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Published by Resus Tonight
The Resus Tonight team is curious to learn how critical care & emergency nursing can be better. The team translates research into everyday clinical practice, challenge the sacred cows of nursing and occasionally rant.
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From the feed
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Send us your questions and comments! SCAPE is one of those presentations where the difference between success and failure often comes down to the first few decisions. Patients arrive frightened, hypoxic, diaphoretic, and crashing, while the team must rapidly assess, prioritize, communicate, and intervene. In this episode, we focus on the assessment, clinical decision-making, prioritization, and communication strategies required during the highest-risk moments of care. Rather than simply reviewing the pathophysiology, we'll explore how experienced emergency and critical care nurses recognize patterns, anticipate deterioration, and coordinate care when time is limited and the stakes are high. In This Episode Rapid assessment of the patient with severe respiratory distress Identifying the clues that point toward SCAPE Prioritizing interventions when everything feels urgent Non-invasive ventilation: practical considerations for nurses Clinical decision-making under pressure Practical clinical pearls from the bedside Check out our education programs - www.roschealthcare.com Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! Sepsis isn’t new, but how we manage it keeps evolving. In this episode, we take the 2026 Surviving Sepsis Guidelines and run them through the reality of the emergency department. What’s different, what’s the same, and what's really in a name? Less algorithm. More thinking. Sponsored as always by Allan's mom and ROSC Healthcare Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! We break down the latest ACLS changes so you don’t have to read 200 pages of guidelines. Fast, fun, and packed with the stuff that actually counts during a code. For more information about ROSC Healthcare - visit www.roschealthcare.com Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! In this episode, we explore the RENOVATE study, comparing high-flow nasal cannula (HFNC) and noninvasive ventilation (NIV or BIPAP) for acute respiratory failure. Discover the pros, cons, and practical takeaways for using HFNC in the ICU and ED. Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! We welcome back Nicole Cook, APRN and CNS to talk all about sepsis... and Nicole shares a personal story about sepsis we won't soon forget. Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! Allan and Rob continue the conversation with Nicole Cook about neurotrauma. If you haven't listened to episode 26, part one of this conversation, then we suggest you go back to do so. However, we wouldn't recommend listening to us anyway. Nicole's paper on Co2 - https://www.injuryjournal.com/article/S0020-1383(21)00624-0/fulltext Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! Today Allan and Rob get the opportunity to talk to the one and only Nicole Cook. She's a trauma nurse specialist, neurotrauma expert, and a great Twitter follow (@TraumaSoapBoxes). This episode is part 1 of a 2 part series on neurotrauma nursing care in critical care environments big and small. Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! For better or worse, Allan and Rob are reunited as they rehash some of the early COVID-19 literature and scientific direction for ED and critical care nurses. Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! This episode features two brilliant guests: Nick and Hussein. Nick is a husband and father. He also has cystic fibrosis and is a double lung transplant recipient. Hussein is an ICU and emerg doc with specialty in ECMO. His ECMO team helped bridge Nick to his transplant. Listen to their experience! Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! We are proud to be project managers for (as far as we know) the only international, free, open source nursing course with the sole intention in fighting COVID-19. covid19.epicclearning.ca Authors from Canada, USA, United Kingdom, Italy, Belgium, New Zealand and Australia have volunteered to help support nurses caring for patients with COVID-19. We recorded a podcast this week to give you more background if you'd like to hear. Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! The CDC recommendation for homemade masks has lit a firestorm among health care providers. In this episode, we give our take on the recommendation. We also break down some interesting data on disease transmission. AS ALWAYS, READ THE PAPERS AND COME TO YOUR OWN CONCLUSION. References CDC. Strategies for Optimizing the Supply of Facemasks. https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/face-masks.html Doremalen, N et al. NJEM. https://www.nejm.org/doi/full/10.1056/NEJMc2004973 Ong et al. JAMA. https://jamanetwork.com/journals/jama/fullarticle/2762692 Pyankov. Journal of Aerosol Science. https://www.sciencedirect.com/science/article/pii/S0021850217302239?via=ihub Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! Sara, ICU RN is on the show to share her firsthand experience battling severe COVID-19. She shares what she has learned, tips to get you prepared, and touches on the human side of caring for the sick COVID-19 patients. Resources ARDSnet - http://www.ardsnet.org/ University Washington Medicine - https://covid-19.uwmedicine.org/Pages/default.aspx Nicole Kupchik, CNS - https://www.instagram.com/nicolekupchik/?hl=en Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! In our COVID-19 Critical Care series we are hitting you with the fundamentals of critical care that you may need when caring for COVID-19 patients. In this episode we cover non-invasive positive pressure ventilation and continuous positive airway pressure ventilation. References Keenan, S. et.al. (2011). Clinical practice guidelines for the use of noninvasive positive-pressure ventilation and noninvasive continuous positive airway pressure in the acute care setting. Canadian Medical Association Journal . PMID: 21324867 Nee, P. et.al. (2010). Critical care in the emergency department: acute respiratory failure. Emergency Medicine Journal . PMID: 21112972 Caples SM, Gay PC. Noninvasive positive pressure ventilation in the intensive care unit: a concise review. Crit Care Med . 2005;33(11):2651–2658. Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! This podcast was recorded on March 13, 2020. The content of the podcast may change as new information becomes available. Always check with your local resources and sources with credible references. One of the places resuscitation begins is at the front door. In this episode we provide practical tips for nursing care for patients with suspected or confirmed COVID-19.... in fact, this information could be generalized to all patients with undifferentiated dyspnea. The Internet Book of Critical Care is a living resource for COVID-19 . REBEL EM has an excellent look at COVID-19 Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! We are pleased to have the trailblazer Tammy Lowe and THE Korbin Haycock on the show to share their amazing Nurse Point of Care Ultrasound program, one of the only programs in the world (to our knowledge - please correct us if we're wrong... we'd love to learn more!). Their Nurse Point of Care Ultrasound program was published in the Annals of Emergency Medicine in 2017. The link to the paper is HERE . Tammy is a boss level Registered Nurse and the Clinical Administrator for Critical Care at a large hospital in California. Find Tammy on Twitter HERE @TammyLowe357 Korbin is an emergency physician and the definition of a resuscitationist. Find him on Twitter HERE @KHaycock2 Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! Allan and Rob have the privilege of having a chat with Alin Gragossian about the days before her illness, heart transplant, and return to her work as an emergency medicine resident. Follow Alin! Website - https://www.achangeofhe.art/ Twitter: @ag_em33 Instagram: @a_change_of_heart_blog Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! Do ED ICUs save lives? Probably. The paper in question is by Gunnerson et al and can be found here. Scott Weingart's work on ED ICUs can be found here. Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! Allan and Rob talk about learning in the clinical environment. Main topics - The relationship matters Intentionality in clinical conversations What's the yield on your clinical questions? Some interesting papers - Eva, Kevin & Regehr, Glenn. (2008). “I'll never play professional football” and other fallacies of self-assessment. The Journal of continuing education in the health professions. 28. 14-9. 10.1002/chp.150. Eva, Kevin & Regehr Glenn. (2007). Knowing when to look it up: a new conception of self-assessment ability. Academic Medicine : Journal of the Association of American Medical Colleges. 2007 Oct;82(10 Suppl):S81-4. DOI: 10.1097/acm.0b013e31813e6755 Debriefing with Good Judgment: Combining Rigorous Feedback with Genuine Inquiry Rudolph, Jenny W. et al. Anesthesiology Clinics, Volume 25, Issue 2, 361 - 376 The show page is found here. Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
Send us your questions and comments! Nyssa from The Q Word Podcast is on the show to talk about the one thing we should be practicing the most: Resuscitation Langauge, coined Resuscitese. References https://www.jpeds.com/article/S0022-3476(14)00878-6/fulltext https://emcrit.org/wp-content/uploads/2016/06/Improving-Verbal-Communication-in-Critical-Care.pdf https://emcrit.org/emcrit/learning-speak-resuscitese/ https://www.atsjournals.org/doi/pdf/10.1513/AnnalsATS.201412-552PS (particularly the sections titled “Ask the Other Clinicians Present for Input,” “Stop Resuscitation Efforts” and “Explain What Has Happened to the Family.” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278143/ Checkout our education programs at ROSC Healthcare - www.roschealthcare.com
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Observed September 17, 2026. Cached outside the daily freshness window; the positions keep the date they were taken on.
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