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Introductions to Allan, Rob, and the Resus Tonight vehicle. We're most active on Twitter @ResusTonight.

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The intubated, altered neuro patient waiting for an ICU bed in your ED can be daunting. Here we talk about the best ways to examine, trend, recognize, and communicate your findings to your team.

• Components to one method of neurological exam
• The pitfalls of the Glasgow Coma Scale
• Brain anatomy in ICP

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Are you looking for pathology beyond a STEMI when ordering and interpreting a 12-lead EKG? In this episode we introduce you to other patterns you should look for, especially in the undifferentiated patient presenting with a suspicious story. We'll have you quoting Sgarbossa, Brugada, and AvR pathology in no time!

• Sgarbossa - https://litfl.com/sgarbossa-criteria-ecg-library/
• Brugada - https://litfl.com/brugada-syndrome-ecg-library/
• AvR Stemi - https://litfl.com/lmca-occlusion-st-elevation-in-avr/

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This is part 1 of 2 with our friends Landon and Monique from the NursEM podcast where we about common legal, regulatory, and advice for documentation.

• Does charting MD aware absolve you from responsibility?
• Does charting will continue to monitor actually mean anything to a nursing legal expert and a regulatory body?
• How is the regulatory college of nurses different than the legal system?

Find the NursEM podcast at http:///www.nursem.org or on Apple Podcasts, Google Play, and Spotify.

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Twitter: @ResusTonight

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This is part 2 of 2 of our interview with Landon and Monique from the NursEM Podcast.

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Twitter: @ResusTonight

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If you aren't using waveform capnography where appropriate, you are not evaluating ventilation and gas exchange properly.

It is a highly reliable way to evaluate CPR effectiveness and return of spontaneous circulation

• It can also be used as a prognosticator for cardiac arrest
• Capnography is probably the single most useful tool for monitoring patient status during procedural sedation
• Waveform capnography can be used as a marker of metabolic assessment

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In our experience, nurses get little to no education on cognitive bias in their bachelor's degree program. For a review of anchoring bias, click here.

Allan shares a clinical experience where he anchoring bias can affect patient care.

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Alpha, beta, V1 and V2 receptor goodness is talked about in this episode. This episode also features Allan turning into The Rock.

• Inotropy means increased myocardial contractility
• Chronotropy means increased heart rate
• Vasopressor means squeezing of the blood vessels
• Scott Weingart (reference below) coins a term Inopressor, where some drugs cause all of the above – one such example is epinephrine
• Alpha 1 receptors are found in the periphery and are responsible for vasoconstriction
• Alpha 2 receptors are in the periphery and are responsible for vasodilation
• Beta 1 receptors are primarily in the myocardium and cause ino and chronotropy
• Beta 2 receptors are in the lungs and result in bronchodilation
• V1 receptors are in the blood vessels
• V2 receptors are in the kidneys