ResusNation #85
That Mistake Was A Ringer!
Have you heard the story of how lactated Ringer's came to existence. In the 1880s, British physiologist Sydney Ringer was studying isolated frog hearts, attempting to determine what physiologic fluid would allow them to continue beating outside the body. He conducted many experiments using distilled water with added salts but these all proved unsuccessful, until one day.
The breakthrough came unexpectedly when Ringer noticed the hearts were suddenly beating for much longer than usual. Upon investigation, he discovered that his assistant was using tap water from the London water supply instead of distilled water to make the solution. This tap water actually contained trace amounts of calcium and other minerals, proved crucial for maintaining the heart's contractions. This accidental mix-up led Ringer to refine his solution, adding precise amounts of calcium and potassium to create what became known as Ringer's solution.
What began as a laboratory mistake evolved into a cornerstone of medical practice, with Ringer's solution and its variants, such as Lactated Ringer's solution, now widely used for fluid resuscitation and electrolyte replacement. This serves as a reminder that sometimes the most significant breakthroughs can come from unexpected places, and sloppy research assistants.
Pretty cool, huh? Now, let's get to the newsletter...
Welcome to the 85th edition of ResusNation!
Watch The Cip & Get 3 FREE Videos
ResusX:ReUnion was jam-packed with amazing faculty and with three days of content, we had to give some away as FOAMed. So, I'm giving you access to Sara Crager, Anand Swaminathan, Tarlan Hedayati, and Salim Rezaie's talks from ResusX. All you have to do is watch the video for instructions on how to download them. They are all yours forever.
Watch the video here.
Watch ResusX:ReUnion on Replay!
Tomorrow, October 8th, we are launching the replay for ResusX:ReUnion. If you weren't there live for ResusX:ReUnion then you missed an amazing experience with 3 days of education and over 50 faculty members. Fortunately for you, we got the whole incredible event captured on video and you can start watching tomorrow.
These videos were recorded in high-definition and have remastered audio. When you register you'll also have access to high-yield summaries that you can download to take with you on the go. You'll also be able to earn CME or CEU credits as you watch.
And because I'm grateful that you are a newsletter subscriber, I'm giving you early-bird access with a coupon to save over 20% off the registration price. Starting tomorrow, use code "SAVE20" at checkout to get your discount. Please note, we only have a limited number of these coupons so don't wait too long to register.
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You Should Be Using APRV
In this episode, Dr. Rory Spiegel dives deep into the benefits of Airway Pressure Release Ventilation (APRV) and why it deserves more attention in the ICU. Recorded at ResusX: Reset, Dr. Spiegel explains how APRV helps patients achieve functional residual capacity (FRC), improving lung function, reducing dead space, and easing the burden of breathing. He also dispels myths about APRV’s hemodynamic effects and shows how it can reduce the need for sedation and pressors. Tune in to learn why you should be considering APRV for your next critical patient!
Check out this video now and watch the entire ResusX: Reset conference for more content Dr. Spiegel and our other all-star faculty!
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ETCO2 in Cardiac Arrest
What’s more important than chest compressions during cardiac arrest? In this lecture from the recent ResusX: ReUnion (see the link below for more lectures), Dr. Steven Haywood reveals how monitoring end-tidal CO2 (ETCO2) can revolutionize the way we manage cardiac arrests. He explains why low ETCO2 is often a sign of poor chest compressions and walks you through the simple, life-saving steps to use ETCO2 readings to optimize CPR and prevent unnecessary arrests. Curious about how this tool can become your best friend in the resuscitation bay? Watch this video to find out!
Check out this video now and watch the entire ResusX: ReUnion conference for more content Dr. Haywood and our other all-star faculty!
Watch the October
Videos Now!
If you're an All-Access Member, you're in for some great content this month. We have FIVE videos hand-picked by our staff that are high-yield and our most highly watched. We're featuring
- Winters on "Recent Articles in Resuscitation & Critical Care"
- Byrne discussing "Intubation of the Neurologically Injured Patient"
- Zaf Qasim breaking down "Getting to the Heart of the Matter: Resuscitative Thoracotomy"
- Chavez covering "The Unstable Bradycardias"
- Swaminathan & Hedayati with "A Curious Case"
Each month we bring you fresh new content from the best of the best in resuscitation. If you're an All-Access member, go watch these videos NOW! If you're not, then sign up here.
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