The Resus Tracks – A Chat w/Lars Chapter 1. #FOAMed, #FOAMcc

So for anyone not familiar with Lars (@LMSaxhaug on Medtwitter), if you are into applied resuscitation physiology, this is someone to follow. He seems to be Norway’s answer to Korbin Haycock (@khaycock2).

He is a POCUS researcher and currently a Cardiology/Internal Medicine Trainee, and I hope someone who will help take POCUS to another level. I’ve been meaning to chat with him for a while after some incredible threads on twitter really pushing the applied bedside physiology envelope.

So here is our first discussion, with a few more planned in the near future as we get down to the nitty gritty. But everything does need an intro.

So here is our discussion:

I think Lars makes some excellent points, particularly the need for global hemodynamic assessment, not having a narrow, almost single parameter threshold approach, as well as his point on adaptative tachycardia – though I am not in full agreement about the atrial fibrillation, but most definitely agree that most of the cases in the ICU are secondary, and deciding how much it is contributing to the hemodynamic compromise isn’t always clear.

Looking forward to further discussions, and I smell a panel discussion with Korbin and Jon-Emile on RVOT doppler!

 

cheers

 

Philippe

 

 

 

 

The Hospitalist & The Resuscitationist. Montreal, May 21-22. (R)Evolution. Don’t miss it. #Hresus20

We’re really excited for the third edition of H&R!

Last year was great, all thanks going to our awesome faculty, and this year, we’re planning on taking it yet to another level. We’ve added some new faculty members who’ll be bringing some interesting perspectives, and there will be a pervasive theme across the two days to really get everyone’s understanding and management of the oft-overlooked venous/right side of things, woven in among the other key topics that last year’s attendees and the scientific committee chose. This is a clear evolution in clinical practice that, paired with POCUS, is really a game changer across a wide range of pathologies. Expect to leave from these two days with at least one extra notch on your belt.

The importance of careful fluid resuscitation has been gaining attention in the last years – take for instance the great work being done by Manu Malbrain at IFAD (International Fluid AcaDemy) who just had their symposium. Treating fluids like the drugs that they are should be our goal.

In addition we have picked a number of important topics, with the idea to share knowledge and practical skills at therapeutic decision points, or else to bring attention to bleeding-edge topics that, though not widespread today, hold promise for further fine-tuning of resuscitation. One in particular is the use of the pulmonary artery catheter, whose use, though having fallen out of mainstream favour, persisted in many areas where clinicians were able to properly use this powerful monitoring tool. We feel it is poised to make a comeback among high-level resuscitationists. For some, it may be a matter of refreshing and re-polishing, and for the new generation, a good time to learn.

So, some slight structural adjustments. The Hospitalist angle gets a pre-conference course, focusing on very practical, applied and critically important topics for the ward patients, including a POCUS workshop to get some hands-on work on . Felipe Teran and his team will bring back Resuscitative TEE, and we will add a Resuscitationists’ Toolbox pre-conference in which to learn or practice certain key skills for the high-level resuscitationist, such as REBOA, the PA catheter, surgical airways and more. And yes, the Jiu-Jitsu workshop is back by popular demand!

The two main conference days will be packed full of interesting talks, both by traditional but exceptional academics, as well as many of the top notch #FOAMed educators. The tail end will have some awesome workshops for those who want to add to their skill set.

And, on a first-come, first-served basis, Early Bird Registrants will be able to book some one-on-one time with faculty for hands-on or discussion or skills workshop.

Scientific Committee

Dr. Carol Zambrana

Dr. Philippe St-Arnaud

Dr. Mario Rizzi

Dr. Philippe Rola

Organized by The Critical Care & Ultrasound Institute for the Santa Cabrini Intensive Care Service at the CIUSSS E-MTL.

 

So here is the preliminary programme:

and in pdf: Pamphlet H&R2020

All of this will be in Montreal, Quebec, Canada, most probably Santa Cabrini Hospital, but full details to follow!

Follow the blog and bookmark this page for conference updates!

The lineup so far… and more to come!

See you there!

 

Click Here to register!

 

Philippe

The Resus Tracks: A Chat with Domagoj Damjanovic! #FOAMed, #FOAMcc, #FOAMer

 

So I recorded a chat with Domagoj (@domagojsono in the twitterverse), an anaasthetist-resuscitationist-intensivist from Freiburg a few months ago, but with H&R2019 and its aftermath, been slow in processing a lot of stuff I’ve got stocked… Apologies!

So in this one, DOmagoj and I discuss a bunch of resus topics, from eCPR to tissue oximetry. I’m really jealous of the fact that he does prehospital work with an ECMO van!!! …and with cool gear and of course, POCUS!

Here is the chat, hope it leads to thoughts, discussion and contribution!

And here are some links:

low budget ultrasound simulation
and here’s the editorial in Resuscitation,

cheers

 

Philippe