Tag Archives: cliff reid

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 of 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!

 

Resuscitation Dogmalysis

Just when you thought there could not possibly be anymore Cliff Reid to go round, the SMACC podcast has released another of his great talks from smaccGOLD.

This time Cliff takes on resuscitation myths, mistruths and misunderstandings – many of which are widely practiced. Do you agree? Are these pseudoaxioms? Do we need to stamp them out?

Here is the audio (download the mp3 directly here):

For the references and slides, go to Cliff’s page here on Resus.ME.

Here is the video:

Reid, Cliff — Resuscitation Dogmalysis from Social Media and Critical Care on Vimeo.

To listen to all the smaccGOLD talks as they are released subscribe to the SMACC podcast on iTunes.

When should resuscitation stop?

RAGE Session Four is fully edited and soon to be released. Unfortunately, as you’ll soon find out, Cliff wasn’t able to make the session.

To make up for it, we’ll be featuring a few different Cliff Reid talks in the next week or two. We’ll start with this controversial and inspiring talk from smaccGOLD which left more than a few resuscitationists feeling conflicted.

Listen to it yourself and make up your own mind.

Cliff was asked to speak on the topic of ‘When should we stop resuscitation?’ instead – as he is wont – he turns the talk on its head and asks ‘When should we NOT stop resuscitation?’

Here is the audio (download the mp3 directly here):

Here is the video:

Cliff Reid – When Should Resuscitation Stop from Social Media and Critical Care on Vimeo.

 

To listen to all the smaccGOLD talks as they are released subscribe to the SMACC podcast on iTunes.

What a great job!

Indispensable RAGE team member Cliff Reid was a keynote speaker at the ACEM Annual Scientific Meeting in 2013.

He was tasked with delivering a talk titled ‘What a great job!’

… and, of course, he well and truly delivered.

httpv://vimeo.com/93460243

Hopefully this tides you over until the next RAGE session and inspires you as much as it inspires us.

Special thanks to ACEM for allowing the audio to be released as FOAM on the RAGE Podcast.

RAGE on…

Thanks again for listening to the RAGE!

How we train is how we fight

The RAGE team’s sphincters are progressively tightening as the pressure to perform at smaccGOLD mounts… the conference is just a couple of weeks away.

Sydney HEMS submitted a fantastic SimWars GOLD video entry — featuring quotations from HEMS speakers at the first SMACC conference, including RAGE’s Karel Habig and Cliff Reid.

Watch and be inspired…

Be inspired to train harder…

Be inspired to fight harder to save lives.

RAGEback: Minh Le Cong, Verapamil and SVT

The discussion of verapamil as an option for the treatment of supraventricular tachycardia (SVT) in RAGE Session Two went off like a fire cracker in the FOAM world.

In this RAGEback, Minh Le Cong from the PHARM podcast explains why the RAGE discussion is not going to change his practice, which is to use adenosine as a first line agent.

This is followed by a response by RAGErs Karel and Cliff.

You — the listener — are left to make up your own mind about which patients (if any) you’ll consider verapamil as an option.

References and Links

Minh cites these references (in the order they were mentioned):

  • Leitner RP, Hawker RE, Celermajer JM. Intravenous verapamil in the treatment of paroxysmal supraventricular tachycardia in children. Aust Paediatr J. 1983 Mar;19(1):40-4. PubMed PMID: 6870700.
  • Delaney B, Loy J, Kelly AM. The relative efficacy of adenosine versus verapamil for the treatment of stable paroxysmal supraventricular tachycardia in adults: a meta-analysis. Eur J Emerg Med. 2011 Jun;18(3):148-52. doi: 10.1097/MEJ.0b013e3283400ba2. Review. PubMed PMID: 20926952.
  • Hood MA, Smith WM. Adenosine versus verapamil in the treatment of supraventricular tachycardia: a randomized double-crossover trial. Am Heart J. 1992 Jun;123(6):1543-9. PubMed PMID: 1595533.
  • Anugwom C, Sulangi S, Dachs R. Adenosine vs. calcium channel blockers for supraventricular tachycardia. Am Fam Physician. 2007 Jun 1;75(11):1653-4. Review. PubMed PMID: 17575655. [Free Full Text]
  • Brady WJ Jr, DeBehnke DJ, Wickman LL, Lindbeck G. Treatment of out-of-hospital supraventricular tachycardia: adenosine vs verapamil. Acad Emerg Med. 1996 Jun;3(6):574-85. PubMed PMID: 8727628.

Karel and Cliff added these to the mix:

  • Holdgate A, Foo A. WITHDRAWN: Adenosine versus intravenous calcium channel antagonists for the treatment of supraventricular tachycardia in adults. Cochrane Database Syst Rev. 2012 Feb 15;2:CD005154. doi: 10.1002/14651858.CD005154.pub3. Review. PubMed PMID: 22336809. [Free Full Text] (note: withdrawn by the author due to lack of time and resources to update)
  • Miyagawa K, Dohi Y, Ogihara M, Sato K. Administration of intravenous calcium before verapamil to prevent hypotension in elderly patients with paroxysmal supraventricular tachycardia. J Cardiovasc Pharmacol. 1993 Aug;22(2):273-9. PubMed PMID: 7692169.
  • Riaz R, Mishra J, Hussain S, Sinha LM. Adenosine Versus Verapamil for the Treatment of Supra-ventricular Tachycardia: Randomized Comparative Trial. Pakistan J Med & Health Sci. 2012 Jul-Sept [Free Full Text]
  • Lapage MJ, Bradley DJ, Dick M 2nd. Verapamil in infants: an exaggerated fear? Pediatr Cardiol. 2013 Oct;34(7):1532-4. doi: 10.1007/s00246-013-0739-8. Epub 2013 Jun 26. PubMed PMID: 23800976.

Roie Tal’s Prezi journal club presentation on the Lapage et al 2013 article:

The links mentioned at the end are:

Thanks again for listening to the RAGE! 

How to be a Hero

Here’s another RAGE team taster, more Cliff Reid magic from SMACC.

Biased though I may be, this is perhaps the greatest, most inspirational, and most emotionally powerful talk ever given on the art of resuscitation.

Watch the video to see what Cliff can teach us about ‘How to be a Hero’:

Here’s the audio only version:

… and here’s the slides:

Cliff has his references and written version of this talk here.
Remember to subscribe to the SMACC podcast on iTunes and visit Cliff’s blog Resus.ME.