Cliff Reid adds to the MotR lexicon with Chicken Bombs and Muppet Factors
Podcast 90 – Mind of the Resuscitationist Series: Cliff Reid’s Own the Resus Room
Cliff Reid is the prototypical resuscitationist; he rocks! He has discussed his philosophies on previous episodes:
And of course, Cliff’s blog, resus.me, is some of the best retrieval and resuscitation information around.
I brought Cliff up to speak in my Critical Care Track at the 2012 Essentials of Emergency Medicine. Mel Herbert was kind enough to give me permission to post the lecture here. I think you’ll love it as much as I do.
Need the audio-only version of Cliff’s talk? Right click the link and choose save-as.
Now, on to the podcast…
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Podcast 82 – Mind of the Resuscitationist with Cliff Reid
Today, I put on my head-shrinker cap (it is a fez) and get Cliff Reid on the coach. You know Cliff from his previous podcasts:
- Interview with Cliff Reid: Part I
- Interview with Cliff Reid: Part II
- Cliff’s Tips for Occasional Intubaters
- A Discussion regarding NAP4
and his insanely good blog:
Cliff discusses a case of an out-of-hospital cardiac arrest that he has been ruminating about for the past few days. Here are the teaching points that came out of the case:
Can we lyse intra-arrest?
We will discuss this question in a future show. For now, I would say if you strongly suspect PE or MI and you have exhausted other options, intra-arrest lysis is still an option.
The pulse you feel in the groin may be the vein
During the discussion Cliff mentions that he demonstrated to his whole team that the pulse they felt in the groin was the femoral vein. Use ultrasound for all intra-arrest groin catheter placements.
Securing lines during a code
I use 2″ tape. Cliff mentions during the discussion and on his blog, using tissue glue instead.
Continue CPR if there is an a-line pulse, but the pressure is low
Otherwise these patients will just re-arrest. Here is an article on thoracic pump vs. cardiac pump.
Percussion Pacing
Never heard of this? Read this manuscript on percussion pacing.
The Ethics of Different Capabilities at Geographically Close Hospitals
I want to hear what you folks think about this. Should all sick patients be taken to the closest hospital that has the most potential life-saving capabilities? Is there ny reason to bring really sick patients to tiny hospitals if the trip to a more advanced hospital only adds a few minutes? Let me know in the comments what you think.
The Mind of a Resuscitationist – A Resuscitationist Agonizes
This is why I really wanted to post this podcast. I run a series called the Mind of a Resuscitationist. For instance, the episode on
Today’s episode hits another key point to a resuscitationist’s mind: we agonize. We dissect every case that did not go perfectly to figure out if there was ANYTHING that could have gone better, been done smoother. This obsession leads to ulcers and interrupted sleep patterns AND better outcomes in the future.
Please share your thoughts below. Now, on to the podcast…
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Podcast 058 – Interview with Cliff Reid – Part II
This Part II of an interview with Cliff Reid of the amazing blog, resus.me. Cliff is truly a doc after my own heart as you will hear from the cast.
If you haven’t already, please listen to Part I of Cliff’s interview as well.
He is currently an EMS physician and Director of Training at the New South Wales Ambulance Service.
Cliff’s blog, resus.me is an incredible collection of timely articles on emergency medicine, ems, critical care and resuscitation.
Here are some details on what Cliff carries on a mission.
Prehospital Amputation
One of the topics we discuss is prehospital amputation. For more information on this topic, check out the deep-dive page on prehospital amputation.
Come visit me at ACEP and AOCEP Scientific Assemblies.
Now to the Podcast…
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EMCrit Podcast 47 – Failure to Plan for Failure: A Discussion of Airway Disasters
Cliff Reid of Resus.Me fame put out an incredible post on NAP4, the audit done on all of the airway complications in Great Britain. It was such a phenomenal post that I got in touch with Cliff and asked if he wanted to come on the podcast to speak about it. He did me one better and got an interview with one of the authors of the Emergency and Critical Care Section.
So in this podcast, we interview Dr. Jonathan Benger, professor of Emergency Medicine with a particular interest in the management of the airway.
Points that came out of the show
- Mortality is higher in the ED and ICU compared to the operating room. Our patients are sicker, so we must be more diligent in planning
- Quantitative wave-form ETCO2 should be the standard of care for EVERY ED and ICU intubation
- Needle cricothyrotomy seems to fail more often than surgical cricothyrotomy
- Awake intubation was not used when it was indicated
- Junior resident anesthesiologists were often responding to the ED and ICU
- There was a failure to plan for failure
- Obesity figured into a large percentage of the airway disasters
For more from the NAP4
Full Report (Skip to the EM/ICU Chapter)
How to subscribe to Cliff Reid’s Brand New Podcast
- Go to itunes
- Choose Podcasts
- Go to the advanced menu and choose subscribe to podcast
- Paste this link: http://feeds.feedburner.com/ResusMePodcasts
Great Conferences Coming Up
- Essentials of Emergency Medicine in San Francisco – November 9-12
- Emergency Medicine in the Developing World in Capetown – November 15-17
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EMCrit Podcast 41 – Interview with Cliff Reid of RESUS.me
I was able to cajole Cliff Reid of the amazing blog, resus.me on to the EMCrit program. Cliff is truly a doc after my own heart as you will hear from the cast.
He is currently an EMS physician and Director of Training at the New South Wales Ambulance Service.
Cliff’s blog, resus.me is an incredible collection of timely articles on emergency medicine, ems, critical care and resuscitation.
Cliff mentions the HEMS service in London. This amazing service sends a physician/paramedic team to the scenes of bad traumas by helicopter and response cars. A well done video is available on youtube:
The winner of the Toxicology Handbook is Jenny Mendelson. Yeah!!!
photo by Mad Scientist
Click Here to Play the Podcast
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Hi, my name is Scott Weingart. 