April 2018; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 April 2018

⏱️ 32 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Welcome back to April's papers of the month.

We've got 3 papers this month that look to challenge our work up strategies for the critically unwell. First up we look at a paper on the Ottawa subarachnoid haemorrhage rule, specifically considering if we can decrease scanning in patients with a suspected SAH and what application of the rule might mean for our practice.

Next up we look at a paper that might shine some real doubt on the use of IO access in our patients in cardiac arrest.

Lastly we look at a validation paper for the PERC rule for those patients with a suspected pulmonary embolus and this paper brings about some interesting points on external validity

Once again we'd really encourage you to have a look at the papers yourself and we've love to hear any thoughts or feedback you have.

Enjoy!

Simon & Rob

References

Validation of the Ottawa Subarachnoid Hemorrhage Rule in patients with acute headache. Perry JJ. CMAJ. 2017

Intraosseous Vascular Access Is Associated With Lower Survival and Neurologic Recovery Among Patients With Out-of-Hospital Cardiac Arrest. Kawano T. Ann Emerg Med. 2018

Effect of the Pulmonary Embolism Rule-Out Criteria on Subsequent Thromboembolic Events Among Low-Risk Emergency Department Patients: The PROPER Randomized Clinical Trial. Freund Y. JAMA. 2018

CORE EM; IO in Cardiac Arrest

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.
0:13.3	So hi, and welcome back to the Recess Room podcast.
0:17.1	I'm Simon Lang, and I'm Rob Fenwick.
0:20.2	And this is April's Papers of the Month. It is indeed and I can
0:25.8	attest to Simon wearing the Easter Bunny outfit it's horrendous and we're going to carry on and
0:32.5	pretend that I never saw that. So hopefully you're all sat down m munching on your eggs, enjoying the festive period,
0:39.6	and hopefully got a bit of time off. And we have, yet again, got three fantastic papers for you.
0:46.0	You're right, Simon. We absolutely have got three cracking papers for you this month. So first of all,
0:50.4	we've got a paper on the Ottawa subarachnoid hemorrhage rule. We've then got one
0:56.3	regarding intra-osceus or intravenous access in cardiac arrest. And finally, we're going
1:02.0	to talk to you a little bit about perk. Before we start, yet again, a huge thanks to
1:08.0	Abrak, the sponsors of the podcast. They provide high-quality, advanced clinical
1:12.9	practitioners to EDs up and down the country. If you're looking for work and you fit the
1:17.8	bill, then get in touch with them and be involved in the fantastic quality care that they deliver.
1:23.8	Right, onto the first paper.
1:28.0	Okay, so to set the scene, subrachnoid hemorrhage is obviously a diagnosis which can potentially
1:34.3	devastate and kill our patients.
1:37.3	Now, back in 2011, Perry published a really important paper in the BMJ that changed the
1:42.8	way we thought about CT scanning and then
1:45.5	the need for lumber punctures after that. And it really challenged our idea that every patient
1:50.7	that came through the emergency department needed to go on for an LP if they had a CT that was
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Simon Laing, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Simon Laing and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.