Resus Tonight - Critical Care and Emergency Nursing

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.

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

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. 

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.

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!

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.

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

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

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. 

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