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A big welcome to all the new members who signed up this last week....I'm so glad that you've joined the ResusNation family. This is a great week to be reading this newsletter because a lot happened last week, and a lot was dedicated to the heart. We talked about:

  • how to run a code "like a BOSS"
  • how to float a transvenous pacemaker
  • STEMI vs. NSTEMI or OMI vs. NOMI
  • ResusX:ROSC, a conference dedicated to cardiac arrest
  • the pros and cons of using paralytics for RSI 

So let's start up that 'ol review machine because it’s time for Last Week Now! 

Should paralytics be used every time we intubate patients? That was the subject of the video I stitched with another creator on TikTok (@shadytreecardiology). However, this turned out to be a hot button topic and lots of people got involved in the discussion, prehospital providers, Anesthesia provders, Emergency medicine, providers, and critical care providers all got involved in the discussion… And it was a good one.

So go watch the video read the comments and leave a comment of your own. It's a great discussion, and there are no "right" answers. 

Check the full video here. 

 

Want to Run a Code Like a Boss? 

We've featured Dr. Nick Mark's "One-Pagers" before, but if you don't know, these PDF's are handy reviews that summarize some key concepts in one reviews. These are easy to read, super concise, and are a handy reference when on a shift.

This week Dr. Mark breaks down cardiac arrest, specifically how to run a code. It breaks down the fundamentals, differentials, running the team, and termination of efforts. Take a look at this review, and check out all the other great "One-Pagers" on his site here

Dr. Colin McCloskey, an emergency medicine physician and intensivist who provides a quick primer on transvenous pacing in a video. Transvenous pacing is a high-acuity, low-opportunity procedure used to treat unstable bradyarrhythmias such as AV nodal blockade and some tachydysrhythmias. The contraindications for the procedure are relative, and it involves placing a central line. Dr. McCloskey walks viewers through the steps of the procedure, including the importance of using a sterile sheath and the Medtronic box's pre-set honey badger pacing mode. He also offers troubleshooting tips for common pitfalls and suggests various methods for dynamic visualization. Overall, he emphasizes that emergency medicine providers can and should be proficient in transvenous pacing, given the potential benefits for critically ill patients.

Watch the video here for lots more pearls from Colin.

 

Get Updates When Registration Opens

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 transcript, Dr. Salim Reziae, discusses the differentiation between the traditional paradigm of STEMI and non-STEMI versus the newer paradigm of occlusion and non-occlusion myocardial infarction. She presents findings from two papers on this topic and emphasizes the need to shift to a newer paradigm in order to identify and treat non-STEMI patients with acute coronary occlusion.

Here are five key takeaways from the podcast:

  • A significant proportion of non-STEMI patients may have occlusion, or myocardial infarction, and should be treated like STEMI patients.
  • On an EKG, subtle ST elevations with ST depressions, hyperacute T-waves, and non-contiguous leads are signs of acute coronary occlusion in non-STEMI patients.
  • Troponin levels can be a useful surrogate for infarct injury and can help differentiate between STEMI, non-STEMI, and occlusion myocardial infarction.
  • The median time from arrival to the cath lab is significantly longer for non-STEMI patients with occlusion myocardial infarction than for STEMI patients.
  • Switching to the new paradigm of occlusion and non-occlusion myocardial infarction is necessary to identify and treat non-STEMI patients with acute coronary occlusion.

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

I Want to Listen To the PodCast!

Are you a member of ResusNation? For less than a cup of coffee, you can get even more content from CriticalCareNow. Digital teaching sessions, podcasts, free video lectures, grand rounds, and so much more can be your today. Come watch on replay all the content that CriticalCareNow does live. Check out the memberships options below and decide the right one for you.

Show your support with our basic membership. You'll receive:

  • Access to 2 cutting edge lectures monthly from world-renowned speakers every month
  • Unlimited viewing of videos
  • Ability to watch on a desktop or mobile video player
  • Pay for a monthly or yearly membership
  • CEU available

The ultimate membership! In addition to the benefits in the basic plan you'll receive:

  • 5 cutting-edge lectures monthly from world-renowned speakers
  • Listen to the weekly podcast
  • Attend the exclusive Q & A session with Grand Round speakers
  • Watch previous Grand Rounds on replay.
  • Watch every Chawk Tawk on replay
  • Join our twice-monthly hangouts where you can hang out and ask us anything
  • Access the ResusX Community, a forum for questions, post cases, & interact and network with others
  • Receive CEU credits for the content that you watch
  • Pay for a monthly or yearly membership
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