Resuscitation Tonight

Resuscitation Tonight

We are two guys who are curious to learn how critical care & emergency nursing can be better. We break down new research and apply it to everyday clinical practice, challenge dogma and sacred cows, and occasionally rant on all things nursing.... Show More

Episodes

Nyssa from The Q Word Podcast is on the show to talk about the one thing we should be practicing the most: Resuscitation Langauge, coined Resuscitese.

References

  • https://www.jpeds.com/article/S0022-3476(14)00878-6/fulltext
  • https://emcrit.org/wp-con... Read more

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  • Allan and Rob's final ResusX Series Podcast where they talk about the Zero Point Survey and its place in the resus room with our friends EM Centered (emcentered.com) and Salim Rezaie (rebelem.com). 

    Zero Point Survey further reading-

  • Cliff Ried's Paper - Read more

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  • October 17, 2019 17 min

    We had the opportunity to present The Nurse Led Code and facilitate a Code Choreography workshop to the attendees at ResusX. Needless to say, it was a humbling to learn alongside the curious, bad ass physicians that attended.

    We even had the chance to talk to Scott Weingart about The Nurse Led Code which was pretty cool, given that his podcast was the firs... Read more

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    October 8, 2019 2 min

    Allan and Rob travelled to Philadelphia for the ResusX and MedED Evolved Conferences.  Philly cheese steaks were consumed, learning occurred, and podcasts were made.  

    The next few episodes will be a mini-series recorded with some new friends from ResusX and MedED Evolved!



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    Allan and Rob have the privilege of sitting down with Salim Rezaie of RebelEM to talk about cervical spine collars and backboard in the ED.  RebelEM has has already extensively covered the evidence on collars and backboards. You can find their blog posts and links below.

    1. Spinal... Read more

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    September 23, 2019 13 min

    Rob recounts the story of his first traumatic cardiac arrest as a paramedic. 

  •  CPR doesn't make sense in a traumatic arrest where hemorrhagic and obstructive shock are the suspected etiology
  • A 'three hole punch' are bilateral finger thoracostomies and a pericardialcentesis is one way to decompress the chest in blunt traumatic cardiac arrest
  • The nurse's role is to ensure a shared... Read more

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  • Alpha, beta, V1 and V2 receptor goodness is talked about in this episode. This episode also features Allan turning into The Rock.


  • Inotropy means increased myocardial contractility
  • Chronotropy means increased heart rate
  • Vasopressor means squeezing of the blood vessels
  • Scott Weingart (reference below) coins a term Inopressor, where some drugs cause all of the above – one such example is ... Read more

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  • September 4, 2019 11 min

    In our experience, nurses get little to no education on cognitive bias in their bachelor's degree  program. For a review of anchoring bias, click here.

    Allan shares a clinical experience where he anchoring bias can affect patient care. 



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    August 30, 2019 27 min

    If you aren't using waveform capnography where appropriate, you are not evaluating ventilation and gas exchange properly.

    It is a highly reliable way to evaluate CPR effectiveness and return of spontaneous circulation

  • It can also be used as a prognosticator for cardiac arrest
  • Capnography is probably the single most useful tool for monitoring patient status during procedural sedation
  • Waveform... Read more

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  • This is part 2 of 2 of our interview with Landon and Monique from the NursEM Podcast.

    ---
    Twitter: @ResusTonight



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    This is part 1 of 2 with our friends Landon and Monique from the NursEM podcast where we about common legal, regulatory, and advice for documentation. 

  • Does charting MD aware absolve you from responsibility?
  • Does charting will continue to monitor actually mean anything to a nursing legal expert and a regulatory body?
  • How is the regulatory college of nurses different than the legal system?
  • Find the N... Read more

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    July 30, 2019 22 min

    Are you looking for pathology beyond a STEMI when ordering and interpreting a 12-lead EKG? In this episode we introduce you to other patterns you should look for, especially in the undifferentiated patient presenting with a suspicious story. We'll have you quoting Sgarbossa, Brugada, and AvR pathology in no time!

  • Sgarbossa - https://litfl.com/sgarbossa-criteria-ecg-library/
  • Brugada - https://litfl.... Read more

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  • The intubated, altered neuro patient waiting for an ICU bed in your ED can be daunting. Here we talk about the best ways to examine, trend, recognize, and communicate your findings to your team.

  • Components to one method of neurological exam
  • The pitfalls of the Glasgow Coma Scale
  • Brain anatomy in ICP


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    July 30, 2019 5 min

    Introductions to Allan, Rob, and the Resus Tonight vehicle. We're most active on Twitter @ResusTonight.



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