthWelcome back to the podcast and three great papers for May's episode! First up we take a pretty deep look into refractory VF. This follows on from our our review of DOSE-VF in December '22's papers of the month and our recent Roadside to Resus on the topic. In that we discussed the possibility that many of the cases we see at pulse checks as being refractory VF may actually have had 5 seconds or more, post shock, where they jumped out of VF but then reverted back into it. This paper is a secondary analysis of...
2024-05-0127 minThe Resus RoomCauda Equina Syndrome; Roadside to ResusLower back pain is a really common cause for patients to present to primary care, urgent care and emergency care. Thankfully many of these cases are self limiting, but somewhere in the region of 1:300 patients with back pain in the ED will have Cauda Equina Syndrome. Cauda Equina Syndrome is something that is challenging for all clinicians because many patients with simple lower back pain may have many similar symptoms, but if we miss it, or if there is a delay to surgery that can lead to potentially avoidable long-term disability for our patients and o...
2024-04-1539 minThe Resus RoomApril 2024; papers of the monthWelcome back to the podcast! Three more papers covering topics that are relevant to all of our practice. The importance of removing wet clothes from patients is often discussed, both to prevent hypothermia and increase patient comfort. But how important is it to get wet clothes off and is it something we can defer to a different point? We start off taking a look at an RCT on this very question. Next up another RCT, this time looking at the efficacy of morphine, ibuprofen and paracetamol for patients with closed limb injuries. Which one, or...
2024-04-0126 minThe Resus RoomEnd Tidal CO2; Roadside to ResusEnd Tidal CO2, or ETCO2 for short, is something that's talked about pretty often in Emergency and Critical Care and that's because it's used a lot in the assessment and treatment of patients! It's got a big part to play in airway management, resuscitation, sedation and is also increasingly used in other situations. Some of these applications have some pretty strong evidence to back them up but others are definitely worth a deeper thought, because without a sound understanding of ETCO2 we can fall foul of some traps… ETCO2 is a non-invasive measurement of the pa...
2024-03-1453 minThe Resus RoomMarch 2024; papers of the monthWelcome back to the podcast, a new month, three more papers and discussion around the topics. We kick off with a paper comparing mechanical ventilation in CPR compared to the more traditional hand ventilation; what difference does the machine make to ventilation in arrest and should we be changing to this strategy as a standard? We've talked about aneurysmal subarachnoid haemorrhage a fair amount on the podcast and the second paper looks at the effectiveness of lumbar CSF drain compared to standard care with some pretty staggering results! Lastly we take a look...
2024-03-0136 minThe Resus RoomRefractory VF; Roadside to ResusAs we all know, rapid and effective resuscitation makes a huge difference to the chance of survival from a cardiac arrest. If you're going to pick a rhythm to have as the patient or as the Resuscitationist, then it's going to be a shockable rhythm, so VF or pulseless VT as they hold the greatest chance of survival. You'll find an initial shockable rhythm in around 20% of cases & defibrillation alone may lead to a ROSC. So it's absolutely imperative to get the immediate management spot on! Whilst current practice is good, there are some aspects...
2024-02-1459 minThe Resus RoomFebruary 2024; papers of the monthWelcome back to February's papers of the month. Syncope is a really common presentation to the Emergency Department and it can be complicated to tease out those with a concerning precipitant from the others with a more benign cause. The first paper gives us some context to the management of these undifferentiated syncopes and provides a barometer for how stringently ESC guidance on the topic is followed. Next up we take a look a huge RCT of transfusion thresholds in patients presenting with a myocardial infarction. Should we be restrictive in our approach, saving a...
2024-02-0130 minThe Resus RoomPaediatric Fever; Roadside to ResusFever is an incredibly effective mechanism to fight off pathogens. Clearly, whilst many illnesses that cause a fever don't require anything more than the body's natural response, there are some patients in which a fever might represent a serious illness. Differentiating those serious illnesses from self-limiting presentations can be tricky at times, but can also be anxiety provoking for clinicians and parents, or carers of that child. In children the limited communication can make the diagnostic challenge of the origin of the fever a real challenge, along with the added difficult of gaining some tests. D...
2024-01-1558 minThe Resus RoomJanuary 2024; papers of the monthHappy New Year! We've got some great topic and in person events lined up for 2024 which we'll be able to share some more details about with you soon. This month we look at an RCT of conservative airway management in patients with a low GCS following presentation with acute poisoning. Next up we take a look at paper reviewing our diagnostic ability with dissociative seizures; this gives us some really valuable signs and symptoms to looks for and outlines how we can improve with these presentations. Lastly we look at prognostic...
2024-01-0128 minThe Resus RoomCaring in a Broken System; Roadside to ResusWe know it's the festive season but we thought we'd try and cover an issue from which there appears to be no escape and is a particular problem at this time of year, queuing! Whether we like it or not, this has become a factor for all of us working in emergency care, whether its delays getting your patient into the department, queueing down the corridor into ED, a prolonged stay in ED for an appropriate ward, or even in a physical queue to get out of the ED and onto an appropriate bed! We...
2023-12-1455 minThe Resus RoomDecember 2023; papers of the monthWe'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 fantastic paper on the topic! The DAShED study looks at patients presenting with symptoms that could be suggestive of aortic dissection and helps us understand the diagnostic challenge and approach to acute aortic syndrome, along with testing the characteristics of a number of decision tools. Next up we look at a paper from Bendszus, an RCT of medical versus thrombectomy and medical treatment for acute ischaemic s...
2023-12-0133 minThe Resus RoomBlood gases; Roadside to ResusBlood 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 for good reason, because they give you additional information about what's going on from a respiratory and metabolic perspective in the patient. And it's probably worth mentioning at this point, this episode is going to be pretty 'science-heavy', there should be something in here for everyone; from the clinician that's been looking at these things for the last 30 years, to those that haven't s...
2023-11-1555 minThe Resus RoomNovember 2023; papers of the monthWell 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 much awaited UK-REBOA trial. What does the paper mean for practice in our Resus Rooms? Is this about to become a key part of trauma management? The paper is fascinating and one of the most though provoking we've discussed in a while. Next up we look at CROYSTAT-2, another such anticipated trial looking at whether survival could be improved by administering an early and...
2023-11-0131 minThe Resus RoomSpontaneous Pneumothorax; Roadside to ResusIn 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 also look at the relevant evidence on the topic. There are pretty significant changes in the BTS guidance, it's no longer about finding a pneumothorax, working out if it's primary or secondary and then acting dependant on the size. It's now moved more towards looking at how the patient is clinically, taking into account the symptomatology, any big risk characteristics, whether it's primary or secondary...
2023-10-1641 minThe Resus RoomOctober 2023; papers of the monthWelcome 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 arrest centre, or whether they would be as well served at their local Emergency Department. This paper has huge potential implications for service design for cardiac arrest patients. Next up we look at another RCT evaluating if patients with a suspected uncomplicated appendicitis who have urgent surgical intervention benefit in terms of a reduced perforation rate, when compared with...
2023-10-0132 minThe Resus RoomEnd of Life Care; Roadside to ResusDelivering 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 been really keen to End of Life Care as a topic for a while now. Many, if not all of you, will have been out to these patients or received them in your ED. They aren't simple cases to manage, with lots of issues around scope of practice, lack of alternative care pathways, confusion surrounding legal documentation and many studies have i...
2023-09-191h 18The Resus RoomSeptember 2023; papers of the monthWelcome 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 outcomes. First up we take a look at the CT FIRST study which looks at the benefit of whole body CT in patients presenting with a ROSC after their out of hospital cardiac arrest with no obvious cause. Should we be more liberal in our imaging requests in this patient cohort? Next up we have a think about thrombolysis for massive PEs. When...
2023-09-0138 minThe Resus RoomAugust 2023; papers of the monthWelcome 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 compared with endotracheal intubation, which raises some really interesting questions about our ongoing ventilation strategy in resuscitations. Next up we look at an RCT comparing RSI to DSI in critically injured patients and the effect on peri-intubation hypoxia. Finally we take a look at the practice of lateral canthotomy for retrobulbar haemorrhage/orbital compartment syndrome. How effective is the procedure and how competent are...
2023-08-0133 minThe Resus RoomTrauma Primary Survey; Roadside to ResusSo 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 them, so getting it right really matter1. How this is done is hugely dependant upon the setting (either pre or in-hospital) as it is affected by the access to the patient, the number of people there to contribute to care and the challenges that the scene or hospital environment might hold. We run through a model of primary survey that looks to gain as m...
2023-07-1438 minThe Resus RoomJuly 2023; papers of the monthThere 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 patients requiring emergency intubation with the DEVICE trial. The VL versus DL debate has been ongoing for quite some time now, so is this a final nail in the coffin for DL? Next up we take a look at an RCT of prehospital TXA use in patients at risk of bleeding from major trauma in the PATCH trial. The results seen...
2023-07-0134 minThe Resus RoomTraumatic Pneumothorax; Roadside to ResusThis 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 about a fifth of multiple trauma patients, so it's not infrequent to come across them and they can obviously occur in those with isolated chest injury too. Thoracic trauma occurs in around two thirds of multi-trauma cases and is classified as the primary cause of death in a quarter of trauma patients. The clinical assessment carries with it a fair amount of dogma, including looking...
2023-06-1448 minThe Resus RoomJune 2023; papers of the monthWelcome 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 this month we return to the topic of rib fractures; with an apparent shift in practice to the surgical fixation of multiple rib fractures, we take a look at an early vs late approach and consider the impact these results may have on trauma systems. Next up it's a prehospital RCT assessing the use of a prehospital strategy including a single troponin...
2023-06-0126 minThe Resus RoomHead Injury Updates; Roadside to ResusThe 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 make sure you go and check that episode out. But this episode is one of our new UPDATES episodes, because we're pretty old now… and whilst we've been having a go at this for a while evidence and guidelines will have progressed, which clearly have implications on how we manage certain cases and that's where these come in! So they'll focus mainly on the...
2023-05-1833 minThe Resus RoomMay 2023; papers of the monthThis 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 interesting diagnostic papers and our prehospital accuracy for identifying certain injuries; we take a look at the accuracy of HEMS clinicians in assessing the stability of a pelvic ring and subsequent application of a pelvic binder. And then we look at the accuracy of prehospital clincians in assessing for all life and limb threatening injuries. Once again we'd love to hear any...
2023-05-0129 minThe Resus RoomCan't Intubate Can't Oxygenate; Roadside to ResusBeing 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 situation. But we also need to consider steps to ensure it occurs at a low frequency and our decision making and recognition of the situation happens quickly and simply. In the episode we're going to be talking about a number of other aspects that are relevant for all emergency providers, irrespective of whether you intubate or not, along with how those aspects t...
2023-04-1746 minThe Resus RoomApril 2023; papers of the monthWelcome 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 earlier vasopressors is advantageous over a liberal approach. Next we have a look at a study evaluating the diagnostic benefit of ultrasound in the prehospital setting. Finally we have a think about the benefit that traumatic brain injury patients may benefit from with regards to beta blocker therapy. Once again we'd love to hear any thoughts or feedback either on the website or via...
2023-04-0135 minThe Resus RoomNeck of Femur Fractures; Roadside to ResusSo 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 increasing incidence. They occur predominantly in frail patients who have the greatest risk of complications, both from the injury and medical interventions. In this episode we'll be running through their presentation, discuss both the clinical and radiological diagnostics. We'll also be looking in depth about both pharmacological and non-pharmacological methods of pain relief and have a think about where fascia-iliaca co...
2023-03-161h 04The Resus RoomMarch 2023; papers of the monthWelcome 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...
2023-03-0133 minThe Resus RoomCrush; Roadside to ResusSo 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...
2023-02-2056 minThe Resus RoomFebruary 2023; papers of the monthWelcome 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...
2023-02-0131 minThe Resus RoomCOPD; Roadside to ResusWelcome 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 spontaneously...
2023-01-161h 07The Resus RoomJanuary 2023; papers of the monthWelcome 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...
2023-01-0129 minThe Resus RoomPacing; Roadside to ResusSo 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...
2022-12-1644 minThe Resus RoomDecember 2022; papers of the monthWelcome 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...
2022-12-0131 minThe Resus RoomAcute Behavioural Disturbance; Roadside to ResusAcute 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, communications and strategies to keep all involved...
2022-11-181h 01The Resus RoomNovember 2022; papers of the monthWelcome 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...
2022-11-0131 minThe Resus RoomBradycardia; Roadside to ResusWe'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.
2022-10-1751 minThe Resus RoomOctober 2022; papers of the monthWelcome 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 pancreatitis; are we flooding them with fluid & should we ease off? Next we take a look at a paper evaluating the intubation performances between CCPs and physicians in prehospital anaesthesia of trauma patients. Lastly we look at another RCT, this time comparing the benefit of surgical versus conservative management of significant chest wall trauma. Enjoy! Simon & Rob
2022-10-0135 minThe Resus RoomExtrication; Roadside to ResusDespite 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 annually in the UK sitting somewhere between 1500-1900 per annum. Survivors, who have serious injuries and are left with ongoing disabilities, total 22,000 people per year. So anything we can do to improve care to these patients is definitely worth looking at and learning about! Extrication is the process of injured (or potentially injured) patients being removed from vehicles...
2022-09-151h 07The Resus RoomSeptember 2022; papers of the monthWelcome 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 association the a geriatric assessment can make on the mortality of patients aged 65 years and older, admitted with significant injuries to our UK major trauma centres. Next up we take a look at a newly proposed method to simple chest compressions in cardiac arrest, by comparing it to chest and abdominal compression and decompressions. Finally we take...
2022-09-0138 minThe Resus RoomAugust 2022; papers of the monthWelcome 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 service; how many reattend ED, how many require ICU care and what is the associated mortality rate? NEXUS and Canadian c-spine rules both incorporate the presence of c-spine tenderness when deciding whether to image the neck as a result of trauma. But what is the prevalence of c-spine tenderness without trauma and how might that affect our clinical assessment? Finally w...
2022-08-0129 minThe Resus RoomLactate; Roadside to ResusSo 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 presence of a high lactate in the context of infection and ischaemia is important to note, there is a lot more to interpreting a raised lactate than may first be apparent... So in this episode we're going to delve down into lactate, have a think about what it is, what normal and raised levels are, consider the mechanisms behind it's formation...
2022-07-1825 minThe Resus RoomIntraosseous Access; Roadside to ResusSo, 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 to get fluids into the circulation. Now there's a number of different ways we can get them into the circulatory system for them then to get to their sites of action, each of which comes with its pros and cons. There's buccal, inhaled, intramuscular, sublingual, intranasal etc etc…. But, in the vast majority of cases we gain this access to the va...
2022-06-211h 03The Resus RoomJune 2022; papers of the monthWelcome 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 intubations? Next up we take a look at the use of TXA in trauma, with specific focus on gender based inequality in its use and a trial with shocking results. Finally we take a look at a paper focussing on outcomes of cardiac arrest and cut-off points with regards to duration of resuscitation; could this help answer that...
2022-06-0132 minThe Resus RoomLeadership and Followership; Roadside to ResusWe 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 aspect which is arguably as important and that is the non-technical skills involved in resuscitation. In this podcast we discuss non-technical skills, followership, leadership and different models of working. What's really important to remember in this episode is that at the centre of leadership and follwership is a patient, or patients, that we're trying to deliver the best care and outcomes for and that effective leadership and foll...
2022-05-1653 minThe Resus RoomMay 2022; papers of the monthWelcome 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 ECMO-CPR and invasive treatment, versus remaining on scene continuing ALS until achieving a ROSC. Does E-CPR hold the promise we are hoping for? Next up we take a look at another RCT on pad placement for electrical Cardioversion-BMI of AF, are antero-posterior pads superior to the standard antero-lateral position? Finally we look at the potential for remote supervision of pre-hospital ultrasound, has...
2022-05-0129 minThe Resus RoomAcute Aortic Syndromes; Roadside to ResusWe 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 done a great job of staying on point straight from the off! In fairness, we've done this because it turns out that there are actually a few different potentially life threatening acute aortic conditions which we need to know about and getting them all into one episode seemed achievable, so let's see how we get on with that! Ho...
2022-04-1957 minThe Resus RoomApril 2022; papers of the monthWelcome 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 clinicians. Next up we take a look at the much discussed RePHILL trial; do packed red blood cells and lyoplas lead to better outcomes in patients with traumatic hypovolaemic shock? Finally we take a look at the topic of over-diagnosis and a paper that has made us think and reflect really hard on our practice of Emergency Medicine!
2022-04-0140 minThe Resus RoomDebrief - Roadside to ResusDebrief 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 running a debrief can be challenging. So in this episode we'll be exploring debrief in a lot more detail. We'll be covering both hot and cold debriefs, frameworks for debriefing and tips on what works well, as well as what sometimes doesn't. To celebrate International Women's Day 2022 we have handed over the mics to three incredible colleague; Gemma Richmond has worked for the Yorkshire...
2022-03-0835 min
The Resus RoomDebrief; Roadside to ResusDebrief 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 running a debrief can be challenging. So in this episode we'll be exploring debrief in a lot more detail. We'll be covering both hot and cold debriefs, frameworks for debriefing and tips on what works well, as well as what sometimes doesn't. To celebrate International Women's Day 2022 we have handed over the mics to three incredible colleague; Gemma Richmond has worked for the Yorkshire...
2022-03-0835 minThe Resus RoomMarch 2022; papers of the monthWelcome 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 importantly what can we do to mitigate these circumstances? In our other two papers we have a think about ECMO-CPR and Resuscitative Thoracotomy, both relatively low frequency but high skill interventions. The papers look at outcomes and case selection and can give us more information about service setups and challenges, and also offer us an opportunity to mentally mode how we can best prepare...
2022-03-0130 minThe Resus RoomBroad Complex Tachycardia; Roadside to ResusSo 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 management. This episode is going to build on some of that…so if you haven't already given it a listen, we'd recommend you pause here, take a listen….and then come back on board!! But for those of you that have already listened, here we go with the bigger brother and even more exciting broad complex tachycardia episode!! Again we'll be covering everything from the underlying electrophysiological abnormality, all t...
2022-02-1545 minThe Resus RoomFebruary 2022; papers of the monthThis 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 analysis in cardiac arrest can decrease our hands-off time. Next we take a look at a paper that can help inform our assessment and investigation of trauma patients; looking at the risk of concomitant injuries with regards to specific levels of spinal trauma. Finally have a think about how different methods of extrication affect spinal movements from road traffic collisions; will it make...
2022-02-0134 minThe Resus RoomNarrow Complex Tachycardia; Roadside to ResusSo 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 level, or your depth of understanding of narrow complex tachycardias, we really hope this will offer some extra knowledge and contemplation for both those of you, like us, that have been treating patient with NCT for decades, right through to those of you that are completely new to the topic. We run through all the normal stuff like definitions, clinical context an...
2022-01-171h 04The Resus RoomJanuary 2022; papers of the monthHappy 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 thoracostomy; how frequent are complications and what could this information hold in improving our ongoing practice? Next up we take a look at an RCT on the use of Calcium in the context of cardiac arrest. Can it's inotropic and vasopressor effects translate into better outcomes for our patients? Lastly we take a look at another excellent RCT comparing...
2022-01-0132 minThe Resus RoomVentilation; Roadside to ResusCritically 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 improve oxygenation and ventilation, take a look mechanical ventilation and have a think about how we can deliver this to a really high level. We'll be covering the following; Type 1 & 2 respiratory failure Breathing assessment Optimising patients own ventilation Mechanical ventilation Modes of ventilation Setting up a ventilator; tidal volume, RR, FiO2, I:E ratios, dead space End tidal CO2 Optimising oxygenation & ventilation Hand ventilation Ventilation in cardiac...
2021-12-1558 minThe Resus RoomDecember 2021; papers of the monthWelcome 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 an unknown origin; could this help us identify the source more frequently and if so how often? Next, we often focus on the specific of medical management in cardiac arrest, but what impact does witnessing a cardiac arrest have on bystanders and could this affect the way we interact and behave on scene? Lastly we consider those patients...
2021-12-0131 minThe Resus RoomBreaking Bad News; Roadside to ResusBeing 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 news well has benefits to both the recipient of that news and also to the provider delivering it. Teaching and education on the topic can be difficult to access and not always prioritised. In this episode we run through some of the evidence around breaking bad news, techniques and structures to follow and talk about the practicalities of adopting these, along with our own...
2021-11-1557 minThe Resus RoomNovember 2021; papers of the monthWelcome 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 factors we should be giving weight to, including whether a PR is appropriate. Next up we take a look at a paper looking at electrical injuries presenting to the Emergency Department, the risk of significant injury and the appropriate investigations to perform on both high and low energy voltage injuries. Lastly we take a look a paper looking at the...
2021-11-0132 minThe Resus RoomIntubation; The DiscussionSo 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 and also some really tricky issues around competency, governance and importantly who should and shouldn't be intubating. We've separated this out from the main episode as a lot of the conversations are heavily opinion based and only our view on the topic. This is our first episode of this style and we'd love to hear any comments or feedback and also know if th...
2021-10-2523 minThe Resus RoomIntubation; Roadside to ResusIntubation 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 how contributing as a team to the process can make a real difference to patient outcomes. Intubation is subject of a considerable amount of evidence and debate. Increasing use of supraglottic airways both in theatre and in cardiac arrest creates a situation in which there are limited opportunities to train and learn the skill. This brings into question who should these limited opportunities to...
2021-10-141h 09The Resus RoomOctober 2021; papers of the monthWelcome 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 Left Bundle Branch Block? We've looked at this before with the COACT trial which only looked at those patients with a shockable rhythm but this months paper looks at all ROSCs from all rhythms. Next up we take a look at a paper that investigates senior paramedics decision making in cessation of cardiac arrests and think further about the decision making...
2021-10-0129 minThe Resus RoomAcute Coronary Syndrome; Roadside to ResusSo 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 arrhythmias, haemodynamic instability, to those that are in cardiac arrest! There are around three quarters of a million ED chest pain attendances per year for acute chest pain and it accounts for around 25% of ED medical admissions!! Some of the treatments we'll discuss for patients with ACS can have a huge affect on morbidity and mortality and we can make a...
2021-09-151h 08The Resus RoomSeptember 2021; papers of the monthWelcome 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 control. Is haloperidol and midazolam, or ketamine alone, a better strategy? Then we take a look at the results from RECOVERY-RS. We covered the design of the trial at it's conception last year and this trial essentially looks to answer whether a strategy of high flow nasal oxygenation, CPAP or conventional oxygenation is best for our patients with suspected or confirmed COVID-19 when they present with...
2021-09-0140 minThe Resus RoomAugust 2021; papers of the monthWelcome 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 deceleration with patients lying flat vs 30 degrees head up on intracranial pressure in patients with a head injury. Next, is a patient with a refractory VF arrest more likely to have a positive finding on coronary angiography than one with non-refractory VF? And finally, in patients with blunt chest wall injury, does the presence of a flail chest indicate a worse morbidity and...
2021-08-0128 minThe Resus RoomPre Alert; Roadside to ResusSo 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 received in an effective manner they can really benefit the patient and the system. But too often we hear of friction associated with pre alerts and recent discussions on social media has really highlighted this. In this episode we explore the pre alert, the guidance that exists already on the topic, the challenges of both making and receiving those pre alerts and...
2021-07-191h 03The Resus RoomJuly 2021; papers of the monthAnother 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 patients following out of hospital cardiac arrest benefit from therapeutic hypothermia over maintenance of normothermia. Next up we take a look at a paper which adds some real value to our assessments of maxillofacial injuries and can help inform our assessment of the likelihood of fracture and need for imaging. Lastly we take a look...
2021-07-0128 minThe Resus RoomResuscitation Guidelines 2021; Roadside to ResusSo the Resuscitation Council UK have today published new guidelines on resuscitation based on the European Resuscitation Council 2021 Guidelines and recommendations from the International Liaison Committee on Resuscitation. We were lucky enough to catch up with two key members of both ERC and RCUK, Gavin Perkins and Jasmeet Soar, gaining their valuable insights into the new guidelines. As well as this Simon, Rob and James pick out some other key points from the guidelines and discuss how these may translate into systems and practice. Once again we'd love to hear any thoughts or...
2021-05-0544 minThe Resus RoomMay 2020; papers of the monthWelcome 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 Conference, all available in the hyperlinks on the website. First up we have a look at the incidence of prehospital hypotension and hypoxia in patients with suspected traumatic brain injury and the ways in which we might look to mitigate against these complications. Next we have a think about end-tidal CO2 levels and the correlation between these and arterial CO2 readings and...
2020-05-0123 minThe Resus RoomTop 10 Trauma Papers 2018Professor 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 everyone from diagnosing arterial injuries, blood pressure targets in the head injury patient, to i.v. contrast all the way through to imaging in kids. If you haven't already, make sure you go and check out the St Emlyn's blog that underpins the talk that Simon gave. And if you're looking for a great value conference to suit all health care disciplines then make...
2018-05-1028 minThe Resus RoomTrauma Care 2018For 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 few minutes of her time to talk about the latest major trauma key performance indicators from NICE. Nicola Curry (Consultant Haematologist) spoke about transfusion in trauma and the use of massive haemorrhage protocols. Importantly, she covers the evidence behind the current strategies and where future research opportunities exist. Stuart Reid (EM + PHEM consultant) covered the ways of optimising timely transfer of major trauma...
2018-04-1830 minThe Resus RoomTrauma in the ED '17So 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 some of the speakers for their take on the highlights of the talks. We managed to catch the following speakers, here are the topics they covered and relevant links to the resources discussed. Speakers Gareth Davies, Consultant Emergency Medicine, Royal London Hospital; Understanding where, when and how people die? Dave Gay, Consultant Radiologist, Derriford Hospital; The Role of Ultrasound in Trauma Fi...
2017-03-1841 min