Resus Tonight - Critical Care and Emergency Nursing – Details, episodes & analysis

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We break down the latest ACLS changes so you don’t have to read 200 pages of guidelines. Fast, fun, and packed with the stuff that actually counts during a code.

For more information about ROSC Healthcare - visit www.roschealthcare.com

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Sara, ICU RN is on the show to share her firsthand experience battling severe COVID-19. She shares what she has learned, tips to get you prepared, and touches on the human side of caring for the sick COVID-19 patients.

Resources

ARDSnet - http://www.ardsnet.org/
University Washington Medicine - https://covid-19.uwmedicine.org/Pages/default.aspx
Nicole Kupchik, CNS - https://www.instagram.com/nicolekupchik/?hl=en

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In our COVID-19 Critical Care series we are hitting you with the fundamentals of critical care that you may need when caring for COVID-19 patients. 

In this episode we cover non-invasive positive pressure ventilation and continuous positive airway pressure ventilation. 

References

• Keenan, S. et.al. (2011). Clinical practice guidelines for the use of noninvasive positive-pressure ventilation and noninvasive continuous positive airway pressure in the acute care setting. Canadian Medical Association Journal. PMID: 21324867
• Nee, P. et.al. (2010). Critical care in the emergency department: acute respiratory failure. Emergency Medicine Journal. PMID:  21112972
•  Caples SM, Gay PC. Noninvasive positive pressure ventilation in the intensive care unit: a concise review. Crit Care Med. 2005;33(11):2651–2658. 

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This podcast was recorded on March 13, 2020. The content of the podcast may change as new information becomes available. Always check with your local resources and sources with credible references.

One of the places resuscitation begins is at the front door. In this episode we provide practical tips for nursing care for patients with suspected or confirmed COVID-19.... in fact, this information could be generalized to all patients with undifferentiated dyspnea.

The Internet Book of Critical Care is a living resource for COVID-19.

REBEL EM has an excellent look at COVID-19 

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We are pleased to have the trailblazer Tammy Lowe and THE Korbin Haycock on the show to share their amazing Nurse Point of Care Ultrasound program, one of the only programs in the world (to our knowledge - please correct us if we're wrong... we'd love to learn more!).

Their Nurse Point of Care Ultrasound program was published in the Annals of Emergency Medicine in 2017. The link to the paper is HERE.

Tammy is a boss level Registered Nurse and the Clinical Administrator for Critical Care at a large hospital in California. Find Tammy on Twitter HERE @TammyLowe357

Korbin is an emergency physician and the definition of a resuscitationist. Find him on Twitter HERE @KHaycock2

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Allan and Rob have the privilege of having a chat with Alin Gragossian about the days before her illness, heart transplant, and return to her work as an emergency medicine resident.

Follow Alin!
Website - https://www.achangeofhe.art/
Twitter: @ag_em33
Instagram: @a_change_of_heart_blog

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Do ED ICUs save lives? Probably.

The paper in question is by Gunnerson et al and can be found here.

Scott Weingart's work on ED ICUs can be found here. 

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Allan and Rob talk about learning in the clinical environment.

Main topics - 

• The relationship matters
• Intentionality in clinical conversations
• What's the yield on your clinical questions?

Some interesting papers - 

1. Eva, Kevin & Regehr, Glenn. (2008). “I'll never play professional football” and other fallacies of self-assessment. The Journal of continuing education in the health professions. 28. 14-9. 10.1002/chp.150. 
2. Eva, Kevin & Regehr Glenn. (2007). Knowing when to look it up: a new conception of self-assessment ability. Academic Medicine : Journal of the Association of American Medical Colleges. 2007 Oct;82(10 Suppl):S81-4. DOI: 10.1097/acm.0b013e31813e6755
3. Debriefing with Good Judgment: Combining Rigorous Feedback with Genuine Inquiry
   Rudolph, Jenny W. et al. Anesthesiology Clinics, Volume 25, Issue 2, 361 - 376

The show page is found here.

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Nyssa from The Q Word Podcast is on the show to talk about the one thing we should be practicing the most: Resuscitation Langauge, coined Resuscitese.

References

• https://www.jpeds.com/article/S0022-3476(14)00878-6/fulltext
• https://emcrit.org/wp-content/uploads/2016/06/Improving-Verbal-Communication-in-Critical-Care.pdf
• https://emcrit.org/emcrit/learning-speak-resuscitese/
• https://www.atsjournals.org/doi/pdf/10.1513/AnnalsATS.201412-552PS   (particularly the sections titled “Ask the Other Clinicians Present for Input,” “Stop Resuscitation Efforts” and “Explain What Has Happened to the Family.” 
• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278143/