So following on from the Roadside to Resus episode on intubation there were a lot of questions from listeners that we didn't have the opportunity to answer. These included some clinical aspects and also some really tricky issues around competency, governance and importantly who should and shouldn't be intubating.
We've separated this out from the main episode as a lot of the conversations are heavily opinion based and only our view on the topic.
This is our first episode of this style and we'd love to hear any comments or feedback and also know if this is something you'd like to hear again for future topics.
Enjoy!
Simon, Rob & James
Intubation is a key part of advanced airway management.
Although some of you out there may not intubate, we’ll be covering aspects where the identification of the need for intubation and how contributing as a team to the process can make a real difference to patient outcomes.
Intubation is subject of a considerable amount of evidence and debate. Increasing use of supraglottic airways both in theatre and in cardiac arrest creates a situation in which there are limited opportunities to train and learn the skill. This brings into question who should these limited opportunities to train go to, what defines competence, which patients now would benefit from intubation.
In this episode we’re going to cover these topics and more, including talking through how to fine your intubation technique as much as possible. We’re coming at this episode with our collective neonatal, ED and PHEM practice which all involve advanced airway management and it’s fair to say that we’re all passionate about delivering intubation and advanced airway management to the highest level possible.
We hope this episode gives a further opportunity to consider the topic in great depth and reflect upon how we can all contribute to improving practice.
Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
Enjoy!
Simon, Rob & James
Welcome to October’s papers of the month!
Should patients who gain a ROSC following an out of hospital cardiac arrest go for an immediate angiogram if their ECG does not show an STEMI or Left Bundle Branch Block? We’ve looked at this before with the COACT trial which only looked at those patients with a shockable rhythm but this months paper looks at all ROSCs from all rhythms.
Next up we take a look at a paper that investigates senior paramedics decision making in cessation of cardiac arrests and think further about the decision making that goes into these complex decisions.
Finally we take a look at a huge trial assessing the use of balanced fluids versus Normal Saline in critically ill patients and gain more information about the strategy we should employ.
Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
Enjoy!
Simon & Rob