ResusX:Podcast
Welcome to the ResusX:Podcast. Each episode features an amazing talk from the ResusX conference. This is a podcast dedicated to your sickest patients, and it's all FOAMed. For more great content, including our monthly grand rounds, newsletter, and more go to www.ResusX.com now.
Episodes
Cytokine storm in acute respiratory distress syndrome
Is the "Cytokine Storm" the Real Killer in ARDS? When a localized lung injury spirals into a systemic catastrophe, we call it a cytokine storm—but are we actually any closer to stopping it, or are we just watching the rain? This deep-dive review, published in the Journal of Intensive Medicine, synthesizes decades of mechanistic research and clinical trials to map how dysregulated immune p
Diuretic resistance in cardiorenal syndrome: mechanisms, monitoring and phenotype-tailored management
Can we break the cycle of Diuretic Resistance?
What do you do when the "gold standard" treatment for your congested patient simply stops working? Diuretic resistance (DR) affects up to one-third of patients with heart failure, turning a routine clinical task into a high-stakes battle against prolonged hospitalization and mortality. In this episode, we dive into a comprehensive narrative r
Efficacy and safety of anticoagulant therapy in sepsis: A systematic review and meta-analysis
Sepsis and Coagulation: Is It Time to Put the Heparin Away?
Is "thinning the blood" the missing piece in the sepsis puzzle, or just a recipe for disaster? Sepsis triggers a deadly cascade of inflammation and clotting, yet the debate over therapeutic anticoagulation has left ICU clinicians caught between the potential for organ salvage and the perilous risk of hemorrhage. In this episode,
The Resus Recap: Hypoglycemia
Some random musings post shift
Effectiveness of noninvasive ventilation for preoxygenation in emergency intubation: a systematic review and meta-analysis
Is it time to retire the Bag-Valve-Mask for preoxygenation?
Emergency intubation carries a notorious risk of life-threatening hypoxemia, yet the debate on the safest way to build an oxygen reserve continues . In this episode, we unpack a 2026 systematic review and meta-analysis that challenges the status quo, pitting Noninvasive Ventilation (NIV) directly against standard Bag-V
The Resus Recap: Vasoplegia
A new podcast of just me in my car
Balanced crystalloids versus normal saline for trauma resuscitation: A systematic review and meta-analysis
Is the reign of "Normal" Saline over, or is the classic bag of salt water actually the hero of the trauma bay? For years, the critical care community has debated whether we should abandon 0.9% sodium chloride in favor of balanced crystalloids like Lactated Ringer’s or Plasma-Lyte to protect the kidneys and prevent acidosis. But a new study suggests we might be writing off saline too soon—
Ketamine or Etomidate for Tracheal Intubation of Critically Ill Adults
Is Ketamine really the "hemodynamically stable" hero of airway management, or have we been unfairly vilifying Etomidate for decades? The debate over the perfect induction agent for critically ill patients just got a major influx of data that flips conventional wisdom on its head .
In this episode, we break down the landmark "RSI" trial, a massive multicenter randomized co
Efficacy of HFNC + NIV as initial oxygen therapy in acute respiratory failure: Meta-analysis
Is the "best of both worlds" actually saving lungs, or just complicating care? Theoretically, combining the powerful pressure support of Non-Invasive Ventilation (NIV) with the comfort and washout mechanisms of High-Flow Nasal Cannula (HFNC) sounds like the ultimate strategy to prevent intubation . But does this physiological synergy actually translate to patient survival? 
Is ketamine safe for traumatic brain injury? A systematic review and meta-analysis
For decades, a single dogma has ruled neurotrauma resuscitation: Never use ketamine in TBI. The historical fear that ketamine spikes intracranial pressure (ICP) has kept one of the most versatile, hemodynamically friendly induction agents on the shelf—but is that fear based on fact or outdated physiology?
In this episode, we dissect a massive 2026 systematic review and
Liberal or Restrictive Postoperative Transfusion in Patients at High Cardiac Risk The TOP Randomized Clinical Trial
In this episode, we tackle one of the most persistent questions in perioperative care: how low is too low when it comes to hemoglobin in high-risk cardiac patients after major surgery? The long-standing restrictive threshold of 7 g/dL has been considered safe for years, but the TOP Trial challenges that comfort zone.
More than 1,400 high-risk veterans were randomized to either a liberal t
Positive communication for decreasing burnout in intensive‐care‐unit staff: a cluster‐randomized trial
Can a Single Word Change the Culture of an ICU?
Burnout is an epidemic in our Intensive Care Units, affecting staff well-being, patient care, and even hospital costs. But what if the solution to this widespread problem was simpler than we think?
This week, we’re diving into the Hello Trial, a massive 1:1 cluster-randomized controlled trial conducted across 370 ICUs in 60 countries. Resear
Peripheral line for vasopressor administration: Prospective multicenter observational cohort study for survival and safety
For decades, we’ve been told vasopressors belong only through central lines — but what if that’s not the whole story? In this episode, we unpack a groundbreaking multicenter study from Addis Ababa that dares to challenge convention.
Researchers followed 250 patients in shock, tracking survival outcomes, complications, and safety when vasopressors were given peripherally instead of through
A Comprehensive Review of Fluid Resuscitation Strategies in Traumatic Brain Injury
Why are we still arguing about the best way to give fluids to patients with traumatic brain injury (TBI)? 🤔 This seems like a basic question, but the answer is complex and could mean the difference between life and death at the bedside.
A recent comprehensive review article from the Journal of Clinical Medicine dives deep into the clinical and physiological challenges of fluid resuscitati
Impact of ECPR initiation time and age on survival in out-of-hospital cardiac arrest patients: a nationwide observational study
Are we giving our older patients with out-of-hospital cardiac arrest (OHCA) a fair shot? ⏱️ Current guidelines say an ECPR initiation time of up to 60 minutes is acceptable, but is that really the case for everyone? This is a question clinicians grapple with every day at the bedside.
A new nationwide observational study from South Korea tackles this head-on, analyzing data from 483 adult
Pressure-controlled ventilation versus volume-controlled ventilation for adult patients with acute respiratory failure: A systematic review and meta-analysis
When it comes to saving lives in the ICU, every breath counts. But what’s the best way to deliver that breath—pressure-controlled ventilation (PCV) or volume-controlled ventilation (VCV)?
In this episode, we dive into a new systematic review and meta-analysis that put these two ventilator modes head-to-head in over 1,100 patients with acute respiratory failure. The findings may surprise y
Is high-flow nasal oxygen as effective as non-invasive ventilation in acute cardiogenic pulmonary Edema?
When a patient crashes with acute cardiogenic pulmonary edema, emergency teams need fast, effective solutions. For years, non-invasive ventilation (NIV) has been the gold standard — but could high-flow nasal cannula (HFNC) be just as good?
In this episode, we break down a prospective, randomized trial published in the American Journal of Emergency Medicine (Dec 2025) that compared HFNC he
Efficacy of ketamine versus etomidate for rapid sequence intubation, among critically ill patients in terms of mortality and success rate: A systematic review and meta-analysis of randomized controlled trials
When a patient is crashing and every second counts, airway decisions can mean life or death. For decades, clinicians have fiercely debated: should you reach for etomidate, the hemodynamic workhorse, or ketamine, the pressure-friendly multitasker?
In this episode, we dive deep into a new systematic review and meta-analysis that just might end the controversy once and for all. The surprisin
Early use of norepinephrine in high-risk patients undergoing major abdominal surgery: a randomized controlled trial
When major abdominal surgery pushes patients to the brink, timing is everything, especially with norepinephrine. Could giving it earlier to high-risk patients prevent dangerous drops in blood pressure and reduce complications?
A new randomized controlled trial, published in Anesthesiology (2025), put this to the test, comparing early, low-dose norepinephrine infusion against standard care
Clinical utility of diaphragmatic ultrasound for mechanical ventilator liberation in adults: a systematic review and meta‐analysis
When it comes to getting patients off mechanical ventilation, clinical judgment isn’t always enough. What if you could use a real-time, bedside tool to boost your confidence—and your success rate?
In this episode, we dive into the power of diaphragmatic ultrasound in predicting successful weaning from mechanical ventilation. Based on the latest meta-analysis, we break down how measuring d
Vitamin C Versus Placebo in Pediatric Septic Shock (VITACiPS) - A Randomised Controlled Trial
Can IV vitamin C really save lives in the PICU? It’s been a hot topic in critical care circles for years—but the VITACIPS trial just delivered a powerful dose of clarity. In this episode, we dive into the results of this rigorous study and what they mean for treating children in septic shock. Spoiler: it’s not the magic bullet many hoped for. We break down key findings, clinical implicati
Difficult Airway Management in the Intensive Care Unit: A Narrative Review of Algorithms and Strategies
What happens when a patient in the ICU suddenly can't breathe—and the usual airway tools just won’t cut it? In this episode, we break down the high-stakes world of difficult airway management where seconds matter and lives hang in the balance. From using checklists like LEMON to deploying advanced gear like video laryngoscopes and rescue devices, this isn’t just medicine—it’s a strategic,
Palpation versus Ultrasound-Guided Dynamic Needle Tip Positioning Technique for Radial Artery Cannulation
When seconds count and precision matters—like during surgery—getting accurate, continuous blood pressure readings is critical. That’s where radial artery cannulation comes in. But while traditional methods rely on “feeling the pulse,” they’re not always reliable, especially in tough cases. Enter a game-changing technique: ultrasound-guided Dynamic Needle Tip Positioning (DNTP).
In this ep
Efficacy and safety of corticosteroids in critically ill patients: a systematic review and meta-analysis
When someone is critically ill, whether battling sepsis, ARDS, or severe pneumonia, corticosteroids have long been a debated topic. A massive new meta-analysis pooling data from over 10,000 ICU patients finally brings clarity. The headline: early, low-dose, prolonged steroid therapy cuts short-term mortality by roughly 15%, slashes ICU stays by 2 days, reduces time on ventilators by over
Effect of Treatment With Balanced Crystalloids Versus Normal Saline on the Mortality of Critically Ill Patients With and Without Traumatic Brain Injury: A Systematic Review and Meta-Analysis
When seconds count in the ICU, the IV fluid you choose could literally make or break a patient’s recovery. In this episode, we’re unpacking one of the biggest debates in critical care: balanced crystalloids vs. normal saline. A massive new meta-analysis of over 35,000 patients drops a game-changing truth—your fluid choice must depend on whether the patient has a traumatic brain injury (TB
Comparative efficacy of remifentanil and fentanyl in mechanically ventilated ICU patients: a systematic review and meta‐analysis on ventilation duration and delirium incidence
In today’s episode, we’re diving into a game-changing question: Can swapping fentanyl for remifentanil help ventilated ICU patients breathe on their own sooner, and with fewer complications like delirium?
This fresh meta-analysis pulls data from multiple studies and suggests remifentanil could reduce ventilation time by up to 21 hours in some cases and may lower the risk of ICU-related de
Conservative Oxygen Therapy in Mechanically Ventilated Critically Ill Adult Patients
When it comes to oxygen therapy for critically ill, ventilated patients, more isn’t always better—but is less the answer? The UK-ROX trial set out to find out, tracking over 16,000 ICU patients across 97 hospitals to test if targeting lower oxygen saturation (SpO₂ ~90%) could improve survival rates.
Spoiler alert: it didn’t.
In this episode, we unpack why conservative oxygen therapy didn’
The association between integrating echocardiography use in the management of septic shock patients and outcomes in the intensive care unit: a systematic review and meta‐analysis
Can Ultrasound Save Lives in Septic Shock? Septic shock is a race against time, and now, there's a powerful new tool at the bedside. A recent meta-analysis of nearly 4,000 ICU patients reveals that using point-of-care echocardiography (POC echo) to guide treatment slashes mortality rates by up to 18%.
In this episode, we dive into how this quick bedside ultrasound isn't just helping docs
Norepinephrine versus epinephrine after cardiac arrest: A systematic review and meta-analysis
Restarting the heart is only half the fight—what comes next could make or break recovery. In this episode, we dive into the high-stakes world of post-resuscitation shock and a game-changing debate: epinephrine or norepinephrine?
New data from over 3,400 patients suggests norepi might dramatically cut the risk of a second cardiac arrest—by 63%! That’s huge. But does it impact survival? Bra
Excuse My Resuscitation
In this podcast episode, resus pros Swami, Mike, and Steve go head-to-head on the hottest controversies in emergency and critical care medicine.
From the great bougie vs. stylet debate to the ethics of prehospital whole blood and the eternal neuro RSI paralytic showdown — nothing is off-limits. We talk:
Bougie every time? Or nah?
Should every ambulance carry blood?
Succinylcholine vs. r
Intraosseous vs. Intravenous Access during Out-of-hospital Cardiac Arrest: A Bayesian Secondary Analysis of a Randomised Clinical Trial
In out-of-hospital cardiac arrest, time is life, and the race to restore circulation is on. But what's faster or better: intravenous (IV) or intraosseous (IO) access? A new study puts this long-standing debate to the test—and the results may surprise you.
In this episode, we break down the findings from nearly 1,500 cardiac arrest cases. Spoiler: the data suggests it's not how you get acc
The Cognitive Pause
You’ve given fluids, started pressors, and checked all the boxes… but your patient isn’t improving. Now what? In this episode of Talking Shift, Dr. Haney Mallemat sits down with Dr. Anand "Swami" Swaminathan to break down one of the most powerful tools in emergency medicine and critical care: The Cognitive Pause. When the usual approach fails, it's time to stop, reassess, and challenge yo
Incidence and outcomes of out-of-hospital cardiac arrest from initial asystole: A systematic review and meta-analysis
We talk a lot about shockable rhythms—but what about asystole? This episode dives into a global meta-analysis of over 540,000 OHCA cases and the results are rough: just 1.5% survive when asystole is the first rhythm.
We break down what this means for EMS, why TOR guidelines matter more than ever, and how we need to rethink the resus game when the rhythm is flatline from the start.
Based o
Morning Report: Episode 1
Welcome to the Morning Report—your new go-to for raw, unfiltered clinical talk. In this first episode, Dr. Haney Mallemat teams up with legends Dr. Steve Haywood, Dr. Anand Swaminathan, and Mike Abernethy to break down a wild PE case that spirals from EMS to the ED.
Here’s what’s coming in hot: ⚡ Pressor stacking IRL: What, when, how? ⚡ Inhaled nitro… hero move or hype? ⚡ TPA—push it fast
Effect of hydrocortisone on mortality in patients with severe community-acquired pneumonia
In this episode, we’re diving into the latest research on hydrocortisone use in critically ill patients with severe community-acquired pneumonia (CAP). It's a treatment many clinicians reach for—but does it actually make a difference in survival? According to a new study, the answer might not be as strong as we hoped. While hydrocortisone may help shorten the duration of vasopressor suppo
Efficacy of adjuvant use of midodrine in patients with septic shock: An open label randomized controlled trial
In this episode, we dive into a recent open-label randomized controlled trial on the adjuvant use of midodrine in patients with septic shock. Researchers investigated whether adding midodrine to norepinephrine therapy could improve survival rates.
The findings? Midodrine reduced the need for vasopressors, but did not significantly lower 28-day in-hospital mortality or shorten hospital sta
Haloperidol for the Treatment of Delirium in ICU Patients
In this episode, we look at the latest study on haloperidol for ICU delirium from the New England Journal of Medicine. While haloperidol didn’t increase days alive and out of the hospital, it did show a lower risk of death—a finding that could influence how we approach treatment. Tune in for a quick breakdown of what this means for ICU care and future directions in managing delirium.
Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage
In this episode, we break down the ANNEXA-I randomized trial, which looked at patients with factor Xa inhibitor-associated intracerebral hemorrhage. The study compared andexanet alfa, a targeted reversal agent, with usual care (mainly prothrombin complex concentrate).
The results? Andexanet showed better hemostatic control and more effectively reduced hematoma expansion (67% vs. 53.1%), w
Emergency Medicine Is (NOT) Dead
In this episode of 'Talking Shift,' the host welcomes Dr. Chris Doty, an important figure in emergency medicine, to discuss his journey and the current state of the specialty. Dr. Doty reflects on a crisis from two years ago where a significant number of emergency medicine residency spots went unmatched, but more recent data shows improvement. They explore changes in residency program req
Refractory Hypoxemia
In this inaugural episode of 'Talking Shift,' we dive deep into the complex world of managing refractory hypoxemia and ventilator settings with special guest Nick Ghionne, aka @PulmToilet. Explore strategies for optimizing ventilator parameters, understanding the role of driving pressure, effective use of PEEP, and the critical benefits of proning. We also discuss the nuanced use of adjun
Resuscitative Hysterotomy
Let’s talk about saving two hearts at once this Valentine's Day. Get 20% off and access the full ResusX: ReUnion conference—featuring this episode and over 60 expert-led lectures available for lifetime replay: Click Here.
In this episode, Dr. Shaila Quazi demystifies resuscitative hysterotomy, the life-saving procedure formerly known as the perimortem C-section. Learn when to act, how to
Dual Defib Strategies
Is dual sequential defibrillation (DSED) the key to saving shock-refractory VFib patients? Get 20% off and access the full ResusX: ReUnion conference—featuring this episode and over 60 expert-led lectures available for lifetime replay: Click Here.
In this episode, Dr. Tarlan Hedayati takes a deep dive into the history, science, and best practices for dual defibrillation. She explains why
Post-Arrest ECGs That You Gotta Know
What should you really be looking for in a post-arrest ECG? In this episode, Dr. Amal Mattu unpacks the hidden dangers of misinterpreting early post-resuscitation ECGs and how making the wrong call on VTach mimics could be fatal. Learn when to repeat the ECG, when to send patients for cath, and how to recognize life-threatening hyperkalemia or sodium channel toxicity masquerading as VTach
Contaminated Airway Demonstration
What happens when you need to intubate a patient, but their airway is filled with vomit, blood, or thick secretions? In this episode, Dr. Shyam Murali takes us through the SALAD (Suction-Assisted Laryngoscopy and Airway Decontamination) technique, a life-saving approach to managing contaminated airways. Learn how to optimize suction, clear the airway, and improve intubation success with g
Status Epilepticus
How do you manage a patient with status epilepticus when every second counts? In this episode, Dr. Derek Isenberg outlines a step-by-step algorithm for seizure management, emphasizing high-dose benzodiazepines, evidence-based second-line agents, and the growing role of ketamine for refractory seizures. Learn why time is critical, how to identify non-convulsive status with continuous EEG,
HTS in the Peripheral IV
Is it safe to administer 3% hypertonic saline through a peripheral IV during a neurologic emergency? In this episode, Dr. Salim Rezaie breaks down the evidence and challenges the need for central lines in time-sensitive cases. Learn why bolusing hypertonic saline through a peripheral line can reduce intracranial pressure more effectively while avoiding delays and central line complication
Don't Let Auto PEEP Kill Your Patients
What is auto-PEEP, and why can it lead to life-threatening complications in ventilated patients? In this episode, Dr. Anozie breaks down the physiology behind auto-PEEP, its dangerous effects like dynamic hyperinflation and cardiovascular instability, and how to spot its subtle signs on ventilator waveforms. With a focus on practical solutions, from adjusting ventilator settings to optimi
A Cognitive Pause
What do you do when a patient in shock doesn’t respond to vasopressors? In this episode, Dr. Anand Swaminathan dives into the art of the ‘cognitive pause’—a crucial step in troubleshooting refractory shock. From acidosis and hypothyroidism to occult bleeding and adrenal insufficiency, he outlines a systematic approach to uncover hidden causes that could change the course of care. If you’r
Airway Pressure Release Ventilation
Looking to master the nuances of Airway Pressure Release Ventilation (APRV)? In this episode, Dr. Steven Haywood simplifies APRV, from setup to weaning, while uncovering the secrets to maximizing lung recruitment and oxygenation. Whether you’re optimizing care for ARDS patients or learning to avoid pitfalls like overdistension or lost ground during ventilator disconnects, this talk offers
The Unruly Trauma Patient: To Sedate or Intubate?
Handling an unruly trauma patient is one of the greatest challenges in emergency medicine—but it doesn’t have to be. If you’re ready to master resuscitation and learn cutting-edge emergency techniques, get 20% off the ResusX: ReUnion conference—featuring over 60 transformative talks available for lifetime replay: Click Here.
In this episode, Dr. Fred Gmora shares his expert insights into
Awake Intubation
What does it take to master awake intubation? In this episode, Dr. Laura Duggan, Associate Professor of Anesthesiology and Pain Medicine at the University of Ottawa, demystifies this critical skill. From tackling anatomically and physiologically difficult airways to the magic of proper topicalization, she shares actionable insights gained from over two decades in anesthesia and emergency
CT Head for the Resuscitationist - What is the Approach?
Struggling to interpret CT head scans in high-pressure trauma cases? Get 20% off the ResusX ReUnion conference—featuring this episode and over 60 cutting-edge talks available for lifetime replay: Click Here.
In this episode, Dr. Chris Reilly breaks down his systematic approach to reading CT head scans. Using a quadrant-based method, he highlights critical findings like bleeds, midline shi
Vasoplegia Vexation
Ever felt like nothing you do raises your patient’s blood pressure? That’s vasoplegia, and Dr. Sara Crager has the tools to help you tackle it! Get 20% off the ResusX ReUnion conference—featuring this episode and over 60 innovative talks available on replay forever: Click HereIn this episode, Dr. Crager breaks down the frustrations of managing vasoplegia and offers her six-step appro
End-Tidal Is More Than Hot Air
What if your End-Tidal CO2 monitor could tell you more than just the basics? Get 20% off the ResusX ReUnion conference—home to this episode and over 60 groundbreaking talks available on replay forever: Click Here. In this episode, Dr. Rory Spiegel redefines how we use End-Tidal CO2 in critical care. Learn to interpret waveforms for diagnosing airway issues, optimizing CPR, and improving v
Refractory HyperKalemia
Take advantage of 20% off the ResusX ReUnion conference—featuring this episode and over 60 innovative talks available for lifetime replay: Click HereIn this episode, Dr. George Willis dives into the critical management of refractory hyperkalemia, offering a comprehensive approach to stabilizing patients. He explains why repeated calcium doses are essential, the optimal use of insulin, and
Care For the Post-Arrest Patient
Don’t miss your chance to save 20% on the ResusX ReUnion conference—home to this episode and over 60 cutting-edge talks available on replay forever: Click Here. In this episode, Dr. Mike Winters offers a deep dive into post-cardiac arrest care, focusing on strategies to enhance neurologic outcomes and prevent secondary complications. Covering topics like optimized oxygenation, ventilation
Crush Injuries
Get 20% off the ResusX ReUnion conference—home to this incredible episode and over 60 life-changing talks available on replay forever: Click Here.
In this episode, Dr. Jenn Repanshek takes a deep dive into managing crush injuries, highlighting the critical complications that can rapidly escalate if not treated properly. She discusses hyperkalemia, rhabdomyolysis, compartment syndrome, and
The Big Intubation MicroSkills (Part I)
Get 20% off the ResusX ReUnion conference—home to this incredible episode and over 60 life-changing talks available on replay forever: "Click Here". In this episode, Dr. Salim Rezaie explores the 'micro-skills' essential for successful intubation, sharing practical techniques like flush-rate oxygenation, the use of PEEP valves, and positioning strategies to optimize oxygenation and reduce
Intubating the Neuro Patient
In this episode, Dr. Danya Khoujah unpacks the complexities of intubating neurologically injured patients, recorded live at ResusX: ReUnion. From pre-intubation steps like head-of-bed elevation and fentanyl premedication to choosing the right induction agents, she provides a clear roadmap for managing these critical scenarios. Dr. Khoujah emphasizes avoiding secondary injury, managing ICP
Modern Management of Acute Pulmonary Edema
In this episode, Dr. Amal Mattu takes a fresh look at managing acute pulmonary edema in the emergency department. Recorded live at ResusX: Reset, Dr. Mattu dispels long-standing myths about diuretics like furosemide, explaining why early nitroglycerin use is the real game-changer. With practical advice on fluid redistribution and actionable strategies for stabilizing critically ill patien
Pelvic Binder (Demonstration)
In this episode, Dr. Mohamed Hagahmed provides a hands-on guide to proper pelvic binder placement, essential for stabilizing pelvic injuries in trauma patients. Recorded at ResusX: ReUnion, Dr. Hagahmed explains why positioning at the greater trochanter is crucial and shows how to apply both a T-POD and a bed sheet for pelvic stabilization. This practical demonstration offers critical ins
Headache Zebras
In this episode, Dr. Abby Bierowski dives into the world of “headache zebras”—rare but important headache syndromes that can easily go unrecognized in the ED. Recorded at ResusEM7, Dr. Bierowski explores cases of pituitary apoplexy, reversible cerebral vasoconstriction syndrome (RCVS), and Alice in Wonderland syndrome, sharing critical diagnostic and management tips for each. With her pra
Status Epilepticus
In this episode, Dr. Danya Khoujah delivers an in-depth guide to managing status epilepticus, recorded live at ResusX: ReUnion. She covers the critical first steps of treatment with benzodiazepines, the importance of dosing correctly, and the selection of second-tier antiepileptic medications. Dr. Khoujah emphasizes having a clear algorithm for refractory cases and highlights the need for
How to Depressure-Eyes
In this episode, Dr. Shyam Murali sheds light on the fast-paced decision-making and skills required to save a patient's vision in the emergency room. Recorded live at ResusX: Reset, Dr. Murali shares insights into diagnosing and managing orbital compartment syndrome, including how to perform a lateral canthotomy to relieve intraocular pressure. This episode is essential listening for anyo
Recent Articles in Resuscitation & Critical Care
In this episode, Dr. Mike Winters dives into the most recent articles and studies impacting resuscitation and critical care. Recorded at the ResusX: ReUnion conference, Dr. Winters covers essential updates, including innovative sepsis management, the role of beta-lactam infusions, and adjunct therapies for vasopressors. With insights into both the science and practical application of thes
Trauma Contributions from the Military
In this episode, Dr. Steven Schauer explores how military trauma care innovations are now revolutionizing civilian emergency medicine. Recorded at the ResusX: Golden Hour conference, Dr. Schauer discusses breakthroughs such as the widespread use of tourniquets, the shift to balanced transfusions, and the growing role of ECMO. From combat lessons to civilian hospitals, these advancements a
The Sleepwalking Resuscitationist
In this episode, Dr. Colin McCloskey highlights the severe impact of sleep deprivation on healthcare providers, sharing his personal experiences and practical strategies to combat fatigue. Recorded at the ResusX: ReUnion conference, Dr. McCloskey talks about the risks of driving while exhausted, the importance of sleep hygiene, and how improving rest can save both lives and careers. Wheth
Intubation of the Neurologically Injured Patient
In this episode, Dr. Richard Byrne tackles the challenges of intubating neurologically injured patients, sharing essential tips to enhance patient outcomes. Recorded live at ResusEM7, Dr. Byrne dives into the importance of managing oxygen and CO2 levels, selecting the right medications, and positioning the patient for optimal intubation success. He blends humor with practical advice, maki
Maybe, It Ain't Just a Case of Sepsis
In this episode, Dr. George Willis takes on the tricky diagnosis of sepsis and makes a compelling case for considering decompensated hypothyroidism as a potential underlying cause. Recorded at the ResusX: ReUnion conference, Dr. Willis highlights the subtle signs and lab findings that often lead to misdiagnosis. He provides a step-by-step approach to recognizing and treating this life-thr
OHCA: Who Goes to the Cath Lab?
In this episode, Dr. Anand Swaminathan and Dr. Tarlan Hedayati dig into the debate about which cardiac arrest patients truly need to go to the cath lab. Recorded at the ResusX: ReUnion conference, they discuss key studies like the TOMAHAWK and COACT trials that challenge the idea of immediate angiography for all patients. They share their expert opinions on when the cath lab is the best m
ETCO2 in Cardiac Arrest
In this episode, Dr. Steven Haywood shares how end-tidal CO2 (ETCO2) can change the game in managing cardiac arrest patients. Recorded at the ResusX: ReUnion conference, Dr. Haywood explains the crucial role of ETCO2 in monitoring chest compressions and preventing unrecognized intubation failures. He highlights how this simple tool can help you improve patient outcomes by fine-tuning resu
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 he
Does Chest Tube Size Matter?
In this episode, Dr. Salina Wydo dives into the debate over chest tube size—does it really impact patient outcomes in trauma care? Recorded at the ResusX: Golden Hour conference, Dr. Wydo explores the pros and cons of large-bore chest tubes versus small-bore pigtail catheters. She discusses the data behind eChest Tube Size, Pigtail Catheter, Trauma Care, Emergency Medicine, Critical Care,
The Great Fluid Debate
In this episode, Dr. Dan Patino and Dr. Eddy Gutierrez engage in a head-to-head discussion on the age-old debate: lactated ringers vs. normal saline for resuscitation. Recorded at the ResusX: ReVolved conference, the doctors dive deep into the physiological implications of each fluid, from preventing metabolic acidosis to optimizing kidney function. With plenty of evidence, they explore t
Vent During a Code
In this episode, Dr. Terren Trott explores the often overlooked but crucial role of ventilation during cardiac arrest resuscitation. Recorded at the ResusX: Golden Hour conference, Dr. Trott breaks down the science behind ventilation strategies, challenging conventional guidelines and advocating for a more personalized approach. Learn how adjusting ventilatory settings like respiratory ra
Basics of Vasopressors
In this episode, Dr. Haney Mallemat demystifies the use of vasopressors in critical care, offering practical advice on when and how to use each option. From the ResusEM5 conference, Dr. Mallemat covers everything from the best go-to choice, norepinephrine, to less commonly used agents like vasopressin and Angiotensin II. With his clear, down-to-earth explanations, you'll gain confidence i
The Failing Liver
In this episode, Dr. Alice Gallo de Moraes discusses the critical management of acute liver failure, focusing on the systematic approach needed to stabilize patients in crisis. Recorded at the ResusX: Golden Hour conference, Dr. Gallo de Moraes covers everything from early diagnosis and hemodynamic support to managing coagulopathy and preparing for potential liver transplantation. Her det
The Unruly Trauma Patient: To Sedate or Intubate?
What do you do when your trauma patient is too agitated to assess? In this episode, Dr. Fred Gmora takes us into the high-stakes world of emergency medicine, where the decision to sedate or intubate can mean the difference between life and death. He breaks down his approach to managing the unruly trauma patient, emphasizing the importance of rapid sedation with ketamine, maintaining spont
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
Compassionomics
In this episode, Dr. Anthony Mazzarelli and Dr. Steve Treziak 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
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