This is the first of a new series of Roadside to Resus podcasts. We've been joined by James Yates, a Critical Care Paramedic with the Great Western Air Ambulance to make it a truly multidisciplinary team.
Each monthly episode we'll be discussing acute presentations, including the latest and most influential evidence base surrounding them. We really want to break down some barriers between pre-hospital and in hospital teams and it soon becomes evident in this first podcast that many of the problems we face are shared throughout the patient journey and across disciplines!
We're starting off with Acute Heart Failure and in the podcast we run through;
Once again we hope you find the podcast useful. Get in touch with any comments, questions or suggestions for further topics. Most of all don't take our word for it, but make sure you delve into the references yourself and make up your own mind.
References & Further Reading
Recommendations on pre-hospital & early hospital management of acute heart failure: a consensus paper from the Heart Failure Association of the European Society of Cardiology, the European Society of Emergency Medicine and the Society of Academic Emergency Medicine
Understanding cardiac output. Jean-Louis Vincent. Crit Care. 2008.
2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure
The pathophysiology of hypertensive acute heart failure. Viau DM. Heart. 2015
Meta-analysis: Noninvasive Ventilation in Acute Cardiogenic Pulmonary Edema. Weng. Annals Int Med. 2010
Does This Dyspneic Patient in the Emergency Department Have Congestive Heart Failure? Charlie S.JAMA 2005
Diagnosing Acute Heart Failure in the Emergency Department; A Systematic Review and Meta-analysis. Martindale. Academic Emergency Medicine. 2016
Noninvasive ventilation in acute cardiogenic pulmonary edema. Gray A. N Engl J Med. 2008
Life in the Fast Lane; severe heart failure management
Emergency Medicine Cases; acute congestive heart failure
REBEL.EM; morphine kills in acute decompensated heart failure
EMCRIT 1; Sympathetic Crashing Acute Pulmonary Edema (SCAPE)
C-spine immobilisation is a controversial topic because of a lack of high quality evidence from clinical trials. Historical approaches have been challenged, however NICE guidance continues to recommend 3-point immobilisation for all patients with suspected spinal injury despite considerable clinical equipoise.
We're back with 3 superb topics this month!
First off we have a look at the utility of ultrasound for the detection of pneumothoraces in the context of blunt trauma.
Next we look at the need to scan facial bones when scanning a patient's head following trauma.
Last of all we look at a paper reviewing the association between the use of a bougie and the first pass success when performing ED RSI.
Have a listen to the podcast and most importantly make sure you have a look at the references and critically appraise the papers yourself. We'd love to hear your thoughts and comments at the bottom of the page.
References & Further Reading
Detection of pneumothoraces in patients with multiple blunt trauma: use and limitations of eFAST. Sauter TC. Emerg Med J. 2017
Simultaneous head and facial computed tomography scans for assessing facial fractures in patients with traumatic brain injury. Huang LK. Injury. 2017
The Bougie and First-Pass Success in the Emergency Department. Driver B. Ann Emerg Med. 2017