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

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

Ep.1 - Introductions and Cicero

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 examThe pitfalls of the Glasgow Coma ScaleBrain anatomy in ICP

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.<ul><li>Components to one method of neurological exam</li><li>The pitfalls of the Glasgow Coma Scale</li><li>Brain anatomy in ICP</li></ul>

Ep.2 - Neuro Assessment and Nebulousness

LEAD

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.com/brugada-syndrome-ecg-library/AvR Stemi - https://litfl.com/lmca-occlusion-st-elevation-in-avr/

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! <ul><li>Sgarbossa - <a href="https://litfl.com/sgarbossa-criteria-ecg-library/" rel="nofollow" target="_blank">https://litfl.com/sgarbossa-criteria-ecg-library/</a></li><li>Brugada - <a href="https://litfl.com/brugada-syndrome-ecg-library/" rel="nofollow" target="_blank">https://litfl.com/brugada-syndrome-ecg-library/</a></li><li>AvR Stemi - <a href="https://litfl.com/lmca-occlusion-st-elevation-in-avr/" rel="nofollow" target="_blank">https://litfl.com/lmca-occlusion-st-elevation-in-avr/</a></li></ul>

Ep.3 - The Extended 12-Lead Family

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 NursEM podcast at http:///www.nursem.org or on Apple Podcasts, Google Play, and Spotify.---Twitter: @ResusTonight

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. <ul><li>Does charting MD aware absolve you from responsibility?</li><li>Does charting will continue to monitor actually mean anything to a nursing legal expert and a regulatory body?</li><li>How is the regulatory college of nurses different than the legal system?</li></ul>Find the NursEM podcast at <a href="http:///www.nursem.org" rel="nofollow" target="_blank">http:///www.nursem.org</a> or on Apple Podcasts, Google Play, and Spotify.--- Twitter: @ResusTonight

Ep.4 - MD Aware? - Legal/Regulatory Round 1

This is part 2 of 2 of our interview with Landon and Monique from the NursEM Podcast.---Twitter: @ResusTonight

This is part 2 of 2 of our interview with Landon and Monique from the NursEM Podcast. --- Twitter: @ResusTonight

Ep.5 - Will Continue to Monitor? - Legal/Regulatory Round 2

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 circulationIt can also be used as a prognosticator for cardiac arrestCapnography is probably the single most useful tool for monitoring patient status during procedural sedationWaveform capnography can be used as a marker of metabolic assessment

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<ul><li>It can also be used as a prognosticator for cardiac arrest</li><li>Capnography is probably the single most useful tool for monitoring patient status during procedural sedation</li><li>Waveform capnography can be used as a marker of metabolic assessment</li></ul>

Ep.6 - CO2 Without Borders

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. 

In our experience, nurses get little to no education on cognitive bias in their bachelor's degree  program. For a review of anchoring bias, <a href="https://www.sagu.edu/thoughthub/the-affects-of-anchoring-bias-on-human-behavior" rel="nofollow" target="_blank">click here</a>. Allan shares a clinical experience where he anchoring bias can affect patient care.

Ep.7 - A Story of Anchoring Bias

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 contractilityChronotropy means increased heart rateVasopressor means squeezing of the blood vesselsScott Weingart (reference below) coins a term Inopressor, where some drugs cause all of the above – one such example is epinephrineAlpha 1 receptors are found in the periphery and are responsible for vasoconstrictionAlpha 2 receptors are in the periphery and are responsible for vasodilationBeta 1 receptors are primarily in the myocardium and cause ino and chronotropyBeta 2 receptors are in the lungs and result in bronchodilationV1 receptors are in the blood vesselsV2 receptors are in the kidneys

Alpha, beta, V1 and V2 receptor goodness is talked about in this episode. This episode also features Allan turning into The Rock. <ul><li>Inotropy means increased myocardial contractility</li><li>Chronotropy means increased heart rate</li><li>Vasopressor means squeezing of the blood vessels</li><li>Scott Weingart (reference below) coins a term Inopressor, where some drugs cause all of the above – one such example is epinephrine</li><li>Alpha 1 receptors are found in the periphery and are responsible for vasoconstriction</li><li>Alpha 2 receptors are in the periphery and are responsible for vasodilation</li><li>Beta 1 receptors are primarily in the myocardium and cause ino and chronotropy</li><li>Beta 2 receptors are in the lungs and result in bronchodilation</li><li>V1 receptors are in the blood vessels</li><li>V2 receptors are in the kidneys</li></ul>

Ep.8 - Inotropes and Vasopressors: A, B, and V

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 etiologyA 'three hole punch' are bilateral finger thoracostomies and a pericardialcentesis is one way to decompress the chest in blunt traumatic cardiac arrestThe nurse's role is to ensure a shared mental model once the patient arrives so that CPR is started and/or stoppedEvidencePMID 29177620https://resus.org.au/download/section_11/anzcor-guideline-11-10-1-als-traumatic-arrest-27apr16.pdf&amp;ved=2ahUKEwiczvjHitnkAhXFvJ4KHSvNCfEQFjALegQIARAB&amp;usg=AOvVaw2ztgUJeIvyARaNjrCTrBRv

Rob recounts the story of his first traumatic cardiac arrest as a paramedic.  <ul><li> CPR doesn't make sense in a traumatic arrest where hemorrhagic and obstructive shock are the suspected etiology</li><li>A 'three hole punch' are bilateral finger thoracostomies and a pericardialcentesis is one way to decompress the chest in blunt traumatic cardiac arrest</li><li>The nurse's role is to ensure a shared mental model once the patient arrives so that CPR is started and/or stopped</li></ul> Evidence<ul><li>PMID 29177620</li><li><a href="https://resus.org.au/download/section_11/anzcor-guideline-11-10-1-als-traumatic-arrest-27apr16.pdf&amp;ved=2ahUKEwiczvjHitnkAhXFvJ4KHSvNCfEQFjALegQIARAB&amp;usg=AOvVaw2ztgUJeIvyARaNjrCTrBRv" rel="nofollow" target="_blank">https://resus.org.au/download/section_11/anzcor-guideline-11-10-1-als-traumatic-arrest-27apr16.pdf&amp;ved=2ahUKEwiczvjHitnkAhXFvJ4KHSvNCfEQFjALegQIARAB&amp;usg=AOvVaw2ztgUJeIvyARaNjrCTrBRv</a></li></ul>

Ep.9 - A Story of Traumatic Cardiac Arrest

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!

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!

Ep.10 - ResusX Series - Intro

The Resus Tonight team is curious to learn how critical care &amp; emergency nursing can be better. The team translates research into everyday clinical practice, challenge the sacred cows of nursing and occasionally rant.

Appreciate the RN approach, that is, how best to affirm RN scope &amp; practice intelligently &amp; confidently, to best work side-by-side w MD colleagues.

And most MDs could learn some good stuff too.

The hosts disseminate information succinctly &amp; pleasantly, giving enough banter for interest’s sake, but remaining clear &amp; quick, avoiding the “you’re-wasting-my-time” podcast trap.

Thanks, guys! Plz keep up the good work.

Very good!

This very approachable podcast disrupts the dogmas that we are used to with evidenced based info. The guys have a great banter. I’ve learned so much and can’t wait for more. Tell your friends!

Well done!

Resus Tonight - Critical Care and Emergency Nursing

This podcast was recorded on March 13, 2020. The content of the podcast may change as new information becomes available. Always check with your local resources and sources with credible references.One of the places resuscitation begins is at the front door. In this episode we provide practical tips for nursing care for patients with suspected or confirmed COVID-19.... in fact, this information could be generalized to all patients with undifferentiated dyspnea. The Internet Book of Critical Care is a living resource for COVID-19. REBEL EM has an excellent look at COVID-19 

This podcast was recorded on March 13, 2020. The content of the podcast may change as new information becomes available. Always check with your local resources and sources with credible references. One of the places resuscitation begins is at the front door. In this episode we provide practical tips for nursing care for patients with suspected or confirmed COVID-19.... in fact, this information could be generalized to all patients with undifferentiated dyspnea. <a href="https://emcrit.org/ibcc/covid19" rel="nofollow" target="_blank">The Internet Book of Critical Care is a living resource for COVID-19</a>. <a href="https://rebelem.com/covid-19-the-novel-coronavirus-2019" rel="nofollow" target="_blank">REBEL EM has an excellent look at COVID-19</a>

Ep.19 - COVID-19 - PPE & Overview for the Bedside Resus Nurse

Tammy Lowe

Korbin Haycock

We are pleased to have the trailblazer Tammy Lowe and THE Korbin Haycock on the show to share their amazing Nurse Point of Care Ultrasound program, one of the only programs in the world (to our knowledge - please correct us if we're wrong... we'd love to learn more!). Their Nurse Point of Care Ultrasound program was published in the Annals of Emergency Medicine in 2017. The link to the paper is HERE.Tammy is a boss level Registered Nurse and the Clinical Administrator for Critical Care at a large hospital in California. Find Tammy on Twitter HERE @TammyLowe357 Korbin is an emergency physician and the definition of a resuscitationist. Find him on Twitter HERE @KHaycock2

We are pleased to have the trailblazer Tammy Lowe and THE Korbin Haycock on the show to share their amazing Nurse Point of Care Ultrasound program, one of the only programs in the world (to our knowledge - please correct us if we're wrong... we'd love to learn more!). Their Nurse Point of Care Ultrasound program was published in the Annals of Emergency Medicine in 2017. The link to the paper is <a href="https://www.annemergmed.com/article/S0196-0644(17)31309-4/fulltext" rel="nofollow" target="_blank">HERE</a>. Tammy is a boss level Registered Nurse and the Clinical Administrator for Critical Care at a large hospital in California. Find Tammy on Twitter <a href="https://twitter.com/tammylowe357" rel="nofollow" target="_blank">HERE</a> @TammyLowe357 Korbin is an emergency physician and the definition of a resuscitationist. Find him on Twitter <a href="https://twitter.com/khaycock2" rel="nofollow" target="_blank">HERE</a> @KHaycock2

Ep.18 - Nurse Point of Care Ultrasound with Tammy Lowe and Korbin Haycock

Resilience

Allan and Rob have the privilege of having a chat with Alin Gragossian about the days before her illness, heart transplant, and return to her work as an emergency medicine resident. Follow Alin! Website - https://www.achangeofhe.art/Twitter: @ag_em33Instagram: @a_change_of_heart_blog

Allan and Rob have the privilege of having a chat with Alin Gragossian about the days before her illness, heart transplant, and return to her work as an emergency medicine resident. Follow Alin! Website - <a href="https://www.achangeofhe.art/" rel="nofollow" target="_blank">https://www.achangeofhe.art/</a> Twitter: @ag_em33 Instagram: @a_change_of_heart_blog

Ep.17 - Alin, Resilience, and a New Heart

Do ED ICUs save lives? Probably. The paper in question is by Gunnerson et al and can be found here.Scott Weingart's work on ED ICUs can be found here. 

Do ED ICUs save lives? Probably. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6659143/" rel="nofollow" target="_blank">The paper in question is by Gunnerson et al and can be found here.</a> <a href="https://emcrit.org/edicu/" rel="nofollow" target="_blank">Scott Weingart's work on ED ICUs can be found here. </a>

Ep.16 - 0% Journal Club - ED ICU

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