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The Resus Room

Blood gases; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8678 Ratings

🗓️ 15 November 2023

⏱️ 56 minutes

🧾️ Download transcript

Summary

Blood gases are really commonly used in ED, Critical Care, Respiratory Medicine and Prehospitally. In fact, you’d do well to walk 10 meters in an ED without being given one to sign off! But it’s for good reason, because they give you additional information about what’s going on from a respiratory and metabolic perspective in the patient.

And it’s probably worth mentioning at this point, this episode is going to be pretty ‘science-heavy’, there should be something in here for everyone; from the clinician that's been looking at these things for the last 30 years, to those that haven't started interpreting gases.

So arterial blood gases can tell you about the efficacy of the patients ventilation in terms of their partial pressures of oxygen and carbon dioxide levels and also from a metabolic perspective about other disorders of their acid-base balance. 

In the episode we'll be covering the following;

-Overview of blood gases

-Respiratory & metabolic sides of the gas

-Acidaemia

-Alkalaemia

-Bicarbonate or base excess?

-Compensation

-Oxygenation

-Anion gaps

-System of interpretation

-Venous gases

-Clinical application & examples of interpretation

We'll be referring to the equation listed on our webpage, so make sure you go and have a look at that and all the references listed.

Once you've listened to the podcast make sure you run through the quiz below to consolidate the concepts covered with some more gas examples and of course get you free CPD certificate for your TheResusRoom portfolio!

Once again we'd love to hear any comments or questions either via the website or social media.

Enjoy!

Simon, Rob & James

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to the recess room podcast.

0:03.5

Five, four, three, two, one, fire.

0:12.3

So hi, and welcome back to the recess room podcast.

0:15.4

I'm Simon Lang.

0:16.6

I'm Rob Fenwick.

0:17.5

And I'm James Yates.

0:18.7

And this is the roadside to recess on blood gases.

0:22.4

Oh, it certainly is, and I'm looking forward to this one.

0:24.7

But, you know, I think this needs to come with a disclaimer.

0:27.1

Because, you know, I know a lot of people like to kind of multitask when they're listening to our podcast.

0:31.3

But this is not the episode for that.

0:33.2

So, you know, put down the iron, lay the baby back into its cot, and you need to focus for this one.

0:38.3

The hydrogen iron or the hot one for the clothes.

0:41.7

Either's fine. Just don't hold anything while you're listening to this episode. Either's fine. It's deep.

0:46.5

We are going deep with this.

0:48.8

From my perspective, this has been a really interesting one, because I think blood gases we see all the time,

0:53.7

but there have been some

0:54.4

real nuggets of information that we've come across prepping for this so hopefully this will

0:58.6

offer you all something valuable. Before we get going though a huge thanks to zol medical corporation

1:04.9

who collaborate with us on the podcast and make this all free open access and available to you in their support of delivering

1:12.8

excellent care for patients.

1:15.5

So without further ado, let's crack into the episode.

...

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