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RAGE Session One

You’d be forgiven for thinking it was never going to happen… but it has… the first RAGE Session is finally here!

RAGE Session One is 71 min 7 sec long and includes:

  • Introduction, including the RAGE team ‘meet and greet’ (starts 00:00 min)
  • ‘What’s bubbling up?’ (starts 05:40 min) — shout outs and interesting discoveries from the world of FOAM and elsewhere featuring CO2 retention in COPD, the LINC trial, intraosseous blood transfusion, Rory Spiegel’s EM Nerd, the ‘quick look’ CT in ‘semi-stable’ trauma patients and fallen cycling legend Martyn Ashton
  • the RAGE team discussing ‘The post-TTM era: homeopathic hypothermia or aggressive normothermia?’ (starts 25:20 min)
  • the RAGE team’s discussion on ‘Septic and hypotensive: what next?’ (starts 39:06 min)
  • ‘A blast from the past’ on critical care deity Peter Safar, presented by Haney Mallemat (starts 63.57 min)
  • ‘Wise Words’ featuring Descartes and Diderot, presented by Michelle Johnston (starts 67.58 min)

It’s early days and we expect to incrementally improve the format, presentation and audio quality with each episode. To make this happen, we need your feedback — leave comments on this post or contact us here (especially if you want to appear on the show, correct us or respond to an episode in audio format).

The RAGE podcast has been submitted to iTunes , but is not yet available there  and is available here. The RAGE podcast audio feed is available here.

Read on for the ‘show note’ links for RAGE Session One…

Intro

What’s bubbling up?

The post-TTM era: homeopathic hypothermia or aggressive normothermia?

  • Nielsen N et al. Targeted temperature management at 33°C versus 36°C after cardiac arrest. N Engl J Med Nov 17 2013 doi: 10.1056/NEJMoa1310519
  • Reports of therapeutic hypothermia’s death are greatly exaggerated (LITFL)
  • All in a lather over TTM (LITFL)
  • Post-arrest care: EMCrit interview with Stephen Bernard part 1 and  part 2
  • Dumas F, et al. Is hypothermia after cardiac arrest effective in both shockable and nonshockable patients?: insights from a large registry. Circulation. 2011 Mar 1;123(8):877-86. doi: 10.1161/CIRCULATIONAHA.110.987347. Epub 2011 Feb 14. PubMed PMID: 21321156. [Free Full Text]
  • Kim F et al. Effect of Prehospital Induction of Mild Hypothermia on Survival and Neurological Status Among Adults With Cardiac ArrestA Randomized Clinical Trial. JAMA Nov 17 2013  doi:10.1001/jama.2013.282173
  • Jacobs IG, Finn JC, Jelinek GA, Oxer HF, Thompson PL. Effect of adrenaline on survival in out-of-hospital cardiac arrest: A randomised double-blind placebo-controlled trial. Resuscitation. 2011 Sep;82(9):1138-43. doi: 10.1016/j.resuscitation.2011.06.029. Epub 2011 Jul 2. PubMed PMID: 21745533.
  • Nehme Z, Andrew E, Bernard SA, Smith K. Treatment of monitored out-of-hospital ventricular fibrillation and pulseless ventricular tachycardia utilising the precordial thump. Resuscitation. 2013 Dec;84(12):1691-6. doi: 10.1016/j.resuscitation.2013.08.011. Epub 2013 Aug 27. PubMed PMID: 23994203.

Septic and hypotensive: now what?

Blast from the Past

Thanks for listening to the RAGE!

Special thanks to Scott Weingart and Rob Orman for technical advice in making this happen — we will follow your advice more closely next time 😉

18 thoughts on “RAGE Session One”

  1. Awesome, thanks. Re the talk on where to go, ED theater or Ct. Camp Bastion they do “Right Turn” ED and theater one in the same. No easy to replicate in civilian place but works well.

  2. Excellent first RAGE panel podcast! Amazing discussion around TTM. What I love most is the open and honest commentary around core topics and allowing the audience to keep an open mind. The current discussion on this site and affiliated colleague’s sites (LITFL,EMCRIT,RESUS.ME) around fluids in resuscitation is so timely and important. Thanks also for following @neuroccm

  3. awesome. It’s like you guys were saving yourself up for this podcast! Although, your individual blogs, discussions/talks were nonetheless awesome, this is true collective gem!

    really honest & open discussion – loved your dogmalytic approach to everything. Still waiting to hear that answer from your guide eventually is going to be 42…

  4. Ok,
    Brilliant format and topic selection! Maybe some of the best FOAMed ever produced. A bit UK/Aussie centric. Adding another non UK/Aussie critical care and/or HEMS professional might be beneficial for us international listeners.

    Thanks for the stellar work, i have subcribed and look forward for the next installment

    Mike Jasumback, MD

    1. Thanks Mike – was dreading your response 😉
      It is unlikely the entire RAGE team will be able to make every episode, but hopefully Haney can be involved in the live recordings more often than not in the future.
      We will purposely try to reflect the world outside of the US – there are plenty of US-centric podcasts out there, we hope to redress the balance! Hopefully the guest RAGErs we have on in the future will help to keep us on an even keel.
      Feedback and criticism always welcome…
      Vive la FOAM
      Chris

  5. Fantastic panel discussion on a great breadth of topics that should be close to the heart of any acute care physician. Particularily good to see you guys acknowledging there are more questions than answers, and obviously awesome that just about everyone is a sonographer!

    Taking #FOAMed to yet another level!

    Philippe

  6. Thanks and congratulations on the RAGE podcast!
    The conversation and discussion you generate is interesting and enriching. Makes my long commute to work enjoyable and productive.
    Could not agree more on Peter Safar being a giant and the father of resuscitation in the western world to most. Curiously, Safar himself considered that his contemporary and friend Vladimir Negovsky was the actual father of modern ‘reanimatology’ and he payed live tribute to him in a beautiful and humbling paper (Safar P. Vladimir A Negovsky the father of ‘reanimatology’. Resuscitation Volume 49, Issue 3, p223–229, 2001) that is further proof Safar’s greatness.
    However, I find it interesting to think that the introduction of breathing (B) to the ABC of resuscitation by Safar may have unwillingly exerted a negative influence on resuscitation outcomes for decades. Before the introduction of B, resuscitation consisted solely on C(hest compresion) and D(efibrillation) with reported survival rates of around 70% (Kouwenhoven et al, JAMA. 1960;173(10):1064-1067). The introduction of breathing to the ABCD generated the unwillingness of bystanders to perform CPR on OHCA victims who went unaided and, when provided, contributed in many cases to less effective compression/defibrillation. The outcome of resuscitation in OHCA remained poor and unchanged for decades. Only recently, with the return to the original C and D (chest compression only resuscitation) there seems to be a trend towards increased resuscitation success in OHCA.
    Please keep the podcasts coming and see you at SMACC GC.
    Pablo

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