Drowning in the Drool?
What's up ResusaNation? Havee you ever wondered what Olympic swimmers and your mouth have in common? Turns out, they both deal with a lot of water! Brace yourselves for a fact that's about to make your jaws drop (and drool):
The average human produces enough saliva in their lifetime to fill TWO Olympic-sized swimming pools or 6,250 gallons!!!! That's right, you are basically a walking, talking slip 'n slide.
So the next time you're feeling parched just remember – you've got an ocean of potential sloshing around in your mouths....just don't drown in your own drool!
Welcome to the 79th edition of ResusNation!
Hyperkalemia: A 3-Step Approach
Hyperkalemia is characterized by elevated potassium levels in the blood, requires prompt and effective treatment. Here's a simplified three-step process to remember:
1. Stabilize the Cardiac Membrane
When to act:
- ECG changes are present
- Potassium levels exceed 6.5
Treatment:
- Administer calcium gluconate (or calcium chloride if a central line is available)
- Note: This step stabilizes the membrane but doesn't alter potassium levels
2. Shift Potassium into Cells
Key medications:
- Insulin (with D50 to prevent hypoglycemia)
- Albuterol (10-20 mg dose)
Remember: This effect is temporary, lasting only a few hours
3. Remove Potassium from the Body
Options include:
1. Pee: Fastest method if patient produces urine
- Administer large dose of furosemide
2. Poo: Utilizes the GI tract
- Use potassium binders
3. Port: Hemodialysis
- Best option when other methods aren't viable
By following these steps, you can manage hyperkalemia and ensure better patient outcomes
Watch the full video here and leave a comment.
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Compassionomics
In this episode, Dr. Anthony Mazzarelli and Dr. Steve Trzeciak explore the science of compassion in healthcare, known as Compassionomics. Recorded from the ResusEM5 conference, they delve into the research showing how compassion can significantly impact both patient outcomes and the well-being of healthcare providers. From reducing stress and chronic inflammation to enhancing patient survival rates, they reveal the profound benefits of incorporating empathy into medical practice. Tune in to discover how kindness isn't just a moral duty but a scientifically proven approach to better healthcare.
Check out this video now and watch the entire ResusEM5 conference for more content from Anthony, Steve, and our other all-star faculty!
🚨 Limited Workshop Spots Remaining! 🚨
Hey Resuscitation Rockstar...the countdown has begun! In just three weeks, we're launching ResusX:ReUnion – the most electrifying resuscitation event of 2024. Whether you're joining us virtually or in person, prepare for a mind-blowing medical conference that will redefine your expectations!
🔥 Hot News:
• The Resus Ready Procedure Workshop is SOLD OUT! (We told you it would be popular!)
🎉 But don't panic! We've saved some golden tickets just for you:
Total Airway Workshop: Master the art of managing critical airways from resuscitaiton, to stablilzlation, to the art of airway manaagement. Experience this all during this exclusive two-day workshop.
UltraRounds: Resuscitative Workshop: This two-day workshop will help you elevate your ultrasound skills to help with bedside diagnosis and resuscitaiton
Lit Distillery Workshop with the legendary Salim Rezaie: Come review 25 of the most recent resuscitation articles and learn to distill them with the REBEL himself.
🗓️ Mark your calendar: September 16 & 17
Two full-days of hands-on, expert-led workshops with a learner-to-faculty ratio that'll make you feel like a VIP!
⚡ Act Fast: These workshops are hotter than a defibrillator paddle and selling faster than propofol at an anesthesia conference!
🎟️ Flexible Options:
• Register for workshops as standalone courses
• OR add them to your ResusX:ReUnion registration for a full, 5-day mind-blowing experience
Don't let this opportunity flatline! Click below to secure your spot and supercharge your resuscitation skills.
See you there – where we'll turn your resuscitation skills up to 11!
Changing Management, One Scan at a Time
This observational study examined the impact of basic critical care echocardiography performed by residents after limited training. Over a 3-year period in a French ICU, residents with no prior echocardiography experience underwent a brief training program before independently performing and interpreting transthoracic echocardiography (TTE) examinations.
Their therapeutic proposals and echocardiographic interpretations were compared to those of experienced attendings. The results showed excellent agreement between residents and attendings on most therapeutic decisions and echocardiographic findings, suggesting that basic critical care echocardiography skills can be acquired relatively quickly and effectively.
Key takeways:
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Residents achieved high agreement with attendings after minimal training (6 hours passive learning, 33 TTE exams).
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Excellent agreement was found for fluid loading, inotrope/vasopressor use, and ventilation strategies.
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Average scan time was 12 minutes, indicating potential for workflow integration.
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Slightly lower agreement was observed for diuretic use, highlighting areas for focused training.
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The study provides a potential model for efficient POCUS training in ICU settings.
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Racial and Ethnic Disparities in
Bystander CPR
In this episode, Dr. Mohamed Hagahmed discusses the disturbing racial and ethnic disparities in bystander CPR rates for cardiac arrest patients. With compelling data, he highlights how Black and Hispanic patients are significantly less likely to receive CPR than their White counterparts. Dr. Hagahmed calls attention to the root causes, including systemic racism and implicit biases, while proposing actionable steps to bridge this life-threatening gap. Join us as we explore how to make CPR training and emergency care more equitable for everyone.
Check out this video now and watch the entire ResusX: ROSC conference for more content from Mohamed and our other all-star faculty!
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