The RAGE Podcast - The Resuscitationist's Awesome Guide to Everything

Our Canadian friends, Emergency physician Dr Chris Hicks (@humanfact0rz) and intensivist Prof Peter Brindley (@docpgb) discuss key issues and controversies in the care of critically ill patients with COVID-19. This rapid fire miniRAGE podcast is sure to keep you informed and entertained!

Cliff Reid and Brian Burns talk about a recent life-changing experience... participation in the amazing ATACC course.

We're ready to RAGE again! This one is 85:26 min long and includes: Introduction... kind of (starts 00:00 min) 'What's bubbling up?' (starts 02:08 min) — Dr Smith's ECG blog, DAS Guidelines for tracheal intubation of the critically ill, "The Human Factor" and trauma team performance. 'DNR' (starts 14:58 min) — the RAGE team discuss the concept of 'do not resuscitate' and consensus resuscitation plans, challenges and tips for family discussions and decision-making, and a host of tricky situations (e.g. the family that wants 'everything', patients who want to be organ donors, suspension of DNR orders for operations, and patients with advance care plans who attempt suicide).. 'A blast from the past' by Peter Brindley on 'Joseph Lister' (starts 80:44 min) 'Words of Wisdom' from Karel Habig (starts 83:41 min)

A RAGE session featuring Karel Habig, Cliff Reid, and Chris Nickson: Introduction... kind of (starts 00:00 min) 'What's bubbling up?' (starts 04:48 min) — an ED checklist for cognitive debiasing, are 'cold' platelets ready for primetime, the ART trial and the open lung approach to ventilation using recruitment manoeuvres 'What's The Sats Target?' (starts 22:55 min) — the RAGE team discuss what SpO2 targets to aim for, in which patients and diseases, and the tricks and traps of real-world clinical practice. 'A blast from the past' by Chris Nickson on 'Rudolph Virchow' (starts 52:52 min) 'Words of Wisdom' from Cliff Reid (starts 57:10 min)

This RAGE session, featuring Cliff Reid, Brian Burns, and Geoff Healy, is a NSFW monster clocking in at 2h 48 min 59 sec long!!! Following an introduction the crew tackle the following questions: Describe training experiences that have shaped you? What is your experience of trainees, and what attributes of good and bad trainees do you observe? What is your advice on how to be a good resuscitationist? What are you currently struggling with in your careers?

Here is the 'bootlegged' footage of John Hinds' defence of direct laryngoscopy in the prehospital setting. John brings all his usual wit and mischievousness to the defence of the tried and true way of getting a tube between the cords anywhere and at anytime.

SMACC Chicago 2015 preview and The GoodSAM App Oxygen therapy: AVOID: Air Versus Oxygen in ST-Segment Elevation Myocardial Infarction and the HOT or NOT trial: HyperOxic Therapy OR NormOxic Therapy after out-of-hospital cardiac arrest (HOT OR NOT): a randomised controlled feasibility trial. John Hinds discusses Helicopter Emergency Medical Services Cliff Reid discusses IO access and handstands

This neuroRAGE Special Edition is 82 min 03 sec long and includes: Introduction, 'What's bubbling up?' 'Traumatic Brain Injury and a bit about the Spine' 'ICP Monitoring' 'Intracerebral haemorrhage and Subarachnoid Haemorrhage' A 'smorgasbord' of other neurocritical care questions, including the 'cranial screwtop manoeuvre' 'A blast from the past' by Oli Flower on the origins of the EEG 'Words of Wisdom' from Mark Wilson

The RAGE team are joined by many friends to recap the smaccGOLD experience: Rich Levitan (@airwaycam) Scott Weingart (@emcrit) Haney Mallemat (@CriticalCareNow) Michaela Cartner (@mjcartner) Karel Habig (@karelhabig) Chris Nickson (@precordialthump) John Hinds (@docjohnhinds) Cliff Reid (@cliffreid) Mark Wilson (@markhwilson) Oli Flower (@oliflower)

Relax, we didn't really delete the discussion of The ProCESS Trial from RAGE Session Four… We just chopped it out to be published separately as a miniRAGE. This is what we're talking about: ProCESS Investigators, et al. A randomized trial of protocol-based care for early septic shock. N Engl J Med. 2014 May 1;370(18):1683-93. doi: 10.1056/NEJMoa1401602. 2014 Mar 18. PMID: 24635773.

This RAGEback includes commentary and reaction to the RAGE Session Three discussion of severe life-threatening acute asthma. It features comments from Mary Shue on THAM, Greg Miller on lignocaine and someone called Scott Weingart (anyone heard of him?) on non-invasive ventilation.

The discussion of verapamil as an option for the treatment of supraventricular tachycardia (SVT) in RAGE Session Two went off like a fire cracker in the FOAM world. In this RAGEback, Minh Le Cong from the PHARM podcast explains why the RAGE discussion is not going to change his practice, which is to use adenosine as a first line agent. This is followed by a response by RAGErs Karel and Cliff. You — the listener — are left to make up your own mind about which patients (if any) you'll consider verapamil as an option.