So NOF's aren't the most glamorous of topics to cover on a podcast, but the difference we can make to patients but refining our care is huge.
Neck of femur fractures have a high and increasing incidence. They occur predominantly in frail patients who have the greatest risk of complications, both from the injury and medical interventions.
In this episode we'll be running through their presentation, discuss both the clinical and radiological diagnostics. We'll also be looking in depth about both pharmacological and non-pharmacological methods of pain relief and have a think about where fascia-iliaca compartment blocks sit with regards to pre and in- hospital practice.
Finally we'll move on to the definitive surgical approach and in-hospital care.
Once again we'd love to hear any comments or questions either via the website or social media.
Enjoy!
Simon, Rob & James
Welcome back to the podcast!
ECMO-CPR is a growing conversation in the world of cardiac arrest management. This month we have a look at a paper which adds some great evidence to the overall picture; with an RCT on ECPR in refractory of out of hospital cardiac arrest. How will this compare to the amazing results from the ARREST trial?
Next up is a really informative paper looking at the utility of ultrasound in suspected testicular torsion in children, this may make a difference to your investigation strategy.
Lastly we look a a paper describing the journey of a quality improvement project on paramedic intubation and see the phenomenal results that the method led to.
Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
Simon & Rob
So in this episode we’re going to be covering crush injury.
When you think about it, visions of falling rocks, industrial accidents and high speed RTCs may come to mind, but actually a crush injury can be sustained in a huge variety of ways without such vivid circumstances.
Definitions according to the Faculty of Prehospital Care are that;
‘A crush injury is a direct injury resulting from crush.
Crush syndrome is the systemic manifestation of muscle cell damage resulting from pressure or crushing’
So in the episode we’re going to run through all of the bits that we normally cover, from pathophysiology, to presentation and onto treatment. We'll also be looking at the controversy and evidence behind tourniquet use, fluid therapy, electrolyte management and much, much more!
Once again we'd love to hear any comments or questions either via the website or social media.
Enjoy!
Simon, Rob & James
Welcome back!
Three more papers for you this month to inform and improve our care in acute and critical illness.
First up and following on from the recent DoseVF paper, we take a look at a study looking at the combined effect of vector change, esmolol and capping adrenaline administration in refractory VF with regards patient out ones. Could this be associated with even better patient outcomes?
Secondly we take a look at the utility of fentanyl lozenges in providing effective analgesia to patients in remote settings. Does this have potential for both prehospital and in-hospital patients prior to iv access.
Finally we cover a paper looking at prehospital management of acute behavioural disturbance; the need for restraint, the need for sedation and the subsequent effects on the patients.
Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
Simon & Rob
Welcome back to our first Roadside to Resus episode for 2023!
We're back with the huge topic that is COPD. In this episode we're going to delve into the depths of the topic, helping us to deliver the best possible care for this frequently encountered presentation.
Along with the standard coverage from incidence, to pathophysiology, to presentation and treatment, we'll also be covering those topics that you've specifically asked for;
Once again we'd love to hear any comments or questions either via the website or social media.
Enjoy!
Simon, Rob & James
Welcome to 2023 and a very happy New Year!
We hope you managed to get some time with your loved ones over the festive period and we're back with the podcast again to kick off the new year.
First up, we take a look at a paper assessing whether there is benefit to treatment with thrombolytics or anticoagulants for patients in cardiac arrest due to a presumed MI.
Next up we look at the potential harm in administering steroids to patients with COVID-19 nor requiring supplemental oxygen.
Finally, we take a look at a paper assessing the potential use of point of care lactate in predicting the need for in-hospital blood product resuscitation.
Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
Simon & Rob