Just in time for smaccGOLD, RAGE Session Three is here!
RAGE Session III is 67 min 53 sec long and includes:
- Introduction, including an ERCAST shout out and apologies from Haney… (starts 00:00 min)
- ‘What’s bubbling up?’ (starts 01:30 min) — shout outs and interesting discoveries from the world of FOAM and elsewhere featuring pre-hospital spinal immobilisation, astronaut Chris Hadfield, ‘Mistakes were made’, EMA’s 25th anniversary edition and the need to tailor blood pressure targets to the individual.
- the RAGE team discussing acute life-threatening asthma (starts 15:52 min)
- the RAGE team discussing ‘Medical Reversal’ (starts 52:52 min)
- ‘A blast from the past’ by Karel Habig on ‘Ether Day’ and the origins of general anaesthesia (starts 63:42 min)
- ‘Words of Wisdom’ featuring a quote from Cliff Reid’s role model, and some other guy (starts 66:32 min)
What’s bubbling up?
- Connor D, Greaves I, Porter K, Bloch M; consensus group, Faculty of Pre-Hospital Care. Pre-hospital spinal immobilisation: an initial consensus statement. Emerg Med J. 2013 Dec;30(12):1067-9. doi: 10.1136/emermed-2013-203207. PubMed PMID: 24232011; The Telegraph — Firemen cut roof off police car; Pre-hospital spinal immobilisation: an initial consensus statement (PHARM); Progress in prehospital spinal injury management (ScanCrit)
- An Astronaut’s Guide to Life on Earth
- Mistakes Were Made (but Not by Me)
- EMA Journal Silver Anniversary Edition, with links to all the free full text articles (LITFL)
- Panwar R, Lanyon N, Davies AR, Bailey M, Pilcher D, Bellomo R. Mean perfusion pressure deficit during the initial management of shock–an observational cohort study. J Crit Care. 2013 Oct;28(5):816-24. doi: 10.1016/j.jcrc.2013.05.009. Epub 2013 Jul 10. PMID: 23849541.
Life-threatening severe asthma
- Acute Severe Asthma (LITFL CCC)
- Non-invasive ventilation (NIV) and asthma (LITFL CCC)
- Bronchospastic Blood Pressure Badness (LITFL Case-based Q&A)
- Heliox (LITFL CCC)
- Management of the Severe Asthmatic in the ED (EMCrit)
- Dominating the Vent: Part II (EMCrit)
- Podcast 15 – the Severe Asthmatic (EMCrit)
- Podcast 16 – Coding Asthmatic, DOPES, & Finger Thoracostomy (EMCrit)
- When the patient can’t breathe, and you can’t think (EM Updates)
- Cove ME, Maclaren G, Federspiel WJ, Kellum JA. Bench to bedside review: Extracorporeal carbon dioxide removal, past present and future. Crit Care. 2012 Sep 21;16(5):232. PMID: 23014710; PMCID: PMC3682237.
- The AnaConDa Brings Volatile Anesthetics to the ICU (MedGadget)
- Fisher MM, Bowey CJ, Ladd-Hudson K. External chest compression in acute asthma: a preliminary study. Crit Care Med. 1989 Jul;17(7):686-7. PMID: 2736932.
- Medical Reversal (LITFL CCC)
- Prasad V, et al. A Decade of Reversal: An Analysis of 146 Contradicted Medical Practices. Mayo Clin Proc. 2013 Jul 12. doi:pii: S0025-6196(13)00405-9. 10.1016/j.mayocp.2013.05.012. [Epub ahead of print] PubMed PMID: 23871230. [Free Full Text] (includes a video commentary by the lead author)
- Walters BC, Hadley MN, Hurlbert RJ, Aarabi B, Dhall SS, Gelb DE, Harrigan MR, Rozelle CJ, Ryken TC, Theodore N. Guidelines for the management of acute cervical spine and spinal cord injuries: 2013 update. Neurosurgery. 2013 Aug;60 Suppl 1:82-91. doi: 10.1227/01.neu.0000430319.32247.7f. PMID: 23839357. [Free Full Text articles]
- The Nobel Prize in Physiology or Medicine 2005 — Barry J. Marshall, J. Robin Warren (NobelPrize.org)
- Chesnut RM, et al; Global Neurotrauma Research Group. A trial of intracranial-pressure monitoring in traumatic brain injury. N Engl J Med. 2012 Dec 27;367(26):2471-81. doi: 10.1056/NEJMoa1207363. Epub 2012 Dec 12. Erratum in: N Engl J Med. 2013 Dec 19;369(25):2465. PubMed PMID: 23234472; PMCID: PMC3565432.
- Bellomo R, Chapman M, Finfer S, Hickling K, Myburgh J. Low-dose dopamine in patients with early renal dysfunction: a placebo-controlled randomised trial. Australian and New Zealand Intensive Care Society (ANZICS) Clinical Trials Group. Lancet. 2000 Dec 23-30;356(9248):2139-43. PMID: 11191541.
- 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.
- Finfer S, Bellomo R, Boyce N, French J, Myburgh J, Norton R; SAFE Study Investigators. A comparison of albumin and saline for fluid resuscitation in the intensive care unit. N Engl J Med. 2004 May 27;350(22):2247-56. PMID: 15163774.
- Stroke Thrombolysis (LITFL CCC)
Blast from the Past
Addendum 30 March 2014:
- Checkout the RAGEback: Weingart and co on Asthma with commentary on THAM, lignocaine and non-invasive ventilation
Words of Wisdom
Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also a 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 three amazing children.
On Twitter, he is @precordialthump.