Advice to a Young Resuscitationist

Here are the references to my SMACC Chicago talk: “Advice to a Young Resuscitationist”

First case: neonatal tracheo-oesophageal fistula
Broemling N, Campbell F.
Anesthetic management of congenital tracheoesophageal fistula.
Pediatric Anesthesia. 2010 Aug 17;21(11):1092–9 (Full Text)
See section: ‘Anesthetic management – Airway management’

Second case: unilateral pulmonary oedema
Unilateral pulmonary oedema usually associated with a lateralised direction of mitral regurgitation toward the right or left pulmonary veins. Much higher mortality than bilateral pulmonary oedema, and associated with delayed diagnosis and inappropriate antibiotic administration.

Attias D, Mansencal N, Auvert B, Vieillard-Baron A, Delos A, Lacombe P, et al.
Prevalence, Characteristics, and Outcomes of Patients Presenting With Cardiogenic Unilateral Pulmonary Edema.
Circulation. 2010 Sep 13;122(11):1109–15 (Full Text)

Third case: type A dissection with cardiac tamponade
Pericardiocentesis can be life saving, even in centres with no cardiothoracic surgery on site.

Cruz I, Stuart B, Caldeira D, Morgado G, Gomes AC, Almeida AR, et al.
Controlled pericardiocentesis in patients with cardiac tamponade complicating aortic dissection: experience of a centre without cardiothoracic surgery.
European Heart Journal: Acute Cardiovascular Care. 2015 Apr;4(2):124–8

However caution advised, as the relief in tamponade can elevate blood pressure to a degree that can propagate the dissection and precipitate deterioration.

Isselbacher EM, Cigarroa JE, Eagle KA.
Cardiac tamponade complicating proximal aortic dissection. Is pericardiocentesis harmful?
Circulation. 1994 Nov;90(5):2375–8(Full Text)

End of life care in the emergency department
Resources from the Emergency Care Institute
Life in the Fast Lane post on Palliative Care in the ED

Physician suicide (relevant to all health care workers – this is not just a physician issue)

Center C, Davis M, Detre T, Ford DE, Hansbrough W, Hendin H, et al.
Confronting depression and suicide in physicians: a consensus statement.
JAMA 2003;389;3161–6

Hawton K, Malmberg A, Simkin S.
Suicide in doctors. A psychological autopsy study.
J Psychosom Res. 2004 Jul;57(1):1–4

Avoiding compassion fatigue and burnout
Team cohesiveness is associated with higher compassion satisfaction – choose your colleagues and work environment well.

Dasan S, Gohil P, Cornelius V, Taylor C.
Prevalence, causes and consequences of compassion satisfaction and compassion fatigue in emergency care: a mixed-methods study of UK NHS Consultants.
Emerg Med J. 2014 Sep 23

Mindware
Training to mitigate cognitive errors and optimise performance under stress
See references here

Cutting Edge Resuscitation Medical Education