Looking Ahead Towards 2024

Sharpen Your BMV Skills!

There's a way to perform BVM and there's the best way. In this video I duet @sangrialovingairwaydoc on IG as he teaches a trainee on the proper way to perform a BVM for the best seal and the most effective ventilations.

The comments section, didn't disappoint since this is always a hot topic of discussion. Would love to hear your thoughts on how you prefer to perform a BVM on patients. 

 Check out the post here.

Trauma Discussion

In this episode, trauma guru Dr. Zaf Qasim engages in a candid and discussion on trauma management with a focus on resuscitation strategies. The conversation covers various aspects, from challenging dogmas in trauma care to addressing specific scenarios like traumatic arrest. Zaf emphasizes the importance of tailoring interventions based on the unique physiology of traumatic arrest, distinguishing it from medical arrest. He delves into the sequence of procedures, advocating for a methodical approach that prioritizes addressing reversible issues. The debate extends to the use of vasopressors in trauma-induced hypotension, with a spotlight on vasopressin as a potential agent. The discussion also touches on crystalloid administration in the absence of immediate blood availability and the role of calcium in trauma resuscitation. Dr. Qasim provides insights into the evolving consensus on tranexamic acid (TXA) use, including dosing considerations, and sheds light on the integration of TXA into trauma protocols. The episode concludes with audience questions, exploring topics such as RSI in trauma, including considerations for induction doses, and the role of pericardiocentesis in trauma patients with effusion or tamponade. Overall, the episode offers a valuable blend of evidence-based practices and practical considerations for trauma resuscitation.                        

Check out this amazing video now and watch the entire ResusX: Reset conference for more content from Zaf and our other all-star faculty!

Last-Line Vasopressors

In this podcast episode, Dr. Terren Trott joins the host to discuss the critical topic of last-line vasopressors in septic shock. Dr. Trott emphasizes the challenges faced when standard approaches fail, leading to refractory septic shock in critically ill patients. He introduces four potential last-line interventions: angiotensin 2, IVIG (intravenous immunoglobulin), methylene blue, and esmolol. Dr. Trott reviews the rationale behind each intervention, citing studies and evidence to support their consideration. The discussion includes the risks associated with these last-line options and the importance of carefully assessing each patient's condition before implementing them. The key takeaway points include the potential benefits of angiotensin 2 in refractory shock, the controversial status of IVIG with weak recommendations against its use in sepsis guidelines, the promising role of methylene blue in inhibiting nitric oxide production, and the favorable outcomes seen with esmolol in reducing heart rate and mortality. Dr. Trott encourages a bedside approach, emphasizing the need for careful consideration and monitoring when exploring these last-line interventions in the critical care setting.

Key Takeaways:

1. Angiotensin 2 shows promise as a last-line intervention in refractory septic shock, providing a potential multimodal approach to vasopressors.
2. Intravenous immunoglobulin (IVIG) remains controversial, with conflicting evidence and a weak recommendation against its use in surviving sepsis guidelines.
3. Methylene blue's inhibition of nitric oxide production presents a rational approach to improving vascular tone in septic shock, supported by positive outcomes in studies.
4. Esmolol's short duration of action and benefits in reducing heart rate make it a viable option in septic shock, with studies demonstrating improved mortality and other positive outcomes.
5. The bedside clinician is encouraged to judiciously explore these last-line interventions, considering the specific needs and responses of individual patients in the critical care setting.

This podcast is for members only so if you want to listen to the full episode, sign up for membership down below.

Grand Rounds is Back!

Attention ResusNation! Grand Rounds is returning this January with a new look and style. In fact, we're rebranding this monthly event to the ResusRounds. Each month we will be featuring a live educational event with amazing guests with a lecture and other content that all resuscitationists will enjoy.

These events will be livestreamed for free and will be available for replay for Resusnation All-Access members. These will also be CME / CEU events for all All-Access members. We're excited to offer even more content and education for 2024. Stay tuned on this newsletter for all the updates on this when they are available.

If you haven't joined ResusNation yet, don't miss out on this opportunity! In the next section, discover how you can become a member for the incredible value of just $1 per month. Join us at ResusNation, where you are part of the fastest growing community and bring new insights with your membership. Don't let this chance slip away – become a part of our community of over 500 Resuscitationists today! 

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?

Exclusive Monthly Lectures: Receive five innovative lectures each month, tailored to enhance your skills in managing critically ill and emergency patients.

Enjoy the 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.
 

Access the Exclusive RX Community: Engage with peers and faculty, discuss cases, and expand your professional network in our members-only forum.

Get Continuing Education: Earn CEU credits, with CME options on the horizon, and receive a certificate of completion annually.

Join our Private Monthly Hangouts: Participate in interactive sessions where the topics are driven by your interests and questions.

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Why Are You Waiting? 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!