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The Resus Room

April 2017; papers of the month

The Resus Room

Simon Laing

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

4.8678 Ratings

🗓️ 1 April 2017

⏱️ 32 minutes

🧾️ Download transcript

Summary

This month we look at a paper concentrating on the risk of contrast induced nephropathy in contrasted CT scans, looking specifically at the need to hydrate at-risk patients prior to and following CT scans.

The use of prehospital blood is also under the spotlight with the ongoing RePHILL trial. We look at a paper reviewing prehospital blood use with the Kent Surrey Sussex prehospital service and the described physiological changes seen in patients receiving blood. Make sure you also go over and check out the podcast episode from PHEMCAST on the RePHILL trial with Jim Hancox.

Finally I was lucky enough to catch up with Johannes von Vopelius-Feldt, the lead author of a paper in press on the impact of prehospital critical care teams on out of hospital cardiac arrests.

You can find the fantastic opportunity of a scholarship to be an Emergency Nurse Practitioner here from ADPRAC.

Enjoy

Simon & Rob

References & Further Reading

Prophylactic hydration to protect renal function from intravascular iodinated contrast material in patients at high risk of contrast-induced nephropathy (AMACING): a prospectiverandomisedphase 3controlledopen-labelnon-inferiority trialNijssen EC. Lancet. 2017

FOAMcast; Contrast-Induced Nephropathy and Genitourinary Trauma

RELEL.EM; The AMACING Trial: Prehydration to Prevent Contrast Induced Nephropathy (CIN)?

Royal College Radiology; Prevention of Contrast Induced Acute Kidney Injury (CI-AKI) In Adult Patients

Pre-hospital transfusion of packed red blood cells in 147 patients from a UK helicopter emergency medical service. Lyon RM. Scand J Trauma Resusc Emerg Med. 2017

PHEMCAST; blood

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to the Recess Room podcast.

0:03.9

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

0:12.6

So hi and welcome back to the Recess Room podcast. I'm Simon Lang.

0:17.4

And I'm Rob Fenwick.

0:18.5

And this is April's Papers of the Month. It is indeed,

0:22.4

Happy Easter, Simon. Happy Easter indeed, Robert, yes. Chocolate celebrations are plenty. So we've got,

0:29.1

as always, three topical papers that caught our eye in the last month. And we've got a bit of a treat

0:34.8

this month because we've got actually a primary author who's come on the podcast, but more of that in a bit. So the topics we've got a bit of a treat this month because we've got actually a primary author who's

0:37.7

come on the podcast, but more of that in a bit. So the topics we're going to be covering,

0:42.4

we're having a little think about contrast-induced neopathy. And those scans that require

0:46.7

iodinated contrast, whether or not we need to be filling patients up prophylactically with

0:52.0

normal saline before and after their scans.

0:55.0

And then we're going to be looking at pre-hospital transfusion of blood.

0:58.9

And lastly, we've got a paper on pre-hospital critical care teams and whether or not

1:03.5

the presence of such teams at a cardiac arrest leads to better patient outcomes.

1:09.3

Very good. Three nice topics.

1:11.1

So before we crack into those papers,

1:12.8

a big thanks once again to our sponsors,

1:15.5

AdPrak, who make the whole podcast possible.

1:18.4

And they're being able to fund some scholarships

1:20.9

for nurses to become emergency nurse practitioners,

1:24.4

and that's on the job training

...

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