Podcasts about Cliff Reid

In this conversation, we will examine the concept and skill of Front of Neck Access (FONA)and also the Suction Assisted Laryngoscopy and Airway Decontamination (SALAD) technique.  Join us as we dive into this high-stakes procedure with pre-hospital retrieval specialist Cliff Reid. We'll explore the indications, complications, and potential risks of FONA. Cliff will talk us through the innovative SALAD technique, which mitigates complications and improves success rates. Real-life case studies will illustrate the challenges and decision-making involved in pre-hospital FONA. Whether you're a seasoned provider or a trainee, we want to offer insights into mastering one of the most crucial pre-hospital procedures in a critical care situation.   To do this I have Cliff Reid with me. Cliff has over two decades of experience as a physician in air ambulance and critical care transport services, he has developed extensive expertise in advanced airway management techniques. As an educator, he has trained numerous pre-hospital professionals worldwide, sharing his knowledge and advocating for best practices in airway management. You can find more by Cliff here: https://rise.articulate.com/share/74lr2fXfmxfHRyL3ncKM00TuD31ij4HE#/

Resuscitation of older adults in the emergency department poses unique challenges for physicians. Understanding the differences between a typical resuscitation process compared to a resuscitation of an older adult is essential to appropriately manage and treat this population. In this episode Dr. Cliff Reid joins Dr. Christina Shenvi to explore these differences and the associated challenges, and highlight some tools he uses in his own practice. Cliff Reid, MD, is an Emergency, Retrieval, and Critical Care Physician and educator in the greater Sydney area with a focus on resuscitation of adults and children.

In this episode, we talk with Dennis Watson and Cliff Reid, two entrepreneurs in the cancer space. They speak about the difference between genetics and genomics, and the role of genetic and genomic testing in clinical decision-making. They also touch on the history and impact of DNA sequencing and the challenges in applying genomics to cancer treatment. This conversation explores the development of Travera, a company advancing personalized cancer treatments. Dennis and Cliff share their hopes for the future of oncology, including the expansion of diagnostic tools and the increasing involvement of patients in their own care. Key Highlights: The field of DNA sequencing has evolved over the years, but the application of genomics in cancer treatment still faces challenges in achieving widespread success.  Sales and commercial teams play a crucial role in educating clinicians about new innovations in personalized oncology, and oftentimes scientific/product innovations take a while to actually become a part of a clinician's practice.  The future of personalized oncology involves the development of multiple techniques for selecting the right drug for the right patient at the right time, as well as increased patient involvement in their own care. About our guests: Dennis Watson joined Travera in July of 2022 as the Vice President of Business Development. He brings 15+ years of extensive sales and management experience in the oncology molecular diagnostic space. Dennis spent nearly 10 years with Agendia, beginning as a field-based sales professional, working his way up to gain experience in multiple facets of the business, receiving top-tier awards and recognition throughout his tenure. He served 4 years as a Regional Director in the Central US, before moving on to lead the US commercial sales organization in January of 2018. Prior to his work with Agendia, Dennis spent 5 years with the Oncology division of Myriad Genetics. Before Myriad Genetics, he also held positions in the pharmaceutical, industrial services, and web services industries. Clifford Reid was the founding CEO of Travera. Previously, Dr. Reid was the founding Chairman, President, and Chief Executive Officer of Complete Genomics (NASDAQ: GNOM), a leading developer of whole human genome DNA sequencing technologies and services. Prior to Complete Genomics, he founded two enterprise software companies: Eloquent (NASDAQ: ELOQ), an internet video company, and Verity (NASDAQ: VRTY), an enterprise search engine company. Dr. Reid is on the Visiting Committee of the Biological Engineering Department at the Massachusetts Institute of Technology (MIT), a member of the MIT Corporation Development Committee, and an advisor to Warburg Pincus.   Visit the Manta Cares website  Disclaimer: This podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their health care professionals for any such conditions. --- Support this podcast: https://podcasters.spotify.com/pod/show/manta-cares/support

Though we have delved into foreign HEMS systems in the past (See Episode 61 – Down Under Dynamics w/Dr. Cliff Reid), we have not dedicated an entire series to it. Having now rubbed shoulders with many clinicians and operators around the world, it is evident that these conversations need to take place on a regular basis. Why? Because operating in a vacuum can lead to bad decision making. Our new "Around the World" series attempts to mitigate this by interviewing prehospital and intrahospital disciplines from around the world and finding out how they do things, whether for better or for worse when compared to the United States. We begin our series with our neighbors to the south, Mexico. Daniel Peñaflor, Flight Paramedic, joins us to discuss prehospital operations in Guanajuato City. Interestingly enough, you will find out that they are not too dissimilar from us. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: The views, information, or opinions expressed on the Heavy Lies the Helmet podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information available for listening on this platform. The primary purpose of this series is to educate and inform, but it is not a substitute for your local laws, medical direction, or sound judgment. --------------------------------------------  Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com

One of my inspirations in Emergency Medicine, Cliff Reid is in the house to have some EM related conversations over beers. He flew down from Sydney to be with us and have an experience and what an experience it has been! Do not miss out on this episode! Many more coming up with him!

Yes i have been MIA for a month now! Was at Amsterdam to participate at the ICEM 2023 conference. What an experience it was! Loved it! Got to meet my idol Cliff Reid too! That was the icing! but I am back and speaking today about sustainable EDs and how healthcare contributes to climate change. yes it does! Go through some of the papers cited here - 1. Walsh O, Harris R, Flower O, Anstey M, McGain F. Everyone's a winner if we test less: the CODA action plan. Aust Health Rev. 2022 Aug;46(4):460-462. doi: 10.1071/AH22145. PMID: 35772927. 2. Linstadt H, Collins A, Slutzman JE, Kimball E, Lemery J, Sorensen C, Winstead-Derlega C, Evans K, Auerbach PS. The Climate-Smart Emergency Department: A Primer. Ann Emerg Med. 2020 Aug;76(2):155-167. doi: 10.1016/j.annemergmed.2019.11.003. Epub 2020 Jan 23. PMID: 31983497. 3. McAlister S, Barratt AL, Bell KJ, McGain F. The carbon footprint of pathology testing. Med J Aust. 2020 May;212(8):377-382. doi: 10.5694/mja2.50583. Epub 2020 Apr 18. PMID: 32304240. 4. Tennison I, Roschnik S, Ashby B, Boyd R, Hamilton I, Oreszczyn T, Owen A, Romanello M, Ruyssevelt P, Sherman JD, Smith AZP, Steele K, Watts N, Eckelman MJ. Health care's response to climate change: a carbon footprint assessment of the NHS in England. Lancet Planet Health. 2021 Feb;5(2):e84-e92. doi: 10.1016/S2542-5196(20)30271-0. PMID: 33581070; PMCID: PMC7887664. 5. Kanem N, Murray CJL, Horton R. The Lancet Commission on 21st-Century Global Health Threats. Lancet. 2023 Jan 7;401(10370):10-11. doi: 10.1016/S0140-6736(22)02576-4. Epub 2022 Dec 15. PMID: 36529147; PMCID: PMC9754642.

On this episode I sat down with the amazing Dr Cliff Reid to discuss his approach to hypotension. Cliff is a senior Staff Specialist/retrevialist with a special interest in Resuscitation. On the episode we discussed diagnosis, treatment , vasopressors and fluid status. Cliff will leave you with an overload of extremely useful information that you can implement in your own environments.            Show Notes    Hypotension is usually bad: The significance of non-sustained hypotension in emergency department patients with sepsis    Causes of hypotension - and PEA cardiac arrest: the 3 plus 3 rule Lactate doesn't always mean sepsis!   Systolic blood pressure below 110mmHg is associated with increased mortality in blunt major trauma patients

Our guest this week is Dr. Cliff Reid. Dr. Reid shares some exciting information about an innovation that can revolutionize the way that cancer is treated - by testing different cancer drugs and seeing which ones work or not within 48h. Watch Dr. Sanjay be mind-blown while Dr. Reid explains the science behind this innovation and the potential it can have in the life of cancer patients and their oncologists.

Vi pratar om vilka kurser som är sämst och bäst och kan man tänka utanför boxen när det gäller arrangera kurs??? Snälla gå inte kurser som någon tvingar på dig utan ett tydligt syfte, kanske är det tre veckor obligatoriska A/B-kurser (protestera mot vansinnet!), kanske är det internationella pins som lockar men viktigast ändå är vilken kompetens DU ska ha! Lär man sig bara genom kurs förresten? Vi önskar det fanns fler kurser som drivs av akutläkare, kom igen plz!! Arin och Hilda minns såklart bara freaky stuff från sina kurser och allt Cliff Reid har gjort.

The River Nore provides a great space for outdoor activities and in this programme we feature some of the people who swim, fish, walk and boat on the river. Featuring Denis Drennan, Paddy Dunne, Tommy Hoyne, Aidan Brennan, Donnachadh Brennan and the Thomastown Paddlers, Cliff Reid and finally Maura Brennan of the Acorn Project who is involved in educating young people about their environment. Funded by Kilkenny LEADER Partnership CLG through the Department of Rural and Community Development and the EU

Cliff, based in Australia, talks us through the zero-point survey, why it is important and how we use it for the emergency setting. Top 3 Points from this podcast: There are multiple opportunities to optimise how a prehospital mission goes that present themselves long before you set eyes on the patient(s). No matter how good you are (or think you are), it's the output of the TEAM that ultimately determines patient outcome. Effective scene management / environmental control is the key determining factor between expert and non-expert prehospital care. Resources: Zero Point Survey: A Multidisciplinary Idea to STEP UP Resuscitation Effectiveness. REID, C., BRINDLEY, P., HICKS, CARLEY, S., RICHMOND, C., LAURIA, M., & WEINGART, S., 2018.  Clinical and Experimental Emergency Medicine. 5(3), pp 139-143. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166036/ About Cliff: Cliff works for New South Wales Ambulance as one of the retrieval physicians with Sydney HEMS. He also works in emergency medicine and intensive care. He is fascinated by the factors that optimise team performance in resuscitation.

Trauma care should be easy… shouldn’t it? So why doesn’t it feel easy? The clinical component is the easy bit, the challenge is the non-technical factors. Clare Richmond, Chris Hicks, Cliff Reid take us through a SMACCForce simulation debrief and discuss the human factors of trauma care. For more head to: codachange.org/podcasts

Did you ask about thrombolysis? We are here to deliver anxiolysis! In this second of a two-part episode of 2021, we discuss "crisis resource management" (CRM) in acute stroke - a cognitive, mindfulness, and non-technical framework for optimizing clinical performance and working in high-performing teams. CRM is a tool to master four operational domains: that of the self, teamwork, our working environment, and of course, (care for) our patient. Using CRM principles helps make us better clinicians, work more effectively in teams, and maintain a calm sense of vigilance. We re-introduce the concept of a "zero point survey" (Reid et al. 2018) as a starting point before coming on-call for a code stroke and as a tool for better self-awareness and performance. High-performing teams support good clinical outcomes at the resuscitation phase and apply to all subsequent patient care settings. Central to a high-performing team are principles of CRM and their timely application to stroke care. We review our paper in Neurocritical Care titled: "Crisis Resource Management and High-Performing Teams in Hyperacute Stroke Care" with three of the authors: Rajendram, Notario, Khosravani - In this episode we conclude this talk on "how to be a bad-a$$ stroke" resus doc! Crisis Resource Management and High-Performing Teams in Hyperacute Stroke Care by: Phavalan Rajendram, Lowyl Notario, Cliff Reid, Charles R. Wira, Jose I. Suarez, Scott D. Weingart & Houman Khosravani (Neurocritical Care, published in 2020) Zero point survey: a multidisciplinary idea to STEP UP resuscitation effectiveness Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance Cliff's Great talk - Making Things Happen

Did you ask about thrombolysis? We are here to deliver anxiolysis! In this first of a two-part episode of 2021, we discuss "crisis resource management" (CRM) in acute stroke - a cognitive, mindfulness, and non-technical framework for optimizing clinical performance and working in high-performing teams. CRM is a tool to master four operational domains: that of the self, teamwork, our working environment, and of course, (care for) our patient. Using CRM principles helps make us better clinicians, work more effectively in teams, and maintain a calm sense of vigilance. We re-introduce the concept of a "zero point survey" (Reid et al. 2018) as a starting point before coming on-call for a code stroke and as a tool for better self-awareness and performance. High-performing teams support good clinical outcomes at the resuscitation phase and apply to all subsequent patient care settings. Central to a high-performing team are principles of CRM and their timely application to stroke care. We review our paper in Neurocritical Care titled: "Crisis Resource Management and High-Performing Teams in Hyperacute Stroke Care" with three of the authors: Rajendram, Notario, Khosravani Crisis Resource Management and High-Performing Teams in Hyperacute Stroke Care by: Phavalan Rajendram, Lowyl Notario, Cliff Reid, Charles R. Wira, Jose I. Suarez, Scott D. Weingart & Houman Khosravani (Neurocritical Care, published in 2020) Zero point survey: a multidisciplinary idea to STEP UP resuscitation effectiveness Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance

Idag pratar vi med Katrin Hruska, Arins ständiga plåga och mentor. Katrin har haft ett starkt engagemang från start och har varit ordförande i SWESEM samt organiserat SWEETs under många år. Vad har Katrin fått för insikter om akutsjukvården under tiden? Varför passar inte ett vanligt 9-till-5-jobb för nån av oss och hur befriendar man Cliff Reid?! Medverkande: Katrin Hruska, Hilda och Arin, samtliga akutläkare

In this episode I meet Dr Cliff Reid, Consultant in Emergency Medicine, Intensive Care Medicine and Prehospital and Retrieval Medicine, whose clinical practice has spanned both UK and Australia.  For over a decade he has become most prominently known and regarded world wide for his passion for Medical Education and particular for his knowledge and teaching the art of practice and the broader facets of high performing individuals, teams and systems.  In this conversation we explore his own professional journey to date, his mission as a clinician and medical educator and delve into human factors, leadership, communication, how to be lifelong learner and professional longevity in medicine.  In this very candid conversation Cliff shares his own vulnerabilities on the professional continuum as we discuss the trajectory towards expertise and mastery.  I'm delighted to have my book list replenished by the end of this conversation. I feel clinicians and non clinicians alike will find some valuable and very practical take home pearls from this brilliant medical mind. "There are people who make things happen, there are people who watch things happen, and there are people who wonder what happened. To be successful you need to be the person who makes things happen" Jim Lovell More from Dr Cliff Reid:https://resus.mehttps://twitter.com/cliffreidResources and links discussed in this episode:https://www.youtube.com/watch?v=PXAMlCwQAyYhttps://www.youtube.com/watch?v=B6jkoGKAE_4https://emcrit.org/emcrit/team-leadership/https://resuscitology.comDisclaimer: The content in this podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your doctor or other qualified health care professional. Moreover views expressed here are our own and do not  necessarily reflect those of  our employers or other official organisations.

This week on The Bottom Line on KCLR John Purcell spoke with Olga Barry, Director of Kilkenny Arts Festival about the arts sector and it's impact on the economy, what the festivals such as Kilkenny Arts Festival would have contributed to the local economy in previous. They also chat about how the Festival is taking place this year.Cliff Reid of BoatTrips Ireland chats to John about his company which offers boat trips on the River Nore in Kilkenny and the River Barrow in Carlow and how they are adapting to new reality of Tourism industry.The Little Mill Company based in Bennettsbridge, Co. Kilkenny was one of the companies who during the height of the lockdown would have been at their busiest, ensuring that they flour they produce was in plentiful supply for a nation who couldn't get enough of baking. Robert Mosse, Director of The Little Mill Company joined John to chat about their business, operating through Covid and what learning they would take from it.MySkin Integrity Ltd is a Kilkenny based business which creates natural skincare products to help soothe and support clients during their cancer journey.  The business was founded by Denise O'Connell who joined John to chat about her business and how it began.Sunshine Juice Ltd a local company based in Tinryland, Carlow is one of the largest freshly squeezed orange juice producers nationally, and MD Paul Walshe spoke with John about his organisation, working through Covid and the products that they produce.Deirdre Dunne, Enterprise Executive with Kilkenny Local Enterprise Office joined John on the programme to chat about the recent Shop Local, Shop Safely which took place across the County.With thanks to O'Neill Foley, Produced by Deirdre Dromey.To contact the show, email thebottomline@kclr96fm.com

Whether it's in regard to scope of practice, clinical judgment, or professional communication, transport is a very dynamic environment. We had the privilege of welcoming the infamous Dr. Cliff Reid to the show to discuss his and Sydney HEMS' approach to all of these areas. Tune in and learn how to be a high level transport provider from one of the best in our industry. Get CE hours for our podcast episodes HERE! ------------------------------------------------ Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet YouTube /heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: The views, information, or opinions expressed during the Heavy Lies the Helmet, LLC podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information contained in this podcast. The primary purpose of this podcast is to educate and inform. This podcast is not a substitute for critical thinking and good judgment. Always follow your local laws and Medical Direction. ------------------------------------------------  Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com Creative Commons Attribution 3.0 Unported License https://creativecommons.org/licenses/by/3.0/deed.en_US

A few weeks ago I posted this scenario on FB . 60 yr male who was in an MVC and is pinned in the driver seat with an obvious closed femur fracture. Firefighters estimate extrication will take 20 minutes. Patient is confused and screaming in pain and asks you to please give him something. He keeps trying to self extricate and is getting in the way of the firefighters tools.  Vitals  BP- 86/52 HR- 118 SPO2 96% on RA  RR 26 You are unable to obtain and IV and firefighters ask you if you are able to give the patient something IM to calm him down through the extrication process.  Do your guidelines discuss extrication sedation? What drug and dose? The comments were very interesting and I wanted to get someone well respected in the HEMS and prehospital environment on the show to give their thoughts. Dr. Cliff Reid is a seasoned retrieval physician who works for Sydney HEMS in Australia. This is his second time on FOAMfrat and we always have a great discussion. I think you will enjoy!

Cliff Reid on Team Leadership

Our regular round up of the best of the blog from September 2019. A fairly quiet month for us, but some great content including a fabulous video from Cliff Reid on the Zero Point survey and on a related resus note, the concept of the UK resuscitationist with Dan Horner.

Cliff Reid, Geoff Healy, and Chris Nickson discuss a fictionalised case from the Resuscitology course: "Oncology patient in resus", including airway management and failure of video laryngoscopy, and the challenges of resuscitation in the context of potentially terminal illness.

This month we had the privilege to chat with Cliff Reid (@cliffreid)- a Retrieval Physician with Sydney HEMS. Dr. Reid has an extensive history in HEMS and emergency/critical care medicine. I wanted to pick his brain on a variety of topics such as:   Receiving a report from the crew you are intercepting with. As you and your partner enter the back of the ambulance of the crew you are intercepting with, there is a tendency for one person to begin talking to your partner while the other speaks to you. This can create an inefficient communication pattern that leaves gaps in the handover.    Delegating tasks on scene. Sometimes a specific skill needs to be executed, and that intervention falls within the scope of practice of the crew you are intercepting with. Do you let them perform it, knowing that they didn't recognize or were intimidated to perform the skill prior to your assessment? Do you use this as a teaching opportunity?   Creating a constructive culture of peer review. Nothing can be more uncomfortable than giving your partner or colleagues feedback after a mission. Dr. Reid discusses his approach to this necessary interaction in which he calls "Coffee & Cases".   All this plus a lesson on the endangered wangaroo.   https://www.foamfrat.com/single-post/2019/08/16/Podcast-82---Handovers-Delegation-and-Critique-w-Cliff-Reid

FOAMed is just not for English speakers. We love a bit of FOAMote (FOAM other than English) At SMACC I set out to meet the international visitors to find out about their version of Critical Care. And let me tell you, the Chilean version is pretty impressive. Chile is special. The longest country in the world with the driest desert, the highest lakes, the highest volcano, a huge mountain range making it strangely isolated and then they have Patagonia. The health system is highly developed. Emergency medicine has been growing for 25 years and there are conspicuous local and imported protagonists to thank. https://developingem.com/2014/08/14/presenter-profile-billy-mallon/ If you only read one article to accompany this podcast let it be this one: https://www.sciencedirect.com/science/article/pii/S0716864017300299 These days the home grown talent is taking up the reins and I was lucky to meet 4 of them at SMACC. Chile probably has the most high functioning health system in South and Central America. Based on a solid economy and a long history of professional advocacy the discipline of Emergency Medicine is now formally recognised by the Ministry of Health and by the rest of the world. Chile could become a power house of critical and emergency care in the Spanish speaking world. Do not underestimate these people. Cesar, Loreto, Manuela and Josefina came to SMACC in Sydney where I was waiting to meet them. Have a listen to what this group have to say. Challenges do, of course, remain. Chile has long since made the “epidemiological transition” to 1st world pathologies. The delivery of care still varies depending on location. Santiago is very well served but the regional and rural areas less so. They have robust public health and vaccination programs, but there is a resurgence of some infectious diseases in part related to population movement. Their economy is strong and their government has been increasingly willing to take on the responsibilities that go with being a regional power. Their borders are long and they have had a huge increase in asylums seekers, refugees and other immigration in recent years. Not insignificant numbers of French Creole speakers have come from Haiti, perhaps related to the presence of Chilean peace keepers. Mass immigration is new. The challenges it brings are huge. It’s a steep learning curve. But, let’s face it, we like steep learning curves! Some links, links are good; The App Josefina Larraín spoke about is Reanimapp ( @reanimapp ) The city with the large indigenous population is Temuco. The indigenous language spoken in the hospital is Mapudungun. “Do not underestimate the South American countries.” So said a wise woman from Santiago. Chilean Spanish Language #FOAMed resources; Mueve www.mue.cl Twitter @MUE_14 Sociedad de Chilena Medicina Urgencias www.socihmu.cl Twitter @Sochimu MonKeyEM www.MonkeyEM.com Twitter @MonKey__EM MCU Universidad de Chile www.mdu.cl Twitter @UChileEM Conferences Sochimu has its first Congreso Medicina de urgency 21-22 Nov. 2019 https://www.sochimu.cl/noticias/1%C2%BA-congreso-medicina-de-urgencia The conceptos conference is in 11-14 September 2019 http://www.urgencia.uc.cl/conceptos/ These are not small events; Chris Nickson, Cliff Reid, Amal Mattu and Vic Brazil have spoken there. They know a bit about this sort of thing. Chile is amazing. But don’t take my word for it.

SMACCForce: Retrieval Medicine Lessons Relearned by Cliff Reid

Cliff Reid and Brian Burns talk about a recent life-changing experience... participation in the amazing ATACC course.

Cliff Reid is known to most people in prehospital and emergency medicine. Here's 10 lessons from his many years developing the outstanding team training for the Greater Sydney Area HEMS service.

Cliff Reid is a Doctor and Specialist who works in both emergency and intensive care as well as pre-hospital retrieval medicine. To put it simply, Cliff provides emergency care to people who experience sudden unexpected extreme forms of physical suffering. I got the chance to meet Cliff out at the brand new multi-million dollar Helicopter Read MoreThe post Episode 119 - Cliff Reid (Doctor/Specialist - Emergency and Intensive Care, Pre-Hospital Retrieval Medicine) appeared first on The Andy Social Podcast.

Cliff Reid, Karel Habig, Nat May, Brian Burns, and Geoff Healy introduce 'Resuscitology' (http://resuscitology.com/) - a new two-day residential course being held at the Fairmont Resort in the Blue Mountains near Sydney, May 9th and 10th 2018.

Drs Natalie May, Geoff Healy, and Cliff Reid discuss missions in which the prehospital medical team is diverted to a hospital because their patient has been moved from scene to a (non-major) hospital. While one might expect these missions to … Continue reading →

A RAGE session featuring Karel Habig, Cliff Reid, and Chris Nickson: Introduction... kind of (starts 00:00 min) ‘What's bubbling up?' (starts 04:48 min) — an ED checklist for cognitive debiasing, are 'cold' platelets ready for primetime, the ART trial and the open lung approach to ventilation using recruitment manoeuvres ‘What's The Sats Target?' (starts 22:55 min) — the RAGE team discuss what SpO2 targets to aim for, in which patients and diseases, and the tricks and traps of real-world clinical practice. ‘A blast from the past' by Chris Nickson on ‘Rudolph Virchow' (starts  52:52 min) ‘Words of Wisdom' from Cliff Reid (starts  57:10 min)

Jellybean 075 with Aidan Baron; @ALittleMedic Government #FOAMed Warning; Life in the Fast Lane is apparently addictive. You have been warned. Aidan Baron is not really that little when you meet him. If you do twitter you will have noticed this man before. I had doubts that he really existed. Was he something like Max Headroom or Ultron? No! He is a lovely man! He is a lovely man that has been enthusiastic about Para-medicine since, like, forever! Being a self confessed social media nerd he was way ahead of the curve when he caught up with all the #FOAMed fuss! He reached out to some of the people that he really admired, people like Cliff Reid (@cliffreid) and the rest is history. So lets get stuck in to some of his areas of interest because, basically, they are interesting. Even before paramedic training Aidan had a strong focus on ultrasound and #POCUS. He is a proper enthusiast too, he brought an ultrasound machine with him to Nepal just after he left school. Then it started to snow ball and ultrasound seems to have become a great partner in his training journey. The next thing you know he is writing a Masters on U/S and paramedics. He is pushing paramedic forward and using the SoMe skills he has gained to contribute. https://paramedicresearch.org/ He has also recently spoken at the DFTB17 conference on the matter of LBGTQIA access to healthcare. “Communicating with every colour of the rainbow.” is the title. The DFTB People are releasing talks from next month so see if you can find it, follow the blog or put www.dontforgetthebubbles.com in “Feedly” or whatever you do. It is topical stuff as the Liberal-National Australian Government is presently trying to stir up homophobia to complement their established excellence in the areas of racism and the multi-modal torture of asylum seekers. Aidan is one of the good guys. Check him out and check out Fake Thom too. www.aboutme/aidanbaron @FakeThom (Thom O’Neill) www.youtube.com/ThomONeill http://dontforgetthebubbles.com/the-identity-of-youth-lgbtq/

This RAGE session, featuring Cliff Reid, Brian Burns, and Geoff Healy,  is a NSFW monster clocking in at 2h 48 min 59 sec long!!!  Following an introduction the crew tackle the following questions:  Describe training experiences that have shaped you? What is your experience of trainees, and what attributes of good and bad trainees do you observe? What is your advice on how to be a good resuscitationist?     What are you currently struggling with in your careers?  

In this 25 minute podcast Dr Cliff Reid talks with Cameron Edgar, a senior helicopter critical care paramedic. Cameron has been a paramedic for 23 years, qualifying as an intensive care paramedic, then a special casualty access team paramedic, and then … Continue reading →

Cliff Reid and Geoff Healy discuss challenges in prehospital intraosseous and intravenous access, covering how to avoid pitfalls and what their own individual practice preferences are in the prehospital and in-hospital settings (22 mins).

Cliff Reid, Karel Habig, and Geoff Healy discuss the approach to patients with penetrating injury.

Cliff Reid, Karel Habig, and Geoff Healy discuss the approach to patients with hypoxia and obstructed airways, prior to rapid sequence induction. This is all about effective basic airway management.

Cliff Reid, Karel Habig, and Geoff Healy discuss how to minimise prehospital scene time while providing meaningful interventions.

In this podcast, Cliff Reid, Karel Habig, and Geoff Healy discuss how to do a prehospital primary survey Reference: Ware S, Reid C, Burns BJ, Habig K. Helicopter emergency medical service registrars do not comprehensively document primary surveys. European Journal … Continue reading →

Cliff Reid unites our passion of Critical Care in his SMACC Chicago talk Advice to Young Resuscitationist - It’s up to us to Save the World. Talking us through his advice to his former younger self, Reid sights mistakes, case examples, and essentially provides us with invaluable tips to nudge us along to Resus Mastery. Reid offers the following advice to his former, younger self; Your career and speciality is a journey and you chose your destination: Don’t be defied by the expectations of one chosen path. Have an appreciation of what other specialities can add and what you can learn from them. Leave your ego at the door. Have a balance of confidence and competence. When something goes wrong you have to change something: Be it either yourself, your colleagues or the system. Follow up on your hypothesis: You won’t know if you got it right or wrong and will not gain or learn from the experience. Preserve comfort and dignity for your patients: 'No one knows how much you know, until they know how much you care' - Greg Henrey. Protect yourselves: Think about the people around you and share your experience with them, chose your colleagues and where you work wisely. Increase team cohesion - it is protective against burnout and compassion fatigue. Be Aware: look after the tools of your trade, your body and mind. Try and maintain good physical health, and train your mind to be more effective under stress. Remember society puts their trust in you - you only fail them when you fail to learn in them. Every patient is a gift/lesson accept it with grace and gratitude. Behave in the way you want to be remembered. Keep perspective and enjoy the ride!

The master of Dogmalysis himself, Cliff Reid, challenges current practices in prehospital and emergency medicine. Warning listeners to be skeptical, Cliff dissects the dogma of acute crush injuries and spinal immobilization. He also explores the false dichotomy of “scoop and run vs. stay and play”. Cliff reminds us that “not to challenge current practice is intellectually lazy”.

Mark Wilson hosts an all-star cast!Summary By: Mark Wilson Traumatic brain injury (TBI) is a hugely important topic in critical care. It is a major cause of morbidity and mortality throughout the world with hospital presentations totaling over 2million in the US, 1 million in the UK and 700,000 in Australia each year. Not only do they represent a huge proportion of injuries, but they are a unique in their potential to fundamentally change “who a person is”. As critical care and trauma practitioners there are many aspects of management that can change outcomes for patients in the short and long term. Dr Mark Wilson (@MarkHWilson) is a neurosurgeon and doctor for the Air Ambulance in the UK. In this session from SMACC Chicago entitled “It’s a Knockout”, he expertly leads a discussion which holds a magnifying glass to the current practice guidelines for managing TBI as taught in ATLS.  On the discussion panel is a star-studded international cast including: Pierre Janin, Andrew Dixon (@DrAndrewDixon), Karim Brohi (@karimbrohi), Karel Harbig (@karelharbig), Deb Stein, Michael McGonigal, Bill Knight, John Hinds and Ralph the Janitor (who looks remarkably like Cliff Reid @cliffreid). In this discussion forum, international specialists from the fields of neurosurgery, intensive care, trauma surgery, emergency medicine and radiology engage in a discussion of the step-by-step management of a real case of a patient with a head injury. This discussion highlights the many management controversies including how to manage the c-spine, whether or not to oxygenate, whether or not to intubate, when to extubate, if and how to sedate the patient, when to CT and how to monitor the head injured patient. In typical SMACC style this discussion demonstrates the approach to the management of a patient from different vantage points and demonstrates why it is so difficult to come to a consensus of the approach to this type of injury. Panelists delve into the features of TBI that you won’t find in textbooks including impact brain apnoea, multi-compartment syndrome and more. Watch out for the a segue into the Good Sam App, a smartphone app which alerts registered medically trained personnel to nearby emergencies to minimize downtime when medical emergencies occur. This forum has everything you have come to love and expect from SMACC including international experts, heated debates, controversial #hashtags, guest speakers and more!

Victims of electrical injuries present either in extremis or as the seeming well patient with insidious, developing disease. A targeted history usually gets you the information you need.     Four main things to find out: 1. Household or Industrial electricity? Household electricity uses alternating current, or AC.  Voltages across the world range anywhere from 100 to 240 V.  Here in North America, most outlets and appliances use 120 volts, which is the measure of electrical tension, or the potential difference in electrical charge. Cut-off between low voltage and high voltage is 1000 V. Industrial energy may be AC or direct current, DC.  DC current propels the victim -- think of this as a blast injury.  The same voltage in AC is three times as damaging as that voltage at DC, because AC causes muscle tetany, and prolonged contact time. 2. What was the likely pathway that current took? Did the current pass through the thorax?  -- Think dysrhythmias.  Through the head or neck?  -- Think damage to the CNS and risk for later central respiratory arrest; acoustic nerve damage; cataract formation.  Did the current pass along an extremity? -- Think compartment syndrome and rhabdomyolysis. 3. What was the contact time? The electrical charge meets resistance and converts to thermal energy, which causes tissue necrosis, increasing with the contact time.  Was your patient extricated?  Was there tetany?  Was he found in a pool of water or liquid?  Longer contact time correlates with extensive injuries that may only be apparent hours later. 4. Are there any associated injuries? Think of electrical injury as a trauma – major trauma rarely occurs in isolation.   Was the patient flung after contact?  Did he have a syncopal episode? -- Think precipitated dysrhythmia and fall.   Was there any chest pain?   -- Consider stress-induced ischemia.   Pearl: Patients may be confused initially or unable to localize symptoms because of CNS disruption.  Get collateral information, re-interview, and re-examine as needed.    Case 1: Toddler with an oral commissure burn An electrical burn to the angle of the mouth cauterizes superficial bleeding vessels, and hours later the wound becomes covered with a white layer of fibrin, surrounded by erythema.  Edema and thrombosis will continue, and at 24 hours there is typically a significant margin of tissue necrosis.  Most patients do well, and the burn heals by secondary intention.  The eschar will slough off in 1 to 2 weeks.  The labial artery is just deep to the burn, and as the eschar sloughs off, it can be exposed.  It’s a high-flow artery to the face, and if disrupted, the child may have significant bleeding and possibly hemorrhagic shock. These children need close wound care follow-up, and potentially outpatient coordination with Head and Neck Surgery and/or Plastic Surgery consultants. Precautionary advice:  take the moment to talk to parents about the risk, and show them how to apply pressure to the wound, pinching the inner and outer cheek together with the thumb and index finger until the child arrives to the hospital. Case 2: School-age child with knife versus electrical outlet A a “kissing burn” occurs when the electrical charge creates an arc and jumps to a more proximal portion of the extremity. The kissing burn typically occurs at flexor creases such as the wrist or the antecubital fossa.  There is often extensive underlying tissue damage even under the skin where it doesn’t appear to be involved.  Compartment syndrome and subsequent rhabdomyolysis and renal failure are the highest-risk complications. Case 3: Adolescent after a taser exposure Nitrogen capsules propel two barbs into the dermis, which deliver short bursts of energy; most patients have no harm from the electricity delivered. How to remove a dart:  The darts are typically 9 mm long, but the small barb is typically not buried very deep in the skin.  Hold the skin taught, use a hemostat to grasp the end as close to the skin as possible, align the dart perpendicularly to the skin, and pull quickly and firmly. If the patient can’t tolerate this or the barb appears particularly embedded, inject with local lidocaine and make a small superficial incision with an 11-blade scalpel just large enough to allow passage.   Ultrasound can be used to troubleshoot when needed. Taser dispo:  People who have been tased do remarkably well and complications are rare.   In a review of tasers used by law enforcement, Vilke et al. found that there was no need for routine laboratory testing or observation, as there was ‘no evidence of dangerous laboratory abnormalities, physiologic changes, or immediate or delayed cardiac ischemia or dysrhythmias after exposure to electrical discharges of up to 15 s.”  Subsequent studies with minors less than 16 years of age found similar results. Special note on the patient with agitated delirium or stimulant intoxication: treat these patients carefully, as the organic problem that got them tased in the first place still needs to be addressed, and substances such as PCP, cocaine, and methamphetamines are all cardiac irritants and may predispose them to dysrythmias. Case 4: Adolescent in full arrest after lightening strike Patients who are struck by direct current like lightening should be treated aggressively, because the reason for their cardiac arrest is often reversible if treated quickly.  Either the current sent the victim into a dysrhythmia, or it caused a temporary paralysis of the thoracic muscles, resulting in a primary respiratory arrest. For victims of a lightning strike, classically we use reverse triage – normally, those in full arrest are triaged as black, deceases.  In high-voltage and lightening injuries, we tend to those in full arrest first, because you might quickly reverse them, and can move on to the next patient triaged red, or immediate. High-voltage injuries are a multi-trauma – other sequelae include pulmonary edema, paralysis, ileus, and cataracts, in addition to the more immediate cardiac, musculoskeletal, neurologic, and renal considerations. Regardless of the exposure, obtain an ECG and look for bundle branch block, heart block, and dysrhythmias, since those will change disposition.  In those who are injured, consider a basic metabolic panel, looking for potassium, calcium, and creatinine.  A creatine phosphokinase or total CK will screen for rhabdomyolysis.  Troponin is not predictive of the extent of direct myocardial damage, but get it if you think there might be a stress-induced, or type II MI.  Radiography as needed depending on the presenting associated trauma.   Take Home Points 1. Injury from electrical burns can be subtle.   Think of patients as having occult multi-trauma.   Be thorough in history and examination.  Plan to re-examine either during observation in the ED, or in close outpatient follow-up. 2. Discharge patients with low-voltage injury, no symptoms, and a normal ECG.  Counsel outpatients and provide close follow-up as appropriate. 3. Admit patients with low-voltage injury with signs or symptoms such as loss of consciousness, ECG changes, or evidence of end-organ damage on laboratory screening.  Admit all patients with high-voltage injury, even if asymptomatic and a normal laboratory screen. 4. Transfer patients with high-voltage injury or significant burns to a regional burn center or trauma center. References Celik A, Ergün O, Ozok G. Pediatric electrical injuries: a review of 38 consecutive patients. J Pediatr Surg. 2004;39(8):1233-1237. Ericsson KA. Deliberate Practice and Acquisition of Expert Performance: A General Overview. Acad Emerg Med. 2008; 15:988-994. Fish RM. Electric injury, part I: treatment priorities, subtle diagnostic factors, and burns. J Emerg Med. 1999;17(6):977-983. doi:10.1016/S0736-4679(99)00127-4. Fish RM. Electric injury, part II: Specific injuries. J Emerg Med. 2000;18(1):27-34. doi:10.1016/S0736-4679(99)00158-4. Fish RM. Electric injury, part III: cardiac monitoring indications, the pregnant patient, and lightning. J Emerg Med. 2000;18(2):181-187. doi:10.1016/S0736-4679(99)00190-0. Horeczko T. “Electrical Injuries: Shocking or Subtle?” In Avoiding Common Errors in the Emergency Department, 2nd Edition. Mattu M, Swadron SP (eds). Lippincott, Williams & Wilkins. Phiadelphia. 2016. (In Press). Rai J, Jeschke MG, Barrow RE, Herndon DN. Electrical Injuries: A 30-Year Review. J Trauma Acute Care Surg. 1999;46(5):933-936. Vilke GM, Bozeman WP, Chan TC. Emergency department evaluation after conducted energy weapon use: review of the literature for the clinician. J Emerg Med. 2011; 40(5):598-604. This post and podcast are dedicated to Joelle Donofrio, MD, FAAP for her tireless care of children, in the ED and in the field.  A special thank you and dedication to Cliff Reid, BM, FRCP(Glasg), FRCSEd(A&E), FRCEM, FACEM, FFICM, FCCP, EDIC, DCH, DipIMC, RCSEd, DipRTM, RCSEd, CCPU, CFEU for his transformative intelligence and educational verve.

Cliff Reid, CEO of Complete Genomics, is back on the conference circuit, touting a new product. After years of building his company to do sequencing as a service, Cliff presented data at last week's ASHG meeting on Complete's first sequencer as a product, or what they are calling the Revolocity supersequencer. Cliff was a pioneer in developing the service model, offering only whole human genome sequencing. But after being bought out by BGI, who already had a service business in China, he was compelled to shift his business model to that of selling sequencers.

FOAMcast is bringing you pearls from conferences we attend including SMACC.   The overarching theme to Day 1 at SMACC?  Use your team-to check you and for feedback.  Dr. Cliff Reid reminded us to follow up our patients and outcomes and learn from it all, without letting our egos get in the way.   Dr. Simon Carley (St. Emlyn's) gave a powerful talk on learning from mistakes later in the day; you will definitely want to listen to these when they come out. We cover trauma pearls from Dr. Scott Weingart, pain pearls from Dr. Reuben Strayer, tox pearls form Dr. David Juurlin, and a bunch of sepsis goodness. 

The RAGE team are joined by many friends to recap the smaccGOLD experience: Rich Levitan (@airwaycam) Scott Weingart (@emcrit) Haney Mallemat (@CriticalCareNow) Michaela Cartner (@mjcartner) Karel Habig (@karelhabig) Chris Nickson (@precordialthump) John Hinds (@docjohnhinds) Cliff Reid (@cliffreid) Mark Wilson (@markhwilson) Oli Flower (@oliflower)

Guest: Cliff Reid, CEO, Complete Genomics Bio and Contact Info Listen (3:55) What do you make of recent crackdown on genetic testing in China? Listen (5:19) Self pay model better for health care

Cliff Reid joins me for the 1st EMCrit book club on the book, On Combat by Dave Grossman

This was my favorite lecture from SMACC 2013. If you are not moved and inspired then your heart is made of stone.

Reid's not to be missed talk takes medical care to a whole new level. Prepare to be moved.

Cliff Reid runs the amazing Resus.me site and any listener of EMCrit knows that I have an enduring (and purely platonic) love for Cliff and all of his teachings.

Cliff Reid makes things happen conveying the core concepts of an optimal resus as performative act. Our final talk from the resuscitation plenary.

Cliff Reid on owning the resuscitation room

Today, I put on my head-shrinker cap (it is a fez) and get Cliff Reid on the coach

Prehospital Doc Cliff Reid's tips for intubation

Part II of an interview with EMS Physician Cliff Reid of the amazing blog, resus.me.

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.

I was lucky 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.