You’d be forgiven for thinking it was never going to happen… but it has… the first RAGE Session is finally here!

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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)

Show Notes

What’s bubbling up?

• FOAM and the RAGE Team
• The LITFL Review (LITFL)
• Oxygen and CO2 Retention in COPD (LITFL CCC)
• Harris M, Balog R, Devries G. What is the evidence of utility for intraosseous blood transfusion in damage-control resuscitation? J Trauma Acute Care Surg. 2013 Nov;75(5):904-6. PMID: 24158214. (Note that the first author has a potential conflict of interest in that he is CMO of a company that makes equipment for assisting in difficult vascular access)
• Mechanical CPR and the LINC trial (ALIEM)
• EM Nerd
• Unstable Patient & Pelvic Fracture + Hemoperitoneum (Trauma Professional’s Blog)
• RAPTOR suite (ScanCrit)
• Reasons To Be Cheerful – One, Two, Three (Interview with Martyn Ashton)
• Peter Safar’s Laws for Navigation of Life (LITFL)

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
• 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. PMID: 21321156.
  
• 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.  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.  PMID: 23994203.

Septic and hypotensive: now what?

• Catecholamine excess, Beta Blockade and Critical Illness (LITFL CCC)
• Fluid Responsiveness (LITFL CCC)
• Glycocalyx in Critical Illness (LITFL CCC)
• SMACC: Myburgh on Fluid Resuscitation (ICN)
• SMACC: O’Meara on Fluids and Kids – FEAST or Famine (ICN)
• Paul Marik on Fluids in Sepsis, A New Paradigm (EMCrit)
• A Response to the Marik Sepsis Fluids (EMCrit)
• Inotropes, vasopressors and other vasoactive agents (LITFL CCC)
• FEAST and Paediatric Fluid Resuscitation (LITFL CCC)
• Catecholamine excess, Beta Blockade and Critical Illness (LITFL CCC)

Thanks again for listening to the RAGE!

Chris Nickson

Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also the Innovation Lead for the Australian Centre for Health Innovation at Alfred Health and Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.

After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education.

He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE.  He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of litfl.com, the RAGE podcast, the Resuscitology course, and the SMACC conference.

His one great achievement is being the father of two amazing children.

On Twitter, he is @precordialthump.

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