The Educational Newsletter From CriticalCareNow!
Welcome to this week's newsletter. We've have so much stuff for you this week.
- Bring a friend to ResusFest and make some cash back.
- Mo Hagahmed tackles peri-arrest management in the crashing patient
- A central line tip that can come in handy
- The November lectures are out and they are pure gold!
- Have you been waiting for a way to try out the ResusNation Membership, well for one measly little dollar, you can try it out
- Chris Reilly is talking about cuff pressures and why they matter in Chris' Corner
This week's newsletter is fired up and ready to go, so let's get it started with Last Week Now!
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Bring Your Friend To ResusFest& Get Up To $100 Cash!
Are you ready to experience the most unforgettable getaway resuscitation conference? Come join us in Cancun this January and see why ResusFest is one of the most exciting vacation CME events. Our faculty includes some of the biggest names in resuscitation! Check out the full schedule at ResusFest.
🌞 Special Limited-Time Offer: Bring a Friend, Earn Cash! 🌞
💰 Get $100 Cash: For every friend you refer to ResusFest, earn up to $100 cash back! It's our way of saying thank you for spreading the word about this unique event. The more friends you bring, the more you earn!
🎁 Get A BONUS Conference: If you register for ResusFest right now, you'll get instant access to ResusX:Reset our 2023 conference in Philly. You'll be able to watch every minute on replay.
🤝 Connect, Learn, and Enjoy: Our conference is packed with expert-led sessions, engaging workshops, and plenty of time for relaxation and fun. Whether you're here to expand your professional network or just to enjoy the sun and sand, ResusFest is the perfect blend of business and pleasure.
🎉 Don't Miss Out: This offer is for a limited time only! Secure your spot and start inviting friends to make the most of this fantastic deal.
✨ Register for ResusFest now at ResusFest.com.
Stop It With the Useless ABGs
One of the most painful and useless test around is the ABG in an awake patient. Not only is it painful, increases the risk of complications, but it doesn't add anything to clinical care. Serious, it's useless. Check out this video I made about it here. Comment in the video if you disagree (or agree too).
Check out the video here.
Peri-Arrest in the Crashing Patient
In this episode, Dr. Mohammed Hagahmed, a faculty physician at the University of Pittsburgh Medical Center, shares a compelling case of a patient named Miss Z, a recent immigrant with COPD. Dr. Hagahmed discusses the challenges of caring for crashing patients, focusing on the critical importance of peri-intubation resuscitation. He delves into factors that can lead to peri-intubation cardiac arrest, such as hypoxemia, hypotension, and high shock index. He also discusses the choice of sedation and paralytic agents, emphasizing the need to ensure appropriate sedation when intubating patients. Dr. Hagahmed provides valuable insights into managing these high-risk scenarios and the latest research findings on the topic.
Check out his amazing video now! Explore ResusX for more content from Mohammed and our other exceptional faculty!
TIPS FOR THE (J) TIP
🔍 Ever faced the frustration of losing that tiny plastic piece that keeps the J-wire straight during central line procedures? Worry not! My latest CritTips episode unveils a handy trick for this common dilemma.
🏥 What's Inside:
- The J-Wire Dilemma: We discuss the challenge when the plastic holder of the J wire disappears – a common scenario in hectic settings.
- Improvising with Skill: Learn a simple yet effective method to straighten the J-wire without the holder, using just your thumb and index finger.
- Safety First: Understand why the J-tip design is crucial for preventing vessel wall damage during insertion.
- Practice Makes Perfect: Tips on practicing this technique outside the sterile field for better dexterity during procedures
Watch the video and be ready for your next patient with a trach!
November is here so it's time for some FRESH lectures!
November isn't just for pumpkin spiced lattes, it's a time for new resuscitation content! Check out all the videos we have for All-Access members this month:
- Dan Patino:VT Storm • Part 2
- Shaila Quazi: Sepsis Updates
- Steven Haywood: Before You Push the Meds
- Salim Rezaie: The CLASSIC Trial
- Scott Weingart: Intra-Arrest Management For Resuscitation Professionals
If you're not a member, then you're missing out on a ton of great stuff. Check out the perks of membership at the bottom of this newsletter.
Elevate Your Medical Knowledge With An Exclusive Offer!
Unlock a Wealth of Critical Care Insights for Just $1!
We're thrilled to offer you a special chance to explore the All-Access Pass at CriticalCareNow for an introductory price of just $1! It's a rare opportunity to dive into a world of comprehensive medical education with virtually nothing to lose.
What’s in the All-Access Pass?
**Monthly Learning:** Receive five innovative lectures each month, tailored to enhance your skills in managing critically ill and emergency patients.
**ResusNation Podcast:** Join the experts in resuscitation as they share invaluable insights in our popular series.
**Live and On-Demand Grand Rounds:** Attend live sessions and explore a rich library of past lectures for a deeper understanding of critical care.
**Exclusive RX Community:** Engage with peers and faculty, discuss cases, and expand your professional network in our members-only forum.
**Continuing Education:** Earn CEU credits, with CME options on the horizon, and receive a certificate of completion annually.
**Monthly Hangouts:** Participate in interactive sessions where the topics are driven by your interests and questions.
**Get in On This Limited Time Offer:**
Your first 30 days with us are just $1! After this trial period, continue your journey for only $4.99 per month. With no annual fees, contracts, or obligations, you have complete control over your membership. Cancel anytime, hassle-free.
Why Wait? This is a unique chance in medical education, rarely offered at this price. Join over 1,000 members who are already part of the All-Access community. Don't miss out—this is your moment to step forward in your medical career!
Chris Reilly is a guitar-swinging, song-singing, education-bringing physician from NYC. Follow at @docreilles on Instagram and TikTok. Let's see what Chris has for us this week.
A Cuff Above
Ever wondered why the cuff pressure in endotracheal tubes (ETTs) matters during mechanical ventilation? Some of the reasons for underinflation should be straightforward like avoiding complications such as micro-aspiration/ventilator-associated pneumonia (VAP) and maintaining a seal for positive pressure ventilation without volume loss. But how does one figure out what the proper volume should be in your tube? Over the years there have been various devices used such as the Posey Cufflator, Pyton, and AG Cuffill. These devices help regulate cuff pressures within the recommended range of 20-30cmH2O.
Now we know why too little air in the cuff is important but what about overinflating? Complications arising from improper cuff pressures range from tracheal wall damage and ischemic injury to inflammation and potential post-extubation side effects like hoarseness and stridor. One of my personal experiences with this was during the COVID Delta Wave in the ICU in residency. Some of these cuffs ended up being way overinflated due to worsening cuff leaks on the COVID long haulers (50-60cm H20!). This would lead to cuffs popping above the vocal cords! Tracheal wall injury and extreme driving pressures most likely caused this. So every time I rounded I would make sure to go up to the patient and listen for breathing sounds coming from their mouth (should never hear) to recognize cuff leak from an ETT that slipped above the vocal cords due to such high pressures from severe ARDS. After intubation, you should ALWAYS check for cuff leak! Remember, cuff pressures may seem intuitive but you wouldn’t want to miss this in a critically ill patient!
Check out the full article on ETT Cuff Pressure for a deeper dive into Critical Care Now by by Danelle Howard, RRT.
Join the ResusNation and Get Tons of Content For Less Than a Cup of Coffee
Signup for the ResusNation today and see why over 500 resuscitationists are members. As a ResusNation member you will receive extra content from CriticalCareNow such as live digital teaching sessions, podcasts, free video lectures, a library of grand rounds, and so much more. Check out the memberships options available below and pick the one that is right for you.
There's nothing to think about, you'll be automatically billed monthly and cancel anytime....no questions asked! Looking for a deal? Pay for a yearly pass and get one month free!
ResusNation: Basic Membership (Monthly)
Show your support with our basic membership.
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Access to 2 cutting edge lectures monthly from world-renowned speakers every month
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Unlimited viewing of videos
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Ability to watch on a desktop or mobile video player
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Pay for a monthly or yearly membership
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CEUs available
ResusNation: All-Access Pass (Monthly)
The ULTIMATE membership! In addition to everything in the basic plan, you'll also receive:
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5 cutting-edge lectures monthly from world-renowned speakers
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Exclusive weekly podcasts
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Attend the exclusive Q & A session with Grand Round speakers
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Access our Grand Rounds library and watch previous episodes on replay.
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Watch every Chawk Tawk on replay
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Join our twice-monthly hangouts where you can hang out and ask us anything
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Access the ResusX Community, a forum for questions, post cases, & interact and network with others
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Receive CEU credits for the content that you watch
-
Pay for a monthly or yearly membership
ResusNation: Basic Membership (Yearly)
Show your support with our basic membership.
-
Pay for the year and get one month FREE!
-
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
-
CEUs available
ResusNation: All-Access Pass (Monthly)
The ULTIMATE membership! In addition to everything in the basic plan, you'll also receive:
-
Pay for the year and get one month FREE!
-
5 cutting-edge lectures monthly from world-renowned speakers
-
Exclusive weekly podcasts
-
Attend the exclusive Q & A session with Grand Round speakers
-
Access our Grand Rounds library and watch previous episodes 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
