Pre-SMACC mini RAGE

Currently the RAGE Podcast site is recovering from a cold, so here are the show notes for the pre-SMACC mini RAGE episode released June 2015. Here is the podcast And here are the references: SMACC Conference It’s a knockout GoodSAM GoodSAM App Oxygen therapy AVOID: Air Versus Oxygen in ST-Segment Elevation Myocardial Infarction. HOT or […]

Post-arrest hypothermia in children did not improve outcome

Many clinicians extrapolate adult research findings to paediatric patients because there’s no alternative, and until now we’ve had to do that with post-cardiac arrest therapeutic hypothermia after paediatric cardiac arrest. However the THAPCA trial in the New England Journal of Medicine now provides child-specific data. It was a multicentre trial in the US which included […]

Don’t just pre-oxygenate: have an Oxygenation Strategy

A key component in the planning of intubation is pre-oxygenation. Recently apnoeic oxygenation during laryngoscopy has been adopted too. These are just two components of an overall oxygenation strategy to consider when intubating the critically ill. Some patients will require proactive preparation of the components of successful post-intubation oxygenation, especially those with severe lung pathology […]

CPR in Pectus Excavatum

Some pectus excavatum patients have a metal ‘Nuss bar’ inserted below the sternum which can make chest compressions more difficult. In those without one, standard compression depths compress the left ventricle more than in non-pectus subjects, and might lead to myocardial injury. This has led to a recommendation in the journal Resuscitation: “Until further studies […]

Esmolol for refractory VF

Already well publicised on social media, the team at Hennepin County published a retrospective comparison between patients with refractory VF who received esmolol with those who did not(1). The results are impressive and I look forward to further studies on this. I work in an ED in a hospital with no cath lab and no […]