RAGE Session: “What’s the Sats Target?”

Summary: It is time to RAGE again! This one is 61:38 min long and includes: * 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) The RAGE podcast is on  iTunes here and the RAGE podcast audio feed is available here. Here are the show notes for this RAGE Session : Introduction * :-) What’s bubbling up? * Graber ML, Sorensen AV, Biswas J et al. Developing checklists to prevent diagnostic error in Emergency Room settings . 2014; 1(3). [article] * Mike Clancy’s Cognitive Checklist Diagnosis: Interpreting the Shadows by Pat Croskerry et al (Google Books) * All Doctors Are Jackasses by Chris Nickson (LITFL) * Johnson L, Tan S, Wood B, Davis A, Marks DC. Refrigeration and cryopreservation of platelets differentially affect platelet metabolism and function: a comparison with conventional platelet storage conditions. Transfusion. 2016; 56(7):1807-1818. [pubmed] * FDA Approves Cold Platelets For Resuscitation * ART investigators writing group. Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in Patients With Acute Respiratory Distress Syndrome: A Randomized Clinical Trial. JAMA. 2017; 318(14):1335-1345. [pubmed] [article] Open Lung Approach To Ventilation (LITFL CCC) Lung Recruitment Manoeuvres (LITFL CCC) What’s The Sats Target? * Oxygen Saturation Targets in Critical Care (LITFL CCC) * Oxygen: The Molecule that Made the World by Nick Lane * Grocott MP, Martin DS, Levett DZ, et al. Arterial blood gases and oxygen content in climbers on Mount Everest. The New England journal of medicine. 2009; 360(2):140-9. [pubmed] * Unger S, Cunningham S. Effect of oxygen supplementation on length of stay for infants hospitalized with acute viral bronchiolitis. Pediatrics. 2008; 121(3):470-5. [