RAGE Session One

You’d be forgiven for thinking it was never going to happen…

but it has…

the first RAGE Session is finally here!

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)