Sedation in the ED
An overview of sedation in the Emergency Department
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heft emcast archives
Right from the start the Emergency Medicine podcast brought to you from The Heart of England NHS Foundation Trust. Evidenced based podcasts based on EM presentations
Episodes
20 of 38 episodesSepsis SMACCback
So we're here at SMACC being treated to a fantastic conference and some superb talks. Last night (Day 1) closed with a superb panel of exper...
Peripheral vasopressors and preshospital LMA vs ET Tube in Cardiac Arrest
Over the last few episodes we've talked about the use of vasopressors and their utility in resuscitation. It is a commonly held belief that...
RSI in the ED; should EM be taking the lead?
Rapid sequence induction, or RSI, is the preferred method of emergency tracheal intubation outside the operating room because it results in...
The Hector project, Heartlands Elderly Care Trauma & Ongoing Recovery; a progress report
We catch up with Dr David Raven, Consultant in EM at HEFT regarding his Hector project, Heartlands Elderly Care Trauma & Ongoing Recovery, w...
Presyncope, what does it mean for our patients in ED?
What does presyncope mean to you? If you ask this question to a handful of doctors you'll get a multitude of different answers, you'll also...
Vasopressors & Inotropes in the ED
In this podcast we are going to be talking about inotropes and vasopressors. And we're going to be talking about them with re...
The PROMISE trial; is this the end of EGDT???
Trial of Early, Goal-Directed Resuscitation for Septic Shock NEJM March 17 2015 Sepsis has been in the EM literature a lot over the past 12...
Thrombolysis for presumed MI in cardiac arrest
You're in resus leading a cardiac arrest. Lying on the trolley is Dave, a 45 year old male, known hypertensive and type 2 diabetic. He colla...
Assessing fluid status; USS and the IVC?
Fluid resuscitation represents the bedrock of initial treatment in the critically ill and injured patient with shock. In septic shock, fluid...
Central Venous Pressure and fluid responsiveness
Since Rivers's publication of Early Goal Directed Therapy (EGDT) at the turn of the century clinicians have talked about aggressive resuscit...
Framingham Risk Factors in the ED; from the RCFN
Everyone asks about Framingham risk factors when taking a history for possible ACS but what significance do they actually hold?
HIV testing in the ED
A contentious subject in the ED but how would it work??
A shocking pause
A look at the impact that a prolonged cause in CPR has on the associated outcome.
Lactate and lactate clearance
A patients lactate is something that we often want to know, but how much do you really understand about it's significance and what is lactat...
One year of EBM
A round up of some of the key papers that we've reviewed over the 12 months that HEFTEMCAST has been running
Blood and Sepsis; the TRISS trial
Sepsis is a hot topic at the moment. In this episode we look at the transfusion targets for patients with septic shock when on ITU
Video laryngoscopy; can you see the cords?
Whilst the embedded management of the airway in ED is via direct laryngoscopy, advances in technology and equipment leads to multiple altern...
The ARISE trial
The ARISE trial, following on from the ProCESS trial, is there a different message or is EGDT a thing of the past?
Diagnostics in EM from the RCFN podcast
Everything we do in the Emergency Department is a test, be that a question, looking for a clinical finding or performing a 'traditional' tes...