Tag Archives: smacc

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!

“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.

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!

Cases from the Races

The RAGE team’s John Hinds gives the medical perspective on high speed motorcycle racing on closed private roads in Ireland at smaccGOLD. Of note, is the use of rapid response motorcycle medics to get to the scene fast, in the first few seconds of the dying process, to save lives.

This talk stole the show at SMACC, you are about to find out why.

Here is the audio (download mp3):

Here are the amazing slides:

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

This is another version of the ‘Cases from the Races’ talk given by John Hinds – it is a fantastic video… a must watch!

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.

Neurosurgery for Everyone!

You’ll remember Mark Wilson (@markhwilson) from RAGE: The smaccGOLD Edition. Mark is an amazing mix of neurosurgeon and prehospital physician… We’ve already got him to promise to come on RAGE for a neuro-focused RAGE Session in the next few months.

Check out Mark’s talk on ‘Neurosurgery for Everyone!’ from smaccGOLD.

Mark Wilson Neurosurgery for Everyone 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.

RAGE smaccGOLD Edition

As promised in SMACCGOLD IS ALL THE RAGE here is the smaccGOLD edition of the RAGE podcast.

This podcast represents the first time all the RAGE podcasters have been together in person. In addition to the RAGE team we had a bunch of friends helping us out:

RAGE at smaccGOLD
Photo via @markhwilson

From left to right:

Unfortunately, missing from the photo is my great friend and SMACC co-conspirator Oli Flower (@oliflower). Also, the third founder of SMACC, the ‘SMACC Big Cheese’ Roger Harris (@RogerRDHarris)  wasn’t included because we’d just have to bleep  out everything he’d say anyway… Sorry Rog!

The audio quality is a tad marginal in places, but that’s what you get with an impromptu recording of 10 slightly manic people in a room with one mic. All the same, we hope it is an engaging audio experience and gives a good insight into the SMACC experience and what to look out for as the talks are released online. Thanks to Haney for helping me get this audio into the best shape possible.

This is ’17 minutes’, the amazing video by Tamara Hills and family mentioned in the podcast (nearly 7,000 views and counting):

Look out for all the talks being released on the SMACC podcast and the affiliated FOAM websites in the coming months. Follow the @smaccteam on Twitter for updates.

For other accounts of smaccGOLD (based on a list originally made by Alan Batt), check out:

Thanks again for listening to the RAGE!

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 😉

Physiology of Inspiration

The RAGE team tasters keep on coming…

Only one talk at SMACC matched Cliff’s How to be a Hero for emotional impact.

It was this, by RAGE resusciteer Michelle Johnston. She took lessons from the classics to explore the physiology of inspiration.

As Michelle says, words have power.

Listen to the audio only version by clicking here. And read MJ’s original post on LITFL.

Subscribe to the free SMACC podcast on iTunes. If you’re going to smaccGOLD, you can join Michellle and colleagues for the ‘Get Creative’ workshop – it will be a revelation.

All Doctors are Jackasses

Yep, here’s another RAGE team taster… Though, unfortunately I’m up next.

One of the dumbest things I’ve ever done was assign myself a spot at SMACC to talk after Cliff’s amazing ‘How to be a Hero‘ speech…

Oh well, the show must go on, eh.

This is what happened — my talk on how System I and System II thinking underpins clinical decision making and how we are affected by, and can overcome, cognitive biases:

Listen to the audio by clicking here and view the slides:

Relevant links and references are available on LITFL here, and for more talks from SMACC subscribe to the SMACC podcast on iTunes.