UltraRounds: 5 For Frdiay is BACK!

If you've been following me for a while, then you know that I have a series called 5 for Friday where I give five high yield facts in a post. Well I've took some time off but now I'm back with a new five for Friday and the topic here is shock.

In this Instagram carousel, there are five high old facts that you might find helpful for your care or you may want to share with your trainees if you already know this information. Stay tuned for more five for Fridays in the coming weeks.

 Check out the carousel here.

Airway Hotseat [Part 1]

In this podcast episode, Dr. Terren Trott conducts a video airway review with three doctors. They discuss the use of video laryngoscopy at the University of Kentucky, emphasizing the importance of recording intubation videos for later asynchronous review. The focus is on challenging airways, with participants analyzing three different cases. Swami shares his approach to managing a soiled airway, advocating for leading with a suction catheter before the laryngoscope. The discussion covers techniques for controlling the tongue, including finger placement and suction catheter use. External Laryngeal Manipulation is highlighted as a valuable tool, offering insights into its application and benefits. The episode concludes with the analysis of a challenging intubation case, addressing issues such as glottic exposure loss, the proximity of the camera, and the potential need for alternative airway approaches during critical situations. The doctors stress the importance of preparedness, a standardized approach, and the role of the bougie in managing difficult airways. The podcast encourages a proactive mindset in airway management and prompts listeners to consider optimizing their techniques for various scenarios.

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

End-Tidal CO2

In this podcast episode, Dr. Rishi, a cardiothoracic anesthesiologist and critical care physician, delves into the intricacies of end-tidal capnography. He emphasizes its versatile applications in resuscitation, spanning the operating room, ICU, and emergency department. Dr. Rishi breaks down the fundamental concepts of end-tidal capnography, exploring its relevance in procedural sedation, mechanical ventilation, and confirmation of endotracheal tube placement. He provides insights into the two typical measurement methods: sidestream and mainstream capnography, highlighting their respective advantages and limitations. The discussion extends to interpreting capnograms, with Dr. Rishi detailing the phases and nuances, including their significance in various clinical scenarios such as trauma, cardiac arrest, and fluid responsiveness. Furthermore, he touches on how end-tidal capnography can offer valuable information in assessing right ventricular function, traumatic brain injury, acidemia, and even post-cardiopulmonary bypass situations. Dr. Rishi concludes by shedding light on potential challenges and abnormalities in capnograms, offering a comprehensive overview of this vital tool in clinical practice.

Key Takeaways:

1. Versatile Applications: End-tidal capnography finds utility in various clinical settings, from the operating room and ICU to the emergency department, providing valuable insights into procedural sedation, ventilation, and airway management.
2. Measurement Methods: Two common ways to measure end-tidal CO2 are sidestream and mainstream capnography, each with its advantages and limitations. Sidestream is versatile but prone to kinking, while mainstream provides continuous and reflective data but introduces dead space.
3. Interpreting Capnograms: Understanding the phases of a capnogram is crucial, with Dr. Rishi elaborating on the nuances of the baseline, upslope, plateau, and end-tidal CO2 phases. This interpretation aids in clinical decision-making.
4. Clinical Applications: End-tidal capnography serves as a gold standard in scenarios like confirming endotracheal tube placement, assessing the quality of chest compressions during cardiac arrest, and predicting fluid responsiveness in certain patient populations.
5. Challenges and Abnormalities: Dr. Rishi highlights potential challenges and abnormalities in capnograms, such as obstructions, changes in patient position, and variations related to specific medical conditions. Recognizing these nuances is crucial for accurate clinical interpretation.

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! 

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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.

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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.
 

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