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We are busting at the seams with content this month!!!We are talking about peak and plateau pressures, magnets on pacemakers and ICDs, a review of aortic dissections, anaphylaxis, peri-arrest pearls, and our May monthly videos!

There’s no time to waste, it’s time for Last Week Now!

When using ventilators, it's important to compare the peak pressures and plateau pressures. By doing so, you can understand what's going on with the patient and the ventilator. The peak pressure is a combination of resistance and compliance in the circuit, while the plateau pressure only represents compliance. The relationship between these two pressures can reveal important information about the patient's condition.

If the peak pressure is higher than the plateau pressure and the ventilator is alarming, then there might be a problem with resistance, which could be caused by things like broncho-constriction, a mucus plug, or a kink in the tube. If the peak pressure is the same as the plateau pressure, then the issue may be compliance-related. This could be caused by conditions like pneumothorax, ARDS, or pleural effusion, which make the lung stiffer, or an increase in abdominal pressure or a decrease in chest wall compliance. Understanding the relationship between peak and plateau pressures can help manage patients more effectively.

Check the full video here. 

 

How Much Do You Know About Pacemakers, ICDs, and Magnets? 

This Tweetorial by Dr. Nick Mark reviews the importance of magnets in pacemaker and implantable cardioverter-defibrillator (ICD) management in the ICU. Keeping a magnet on the crash cart can be life-saving if applied over a pacemaker or ICD, but do you know why? The post provides a thread of useful facts about the interaction between magnets and cardiac devices, including the mechanism of action and indications for magnet use, as well as important considerations when managing patients with these devices, such as the need for careful monitoring during magnet application and the potential for magnet-induced programming changes. This Tweetorial is accompanied by a helpful infographic summarizing the key points. Overall, the post highlights the critical importance of knowledge about magnets and cardiac devices for anyone working in the ED or ICU.

Anaphylaxis is something that every Resuscitationist has a healthy respect for, but what if your own child experiences it? Dr. Mike Winters, shares his personal story as well as critical pearls on anaphylaxis management.

Anaphylaxis is an acute, life-threatening systemic allergic reaction that can have a wide range of clinical manifestations. Early diagnosis is key, as roughly half of the cases are delayed or missed. Dr. Winters stresses the importance of keeping anaphylaxis on the differential for sick patients and recognizing the clinical features, which include circulatory and GI involvement. The three critical goals of anaphylaxis resuscitation are giving O2, IV fluids, and epinephrine. There are no absolute contraindications to the administration of epinephrine, and it should be given via intramuscular injection into the anterior lateral thigh. Second-line medications should never be given ahead of epinephrine.

Watch the video here for lots more pearls as well as to listen to Mike's personal story.

If you missed the RX Rounds this week, then I'm sorry because Dr. Anand Swaminathan gave a phenomenal review of aortic dissection. He covered the pathophysiology, the presentation, and treatment. It was our most attended live lecture EVER!

The video (and the entire library of prior videos) is available for replay for all ResusNation members. Not a member? For less of the price of a cup of coffee you can get an insane amount of content to review each month. Check the end of the newsletter for details on how to join.

It's the beginning of a new month and ResusNation members know what that means....it's time for new video content! Here's what we have for All-Access members this month:

  1. Is Permissive Hypotension Dead? by Dennis Kim
  2. Ultrasound in Cardiac Arrest, by James Fair
  3. Beyond ATLS, by Shyam Murali
  4. Lactate in Critical Illness, by Obi Anozi
  5. Fluids in Resuscitation, ResusX Panel

 All lectures are available for unlimited replay for ResusX:All-Access members. Not a member? Check out the end of the newsletter.

In this podcast episode, Dr. Mike Winters goes over many of the important aspects of patient care peri-arrest. Dr. Winters is nationally and internationally recognized expert in the field of resuscitation. This is an episode that you do not want to miss.

This episode is a must-listen for anyone who acutely manages patients in shock. The ResusNation Podcast is FREE for All-Access Members.

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