The multidisciplinary Resuscitology team (http://resuscitology.com/) discuss the art and science of resuscitating bleeding patients using a case-based approach.

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, Geoff Healy, and Chris Nickson discuss a fictionalised case from the Resuscitology course: "Oncology patient in resus", including airway management and failure of video laryngoscopy, and the challenges of resuscitation in the context of potentially terminal illness.

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

Cliff Reid, Karel Habig, Nat May, Brian Burns, and Geoff Healy introduce 'Resuscitology' (http://resuscitology.com/) - a new two-day residential course being held at the Fairmont Resort in the Blue Mountains near Sydney, May 9th and 10th 2018.

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)

In this talk from the '2017 Performance Psychology in Medicine Conference' run by the Institute of Prehospital Care in London, Chris Nickson discusses these questions and more: What is elite performance? How is expertise developed? How can we use simulation to develop and maintain expertise, both individually and collectively?

A RAGE session featuring Karel Habig, Cliff Reid, and Chris Nickson:

1. Introduction... kind of (starts 00:00 min)
2. ‘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
3. ‘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.
4. ‘A blast from the past’ by Chris Nickson on ‘Rudolph Virchow’ (starts  52:52 min)
5. ‘Words of Wisdom’ from Cliff Reid (starts  57:10 min)

The RAGE team talks to Peter Brindley about a new, free crisis resource management book and CRM Brindley-style, and we reflect on the recent dasSMACC conference. The usual stuff is there too: what's bubbling up?, a blast from the past about John Scott Haldane, and some Words of Wisdom from Peter Brindley to finish.

Show notes available at: http://ragepodcast.com/rage-talks-crm-brindley-style-dassmacc/

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?

On August 17th 2016, Associate Professor Vincent Pellegrino, Head of the ECMO service at The Alfred ICU, discussed ECPR during an in-house education session.

His discussion included:

• the difficulties with ECPR definitions and selection criteria
• Approaches to ECPR, ranging from cannulation techniques and types of cannula, to role cards and the importance of teamwork
• Outcomes for ECPR and the evidence for the technique

Listen to the talk to find out more – the podcast is 37 minutes long.

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.

On November 11th 2015, Professor Stephen Bernard (@AmbVicMedic), Medical Advisor to Ambulance Victoria, presented a smorgasbord of ‘Updates in Resuscitation‘ at The Alfred ICU junior medical staff teaching session. He discussed:

• Recent data from registries on in-hospital and out-of-hospital cardiac arrest (OHCA), particularly from Victoria, and the reasons why OHCA results may be improving
• Options for treatment of refractory VT/VF, including the CHEER2 trial
• The RINSE trial: is intra-arrest cooling with ice cold IV saline for OHCA a good thing?
• Highlights from the recently released updated ILCOR guidelines, which will form the basis for the next ARC guideline update

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

Listen to this miniRAGE for key information on registration for SMACC Chicago 2015. and to find out what the RAGE team will be doing at #smaccUS.

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

Anand ‘Swami’ Swaminathan is an Emergency Physician in New York. He is one of the co-creators of EM Lyceum, and a major contributor to LITFL.com.

Swami is a skeptic of the benefit of adrenaline in cardiac arrest. This is his brief response to Scott Weingart’s Cutting Edge Intra-Arrest Care at smaccGOLD and Weingart’s subsequent discussion about intra-arrest meds with Rob Mac Sweeney on EMCrit.

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)

Cliff was asked to speak at the Australasian Conference for Emergency Medicine‘s Annual Scientific Conference in Adelaide in November 2013. The title they gave him was ‘What a great job’. It was a great opportunity for him to explore some of the literature around what makes people happy, and whether emergency medicine has the ingredients to do that. It does. But not if you do too much.

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.

RAGE Session Four is 61 min 46 sec long and includes:
Introduction, including a welcome to new RAGE team recruit John Hinds
‘What’s bubbling up?’
‘Getting The Right Side Right: RV infarction and RV failure’
‘I Want to Stop, But Someone Else Doesn’t’
‘A blast from the past’ on ‘Jack Barnes and the Irukandji Enigma’
‘Words of Wisdom’ from motorcycle legend Guy Martin via John Hind

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.

RAGE Session 3 is 67 min 53 sec long and includes:
Introduction (starts 00:00 min)
‘What’s bubbling up?’ (starts 01:30 min)
‘Medical Reversal’ (starts 52:52 min)
‘A blast from the past’ by Karel Habig on ‘Ether Day’ and the origins of general anaesthesia (starts 63:42 min)
‘Words of Wisdom’ (starts 66:32 min)

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.

The RAGE team discuss 'what's bubbling up' in the critical care and #FOAMcc worlds, consider the role of thrombolysis in a case of suspected submassive pulmonary embolism, talk about humans in the resus room and resus room management ('when your back-up gets your back up'), have a 'blast from the past' in the form of WW2 hero Edgar Pask and finish with some 'words of wisdom' from John Hunter and William Osler.

Andy Buck and Amit Maini from the Emergency Trauma Management course give their side of the story of what happened when a slide from there course was tweeted out of context leading to an unexpected backlash.

The RAGE team introduce themselves, discuss 'what's bubbling up' in the critical care and #FOAMcc worlds, talk about the post-TTM era of 'homeopathic hypothermia', try to come up with an answer to 'fever, hypotension... now what?', have a 'blast from the past' in the form of critical care legend Peter Safar and finish with some 'words of wisdom'.