Resuscitation

<font><font face="'Times New Roman'" size="5"><span style="font-size: 18px;">An interview with Dr. Tim Horeczko about how to recognize and manage the crashing neonate. Topics include:</span></font></font><br><br>-The pediatric assessment triangle<br><br>-Managing hypoglycemia in a pediatric resuscitation<br><br>-IV fluid management<br><br>-Cyanotic Heart Disease<br><br>-Inborn errors of metabolism<br><br>-An appearance by Borat<br><br><br>​  

This is an interview that I did on www.medtalknetwork.com with Dr. Brian Cotton. Dr. Cotton recently left Vanderbilt to take a new position at UT Houston. He is an excellent teacher and his opinions on fluids resuscitation are cutting edge.  

Fluid resuscitation done poorly can result in significant complications to the patient.&nbsp; This episode will present some of the newer considerations in fluid resuscitation in traumatic shock.&nbsp;  

<p>Excessive fluid resuscitations lead to horrible complications such as abdominal compartment syndrome. This article takes a critical look and challanges many of our practices in fluid resuscitation of burn patients.&nbsp; </p>  

A discussion of the various types of ventilators with a focus on the various ventilator modes and types of ventilator cycles.&nbsp; Also presented is the topic of pressure support ventilation (PSV)  

Flow diagram of OSCE approach to management of paediatric resuscitation & choking.  

Clinical Skills Resuscitation station  Assess danger of situation. Approach.  “Rouse”. Assessment of consciousness. Gently shake shoulders. Use pain e.g sque…  

Demonstrating how to perform a primary survey and CPR in line with the current Resuscitation Council guidelines. Demonstrating how to use an AED in an effectively managed resuscitation scenario.  

www.heftemcast.co.uk Evidenced based podcasts centred around Emergency Medicine and Resuscitation management  

Adult First Aid/CPR/AED READY REFERENCE  

Copyrighted Material, used by arrangement with John Wiley & Sons Limited. For personal use only, must not be reproduced or shared with third parties. Anyone wishing to reproduce this content in whole or in part, in print or in electronic format, should contact digitalrightsuk@wiley.com  

Copyrighted Material, used by arrangement with John Wiley & Sons Limited. For personal use only, must not be reproduced or shared with third parties. Anyone wishing to reproduce this content in whole or in part, in print or in electronic format, should contact digitalrightsuk@wiley.com  

Adrenaline (epinephrine) has been an integral component of advanced resuscitation algorithms since the early 1960s. Initial guidelines for the treatment of cardiac arrest recommended the use of intracardiac adrenaline (0.5 mg) or high dose intravenous adrenaline (10 mg), repeating with larger doses if required.1 The mechanism of action for adrenaline in cardiac arrest is attributed to stimulation of α2 receptors in vascular smooth muscle, causing vasoconstriction. This increases aortic diastolic pressure, which in turn leads to increased coronary perfusion pressures, which improves short term survival. Experimental studies, however, suggest that adrenaline impairs cerebral macrovascular2 and microvascular blood flow,3 4 increases ventricular arrhythmias, and increases myocardial dysfunction after return of spontaneous circulation.5 This creates the paradox of better short term survival but at the potential cost of worse long term outcomes.  

Initial resuscitation, diagnostic evaluation, and management of the trauma patient is based on protocols from Advanced Trauma Life Support (ATLS)  

Copyrighted Material, used by arrangement with John Wiley & Sons Limited. For personal use only, must not be reproduced or shared with third parties. Anyone wishing to reproduce this content in whole or in part, in print or in electronic format, should contact digitalrightsuk@wiley.com  

Patients who are terminally ill with cancer who have chemotherapy in the last months of life are more likely to undergo resuscitation and die in an intensive care unit than in a hospice or at home, a study has found.  

Clearer guidance is needed about when "do not resuscitate" orders can be placed on patients' medical records, judges at the Court of Appeal have been told.  

Stream Advances in resuscitation by BMJ talk medicine from desktop or your mobile device  

Stream Journal Club: Lung protective mechanical ventilation by BMJ talk medicine from desktop or your mobile device