Tag Archives: smacc

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?

httpv://www.youtube.com/watch?v=HhabgvIIXik

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.

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.

Making Things Happen

While RAGE Session One is being prepared for public consumption, we’re going to post some tasters of the RAGE team in action.

First up, here is Cliff Reid speaking at SMACC 2013 on ‘Making Things Happen’ during resuscitation.

Video:

 

Audio only version:

 

References from the talk and the slide set are available here on Cliff’s Resus.ME site.

For more SMACC talks susbscribe via iTunes.