April 2024; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 April 2024

⏱️ 27 minutes

🔗️ Recording | iTunes | RSS

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Summary

Welcome back to the podcast! Three more papers covering topics that are relevant to all of our practice.

The importance of removing wet clothes from patients is often discussed, both to prevent hypothermia and increase patient comfort. But how important is it to get wet clothes off and is it something we can defer to a different point? We start off taking a look at an RCT on this very question.

Next up another RCT, this time looking at the efficacy of morphine, ibuprofen and paracetamol for patients with closed limb injuries. Which one, or combination, would you think would be most efficacious…

Lastly, following on from our most recent Roadside to Resus episode, we take a look at a paper on the association between end tidal CO2 levels and mortality in prehospital patients with suspected traumatic brain injury. This paper highlights really well the need understand the fundamentals that contribute to ETCO2 when applying to clinical practice.

Once again we’d love to hear any thoughts or feedback either on the website or via X @TheResusRoom!

Simon & Rob

Transcript

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0:00.0	Welcome to the recess room podcast.
0:03.5	Five, four, three, two, one, fire.
0:12.4	So hi, and welcome back to the recess room podcast.
0:15.6	I'm Simon Lang.
0:17.1	And I'm Rob Fenwick.
0:18.3	And this is April 2024's Papers of the Month.
0:22.6	Yes, into April already.
0:24.8	Happy April Fool's Day, if you're listening on the first,
0:27.2	and we are clearly the fools that are going to be bringing you some evidence-based medicine, as always.
0:31.5	But let's not forget, this is also my birthday month,
0:34.1	so please send all cards and gifts via my secretary. Mr Simon Lang,
0:38.2	care of the Reesis Room HQ, many thanks in advance. I'll definitely pass on all the
0:42.6	criticism, Rob, which will be a heavy bag of mail and any gift will be scrutinised and filtered
0:47.8	appropriately onto you. Yes, if you could. I'm only after a high-end technology, etc., etc., so
0:52.6	no time wasting. But anyway, our gift to you,
0:56.1	because that's the sort of guys we are, well, that's three papers. So with the usual perfect timing,
1:01.1	the first one that we're covering, as winter disappears in the northern hemisphere, we're going
1:05.9	to be covering a paper on the best way to keep patients warm, just perfect. Secondly, I'm going to be bringing you
1:11.7	an RCT of different analgesics for limb fractures with some great discussion points there. And then
1:17.3	finally, well, then it's going to be one about the association between N tidal CO2 levels and
1:22.6	mortality in suspected severe traumatic brain injury. So that follows on nicely from our roadside to recess episode
1:29.3	certainly does it's almost like we've given this some thought however if you know us we definitely
	...

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