ETM Course Podcast with Dr Brian Burns

Dr Brian Burns and need to carry a scalpel

Dr Brian Burns and need to carry a scalpel

Swan Trauma conference has just happened in Sydney and our friend of the show, Dr Andy Buck of the ETMCourse was checking it out. He got to interview another friend of the show, Dr Brian Burns, retrieval doctor/EM Physician.

Check out a great interview and discussion HERE!

 


Filed under: FOAMEd, Interviews of interesting people, Prehospital medicine Tagged: brian-burns, etm-course

PHARM PODCAST 102 : Prehospital Lessons from a PJ – “That others may live”

Pararescue medic Michael Lauria

 

Hi Folks

On today’s show, my guest is Special forces Medic, Michael Lauria, who is now retired from active duty and working as a civilian flight paramedic in USA. He is on Twitter as @ResusPadawan. Follow him!

He served as a USAF Pararescue man, widely considered one of the most elite special forces units in the world. Their unit motto is “That Others May Live”. Their mission is combat search and rescue, going out into hostile territory to find , render prehospital critical care and rescue injured comrades.

Show notes:

  1. Pararescue
  2. EMCrit podcast with Cliff Reid on Combat book by David Grossman
  3. Dartmouth-Hitchcock Advanced Response Team

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Filed under: Emergency medicine and critical care, FOAMEd, Interviews of interesting people, prehospital and retrieval medicine podcast, Prehospital medicine Tagged: itunes, michael-lauria, PJ

MORE SMACC GOLD with Dr Steve McGloughlin – The Dying Traveller


Dr Steve McGloughlin is a great speaker. He used to work with me at RFDS Cairns when he was still a registrar so it was great catching up with him since his transition to being a consultant at the esteemed Alfred hospital in Melbourne!


Filed under: Emergency medicine and critical care, FOAMEd, Interviews of interesting people, SMACCGOLD Tagged: dying-traveller, SMACCGOLD, steve-mcgloughlin

PEEP zero. Is this the answer?

Originally posted on MEDEST:

Inspiring discussion on Twitter (Minh Le Cong@rfdsdoc, Karim Brohi @karimbrohi and Peter Sherren@PBSherren)
The topic:
Your hypotensive blunt/penetrating trauma patient with associated severe TBI needs a vent. How do you set it and how you achive your physiological goals?
Is it possible to mantain eucapnia, avoiding hypercapnic insult to the brain, using low minute ventilation strategy and not depressing stroke volume with high intrathoracic pressure?
“Permissive hypoventilation” in a swine model of hemorrhagic shock.

Conclusions: Although permissive hypoventilation leads to respiratory acidosis, it results in less hemodynamic suppression and better perfusion of vital organs. In severely injured penetrating trauma patients, consideration should be given to immediate transportation without PPV.

But what if we have concomitant severe TBI? How can we avoid respiratory acidosis and hypercapnia (due to hypoventilation) and conseguent insult to the brain?
Is PEEP…

View original 174 more words


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PHARM PODCAST 101 : ED sedation -towards best practice

 

 

Hi Folks

On today’s show, we have Dr Reuben Strayer of EMergency Medicine Updates, Dr Nicholas Chrimes of ClinicalCred and Dr Andy Buck of EDExam discuss and debate the topic of best practice in ED procedural sedation. Nick argues the concerns of aspiration risk in emergency patients with likely full stomachs. Reuben discusses the ED literature around safety of procedural sedation as well as his best practice approach. Andy provides some clinical context with examples from his own ED work.

What do you do in the ED for procedural sedation? Do you think RSI is safer? Do you think ED sedation without RSI is safer? Post your comments!

Show notes:

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Filed under: Emergency medicine and critical care, FOAMEd, Interviews of interesting people, prehospital and retrieval medicine podcast Tagged: ED-sedation, itunes