All posts by Chris Nickson

Three Men and a Microphone

‘Three Men and a Microphone’ is a special edition of the RAGE podcast (let’s face it, RAGE podcasts are so infrequent they’re all special!) featuring RAGE Resusciteer Cliff Reid in conversation with these special guest RAGErs:

  • Geoff Healy (prehospitalist/ retrievalist/ anaesthetist)
  • Brian Burns (prehospitalist/ retrievalist/ emergency physician)

This one is a monster – it is 2h 48 min 59 sec long!!!  It is NSFW (contains some profane verbiage) so don’t let your kids listen in…

Here is the run sheet so the you can skip to the bits you want:

 

Introduction
0:00 Intro: NSFW
2:38 Welcome – what we’re busy with at the moment
10:13 Highly functioning organisations
18:00 Airway audit
19:06 Operations research and A.P. Rowe
23:42 Role of SOPs, SOPs vs protocols

 

28:37 QUESTION: Describe training experiences that have shaped you
Anaesthesia in Australia -Geoff getting patronised
Trauma in Ireland – Brian being unsupported
EM in England – Cliff getting pimped
Importance of honesty and humility as a mentor
Mike Clancy’s public cerebration – teaching you how to think
Phoning a friend when you’re the boss
Calling the boss in – differences between the UK & Australia
3 reasons to call the boss: to let you know, to seek advice, to ask you to come in.

 

1:05:05 QUESTION: What is your experience of trainees, and what attributes of good and bad trainees do you observe?
The lurker, the stalkers, the shopper, the sharp-elbows
Our experiences as underconfident trainees
Turning yourself into the (mythical) shit magnet
John Hinds’ approach to keeping sharp
Consultants who are hummingbirds
Avoiding institutionalisation – getting experience in remote/rural units

 

1:29:24 QUESTION: Give your advice on how to be a good resuscitationist
The word resuscitationist
EMS Gathering in Cork and big wave surfers
Extending your training – fellow posts and other experiences
Acquiring experience with restrictions on working hours
The limitations of learning from textbooks and life support courses
Can we accelerate the acquisition experience using technology?
Lionel Lamault & prehospital ECMO
Comfort zones and task fixation
Geoff likes to ‘bosh’ people
Cognitive rally points
Unexplained different approaches to fluids in paeds resuscitation
Being treated as a gas monkey in ED
A new word  – resuscitationism
The Jason Bourne game and developing spider-sense
Too sick to be intubated?

 

2:07:30 QUESTION: What are you currently struggling with in your careers?
Being a coach
Having trainees who are better than we are / were
Top Gun pilot caution against overperformers
Thoughts for bosses who have trainees who are smarter or more skilled than they are: (1) They make you look good; (2) You might learn something; (3) The future is brighter for patients
The challenge of getting senior clinicians involved in simulation
Struggling to improve and get outside our comfort zones, and continue to evolve as consultants
A pantyhose anaesthetic
Work-life balance
Sustainability and recovery from travel and shift working as you get older
Family first
Stress vs passion and Simon Sinek
Misquoting Lincoln and sharpening the tree
Emptying your cumulative stress bucket
Risks of PTSD especially in paramedics
Debriefing

 

Thanks again for listening to the RAGE!

 

ECPR by Vincent Pellegrino

On August 17th 2016, Associate Professor Vincent Pellegrino, Head of the ECMO service at The Alfred ICU, discussed ECPR during an in-house education session.

His discussion included:

  • the difficulties with ECPR definitions and selection criteria
  • Approaches to ECPR, ranging from cannulation techniques and types of cannula, to role cards and the importance of teamwork
  • Outcomes for ECPR and the evidence for the technique

Listen to the talk to find out more – the podcast is 37 minutes long.

THE VIDEO

THE SLIDES

For more on ECMO check out INTENSIVE and EDECMO.org.

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

Thanks again for listening to the RAGE!

First Among Equals

Being part of SMACC is an incredible privilege for me. Helping provide a tribute to John Hinds at SMACCDUB was an even greater privilege.

I tip my hat to Janet Acheson, Fred MacSorley, Brian Burns and all those who contributed to showing the world why John Hinds was without any doubt, first among equals.

THE VIDEO

THE AUDIO

THE SLIDES

The video, podcast and slides were originally posted on the SMACC website.

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.