RAGE Session Four

RAGE Session Four is here! (at last…. you say)

RAGE Session Four is 61 min 46 sec long and includes:

• Introduction, including a welcome to new RAGE team recruit John Hinds and apologies from Cliff… (starts 00:00 min)
• ‘What’s bubbling up?’ (starts 01:16 min) — shout outs and interesting discoveries from the world of FOAM and elsewhere featuring regional anaesthesia, the GoodSam app, the Surviving Sepsis Campaign response to the ProCESS Trial, Brain Impact Apnoea and the ‘Tamiflu’ debacle.
• the RAGE team discussing ‘Getting The Right Side Right: RV infarction and RV failure’ (starts 13:39 min)
• the RAGE team discussing another ‘Humans in the Resus Room’ topic: ‘I Want to Stop, But Someone Else Doesn’t’ (starts 37:03 min)
• ‘A blast from the past’ by me (Chris Nickson) on ‘Jack Barnes and the Irukandji Enigma’ (starts 55:07 min)
• ‘Words of Wisdom’ from motorcycle legend Guy Martin via John Hinds (starts 59:14 min)

Show notes for RAGE Session Four:

Introduction

• John Hinds speaking about Cricolol at the smaccGOLD cricoid pressure debate: Cricoid: To Press or Not to Press? (RAGE)

What’s bubbling up?

Regional Anaesthesia

• Beaudoin FL, Haran JP, Liebmann O. A comparison of ultrasound-guided three-in-one femoral nerve block versus parenteral opioids alone for analgesia in emergency department patients with hip fractures: a randomized controlled trial. Acad Emerg Med. 2013 Jun;20(6):584-91. doi: 10.1111/acem.12154. PMID: 23758305.
• Black KJ, Bevan CA, Murphy NG, Howard JJ. Nerve blocks for initial pain management of femoral fractures in children. Cochrane Database Syst Rev. 2013 Dec 17;12:CD009587. doi: 10.1002/14651858.CD009587.pub2. Review. PMID: 24343768.
• De Buck F, Devroe S, Missant C, Van de Velde M. Regional anesthesia outside the operating room: indications and techniques. Curr Opin Anaesthesiol. 2012 Aug;25(4):501-7. doi: 10.1097/ACO.0b013e3283556f58. Review. PMID: 22673788.
• Gadsen J. Regional Anesthesia in Trauma: A Case-Based Approach. Cambridge University Press; 1 edition (November 12, 2012) (website)
• Wu JJ, Lollo L, Grabinsky A. Regional anesthesia in trauma medicine. Anesthesiol Res Pract. 2011;2011:713281. doi: 10.1155/2011/713281. Epub 2011 Nov 21. PMID: 22162684;  PMCID: PMC3227428.
• Mike Stone’s video showing how to perform a fascia iliaca block with ultrasound:

Other topics ‘bubbling up’:

• Surviving Sepsis Campaign Guidelines 2012 (LITFL CCC) and SSC Response to ProCESS (pdf) (RAGE discussion about ProCESS coming soon!)
• Brain Impact Apnoea (LITFL CCC)
• What the Tamiflu saga tells us about drug trials and big pharma by Ben Goldacre (The Guardian)
• Doshi P. Neuraminidase inhibitors–the story behind the Cochrane review. BMJ. 2009 Dec 8;339:b5164. doi: 10.1136/bmj.b5164. PubMed PMID: 19995813
• Jefferson T, et al. Neuraminidase inhibitors for preventing and treating influenza in healthy adults and children. Cochrane Database Syst Rev. 2014 Apr 10;4:CD008965. PMID: 24718923.

Getting The Right Side Right: RV Infarction and RV failure

• The ‘OH CRAP’ mnemonic for optimising oxygen delivery and haemodynamics: Oxygen, Haemoglobin, Contractility, Rate & rhythm, Afterload and Preload (for both the right and the left heart – need to do different things for each!)
• Inohara T, Kohsaka S, Fukuda K, Menon V. The challenges in the management of right ventricular infarction. Eur Heart J Acute Cardiovasc Care. 2013 Sep;2(3):226-34. doi: 10.1177/2048872613490122. Review. PMID: 24222834; PMCID: PMC3821821.
• Vandenheuvel MA, Bouchez S, Wouters PF, De Hert SG. A pathophysiological approach towards right ventricular function and failure. Eur J Anaesthesiol. 2013 Jul;30(7):386-94. PMID: 23571479.
• Right ventricular infarction (LITFL ECG Library)
• Right Ventricular Failure (LITFL CCC)
• Right Ventricular Function and Haemodynamic Assessment (LITFL CCC)
• Pulmonary Artery Catheters (LITFL CCC)
• Pulmonary Hypertension (LITFL CCC)

Humans in the Resus Room: I Want To Stop, But Someone Else Doesn’t

• Communication in a Crisis (LITFL CCC)
• Crisis Resource Management (CRM) (LITFL CCC)
• Cessation of CPR (LITFL CCC)
• Cliff Reid on ‘When Should Resuscitation Stop?‘ at smaccGOLD (RAGE)

Blast from the Past

• Barnes, J. H. (1964). “Cause and Effect in Irukandji Stingings.” Med J Aust 1: 897
• Irukandji syndrome (LITFL)
• Jack Barnes and the Irukandji Enigma (LITFL)

Words of Wisdom