RAGE Session Two

The wait is over, RAGE Session Two is here!

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RAGE Session Two is 80 min 19 sec long and includes:

Introduction, including some bad news… (starts 00:00 min)
‘What’s bubbling up?’ (starts 00:58 min) — shout outs and interesting discoveries from the world of FOAM and elsewhere featuring codeine in kids, post-intubation sedation, adenosine versus verapamil for SVT and how to do a good vagal manoeuvre, the ETM Twitter fiasco, the FOAMcc Google Plus Community and smaccGOLD.
the RAGE team discussing a case of submassive pulmonary embolism and the role of thrombolysis (starts 22:14 min)
the RAGE team’s discussion on ‘Humans in the resus room: ‘when your back-up gets your back up’’ (starts 51:50 min)
‘A blast from the past’ on WW2 hero and chain-smoking legend Edgar Patz, the only man to complete an entire Masters degree unconscious! (starts 73:00 min)
‘Wise Words’ featuring the art of observation, the immortal John Hunter and the infinitely wise Sir William Osler (starts 77.55 min)

Show notes for RAGE Session Two:

What’s bubbling up?

6 PEM papers that could change your practice – #1 – codeine (DFTB)
Binks: Practice Changing Articles in PEM (Free Emergency Medicine Talks)
Podcast 115 – A New Paradigm for Post-Intubation Pain, Agitation, and Delirium (EMCrit)
I Hate Adenosine (Prehospital Wisdom)
Valsalva maneuver by pressing on the abdomen (ALIEM)
Walker S, Cutting P. Impact of a modified Valsalva manoeuvre in the termination of paroxysmal supraventricular tachycardia. Emerg Med J. 2010 Apr;27(4):287-91. doi: 10.1136/emj.2009.073866. PubMed PMID: 20385681.
Best of 2013 – Eight is Enough & Social Media Update (EMCrit)
Airways in the ED and on Twitter (LITFL)
FOAMcc Google Plus Community (join in, it’s free)
smaccGOLD

Submassive Pulmonary Embolus and Thrombolysis

FOAM:

Submassive Pulmonary Embolus and Thrombolysis (LITFL CCC)
Thrombolysis in submassive PE – still equipoise? (Resus.ME) — summary of the AHA guidelines
MOPETT – Half-Dose tPA for PE (EMLON)
EMCrit Wee – The Mopett Trial (EMCrit)
Podcast 51: Fibrinolysis in Pulmonary Embolism (EMCrit)
The case for thrombolysis in PE: PEITHO, ULTIMA, and TOPCOAT with Dr Stavros Konstantinides, ULTrasound Accelerated ThrombolysIs of PulMonAry Embolism (ULTIMA), Tenecteplase or Placebo: Cardiopulmonary Outcomes At Three Months (TOPCOAT), MOPETT: Is half-dose thrombolysis feasible for moderate PE? andUltrasound plus fibrinolysis reduce right heart dysfunction in pulmonary-embolism patients (Clot Blog on Medscape)

Journal articles:

Dresden S,et al. Right ventricular dilatation on bedside echocardiography performed by emergency physicians AIDS in the diagnosis of pulmonary embolism. Ann Emerg Med. 2014 Jan;63(1):16-24. doi: 10.1016/j.annemergmed.2013.08.016. Epub 2013 Sep 27. PMID: 24075286.
Kline JA, Steuerwald MT, Marchick MR, Hernandez-Nino J, Rose GA. Prospective evaluation of right ventricular function and functional status 6 months after acute submassive pulmonary embolism: frequency of persistent or subsequent elevation in estimated pulmonary artery pressure. Chest. 2009 Nov;136(5):1202-10. doi: 10.1378/chest.08-2988. Epub 2009 Jun 19. PubMed PMID: 19542256; PMCID: PMC2818852.
Howard LS. Thrombolytic therapy for submassive pulmonary embolus? PRO viewpoint. Thorax. 2014 Feb;69(2):103-5. doi: 10.1136/thoraxjnl-2013-203413. Epub 2013 Apr 26. PMID: 23624534.
Konstantinides S, Geibel A, Heusel G, Heinrich F, Kasper W; Management Strategies and Prognosis of Pulmonary Embolism-3 Trial (MAPPET-3) Investigators. Heparin plus alteplase compared with heparin alone in patients with submassive pulmonary embolism. N Engl J Med. 2002 Oct 10;347(15):1143-50. PubMed PMID: 12374874.
Sharifi M, et al; “MOPETT” Investigators. Moderate pulmonary embolism treated with thrombolysis (from the “MOPETT” Trial). Am J Cardiol. 2013 Jan 15;111(2):273-7. doi: 10.1016/j.amjcard.2012.09.027. Epub 2012 Oct 24. PMID: 23102885.
Simpson AJ. Thrombolysis for acute submassive pulmonary embolism: CON viewpoint. Thorax. 2014 Feb;69(2):105-7. doi: 10.1136/thoraxjnl-2013-204193. Epub 2013 Sep 17. PMID: 24046127.

Humans in the Resus Room: ‘When your Back-Up gets your Back Up’

Making Things Happen (Resus.ME)
The Resus Room Life Guard (Resus.ME)
Communication in a Crisis (LITFL CCC)
Crisis Resource Management (CRM) (LITFL CCC)

Blast from the Past

Hero who put himself through hell (jameslefanu.com)

Words of Wisdom

Do you know John Hunter (LITFL)
Smith, Bell and the Art of Observation (LITFL)
Lessons from Osler 003 — Learn the art of observation (LITFL)

RAGE

…more PODCASTS

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 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.

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