John Hinds Defends Direct Laryngoscopy

Here is the ‘bootlegged’ video footage of John Hinds’ defense of direct laryngoscopy in the prehospital setting.

John brings all his usual wit and mischievousness to the defence of the tried and true way of getting a tube between the cords anywhere and at anytime.

The audio has been released on the RAGE podcast, and is 7 minutes 30 seconds long.

For more John Hinds, go to RAGE’s John Hinds tribute page.

The RAGE podcast is on  iTunes here and the RAGE podcast audio feed is available here.

Thanks again for listening to the RAGE!

Steve Bernard’s Resuscitation Update 2015

On November 11th 2015, Professor Steve Bernard (@AmbVicMedic), Medical Advisor to Ambulance Victoria, presented a smorgasbord of ‘Updates in Resuscitation‘ at The Alfred ICU junior medical staff teaching session.

He discussed:

  • Recent data from registries on in-hospital and out-of-hospital cardiac arrest (OHCA), particularly from Victoria, and the reasons why OHCA results may be improving
  • Options for treatment of refractory VT/VF, including the CHEER2 trial
  • The RINSE trial: is intra-arrest cooling with ice cold IV saline for OHCA a good thing?
  • Highlights from the recently released updated ILCOR guidelines, which will form the basis for the next ARC guideline update

Listen to the talk to find out more – the podcast is 47 minutes long.

For more talks by Steve Bernard, check out INTENSIVE.

The RAGE podcast is on  iTunes here and the RAGE podcast audio feed is available here.

Thanks again for listening to the RAGE!

“Crack the Chest, Get Crucified” by John Hinds

The late John Hinds stole the show at SMACC Chicago with his honest and irreverent insights into his personal experience of performing a resuscitative thoracotomy and the sequelae that followed.

The RAGE team sorely misses John’s wisdom and wit, this is how we will remember him – the consummate resuscitationist.

John’s key learning points are words to live by:

  • Prepare. Know the evidence.
  • Make your intentions honourable.
  • Do it.
  • Seek out the skeptics.
  • Never allow a wanker to bring you down.

Sign this petition to support John’s passion, the improvement of trauma care in Northern Ireland.


RAGE will be coming out hibernation post-SMACC and the first signs of reanimation come in the form of this ‘preSMACC miniRAGE’ featuring Cliff, John and Karel.

Register for SMACC Chicago 2015 now and come up and say ‘Hi’ to the RAGE team! 

smaccGOLD Opening ceremony


The first half of this miniRAGE is a preview of what the RAGE gang are doing at SMACC Chicago 2015… Including “IT’S A KNOCKOUT”:


The second part of the podcast is all substance, with discussions of the following:


By the way, because someone actually bought a pair of RAGE shoes they are still in production – check ’em out and buy ’em here:

RAGE shoes

Thanks again for listening to the RAGE!

SMACC Chicago Registration miniRAGE

Listen to this miniRAGE for key information on registration for SMACC Chicago 2015. and to find out what the RAGE team will be doing at #smaccUS.

I’ve reposted LITFL’s SMACC Chicago is coming… here:

smaccGOLD Opening ceremony

The programme for SMACC Chicago is now online for all to see. It has been a real joy to work on this — the opportunity to bring together the best people in critical care, to talk about the best topics in critical care, is one to be relished. We have assembled an awesome lineup — both behind the scenes to build the fire, and front stage to light it… as you will see in the programme.

Most importantly, registrations are opening very soon: 0800h November 6th (AEST). Check out the ICN post titled SMACC Chicago Rego Opens 5 November for equivalent opening times throughout the world’s time zones, and some important tips about registration.

The first 500 residents / registrars / paramedics / nurses / pharmacists / PAs (or other non-attendings / non-consultants) will be able to register at the discounted price of US$595. This is ‘cost price’, and is fully inclusive of all events in the 3 day program, the welcome reception, Gala night and all coffee and lunch breaks. The first 800 specialists/ attendings also get discounted prices and there are 250 student tickets at only $350. Also, to help avoid lumping you with transaction fees, you can pay by direct deposit in either USD, AUD or Euros, depending on where you’re coming from. Note that if you want to attend one of the more than 30 pre-conference workshops, you have to register for the conference first, then the workshop separately. Be warned, some workshops sold out within a couple of weeks at smaccGOLD.

Check out the SMACC program(me) online, or download the brochure here:

SMACC Brochure

Vive la FOAM!

NeuroRAGE Special Edition

NeuroRAGE is a special edition of the RAGE podcast featuring these special guests:

  •  Mark Wilson, prehospitalist with London HEMS and neurosurgeon with the NeuroTrauma unit at Imperial in London
  •  Oli Flower, intensivist and NeuroICU enthusiast at Royal North Shore Hospital in Sydney – co-organiser of SMACC and Intensive Care Network.

This edition is 82 min 03 sec long and includes:

  • Introduction, including a welcome to Mark and Oli, along with usual supsects Cliff and Karel… (starts 00:00 min)
  • ‘What’s bubbling up?’ (starts )1:31 min) — shout outs and interesting discoveries from the world of FOAM and elsewhere featuring the GoodSam app (again), A talk on transport of Ebola patients, SMACC Chicago, ESICM’s live feed of ‘Hot Topics’ such as the ARISE trial results, and Cliff Reid’s ‘through the rabbit hole’ experience with ketamine as a patient.
  • the NeuroRAGE participants discussing ‘Traumatic Brain Injury and a bit about the Spine’ (starts 17:13 min)
  • the NeuroRAGE participants discussing ‘ICP Monitoring’ (starts 45:22  min)
  • the NeuroRAGE participants discussing ‘Intracerebral haemorrhage and Subarachnoid Haemorrhage’ (starts 55:09  min)
  • the NeuroRAGE participants discussing a ‘smorgasbord’ of other neurocritical care questions, including the ‘cranial screwtop manoeuvre’ (starts 79:14  min)
  • ‘A blast from the past’ by Oli Flower on the origins of the EEG  (starts ? min)
  • ‘Words of Wisdom’ from Mark Wilson (starts 80:36 min)

The RAGE podcast is on  iTunes here and the RAGE podcast audio feed is available here.

Here are the show notes for the NeuroRAGE Special Edition:


Ketamine-induced dysphoria and hallucinations:

Traumatic Brain Injury and a bit about the Spine

ICP Monitoring

Intracerebral Haemorrhage and Subarachnoid Haemorrhage


Blast from the Past

Words of Wisdom

  • just listen!

Thanks again for listening to the RAGE!

RAGEback: Swami on Adrenaline in Cardiac Arrest

Anand ‘Swami’ Swaminathan is an Emergency Physician in New York. He is one of the co-creators of EM Lyceum, and a major contributor to, primarily through R&R in the Fastlane and The LITFL Review, as well as other FOAM resources.

Swami is a skeptic of the benefit of adrenaline in cardiac arrest. This is his brief response to Scott Weingart’s Cutting Edge Intra-Arrest Care at smaccGOLD and Weingart’s subsequent discussion about intra-arrest meds with Rob Mac Sweeney on EMCrit.

For a summary of the articles discussed check out Swami’s ‘Epinephrine in Cardiac Arrest‘ post on, which includes links to all of the relevant studies. Scott Weingart also has another relevant discussion in EMCrit Podcast 130 – Hemodynamic-Directed Dosing of Epinephrine for Cardiac Arrest.

Thanks again for listening to the RAGE!

Bubbles in the Wilderness

There have been many discussions and debates about the role of FOAM (free open-access meducation) in medical education, the pros, the cons and whether or not it really is useful.

It may not be for everyone, yet for some individuals – especially those who are remote or isolated – FOAM has transformed how they learn, engage and enjoy medicine. A great example of this — one the RAGE team recommends you read — is Natasha Pirie-Burley’s account, Bubbles in the Wilderness: All about FOAM, published on the Adventure Medic blog.

“In 2007 I struggled to find my passion or heroes within my workplace. I listened to closed minds and wondered why everyone was, “just getting through it”. It was un-inspiring and at times depressing. I resigned from my job in the UK and headed to the wilderness of America, New Zealand, Nepal, and Australia. I was searching for heroes and inspiration relevant to my life. Then last year, by chance, I found that Mawson’s bravery, Shackleton’s leadership, Dean Potter’s composure and the family Robinson’s ingenuity were right here at my fingertips and living in these medical pioneers of FOAM.”
— excerpt from Bubbles in the Wilderness: All about FOAM by Natasha Pirie-Burley

Vive la FOAM!