August 2020; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 August 2020

⏱️ 33 minutes

🔗️ Recording | iTunes | RSS

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Summary

So this is our last episode before a small summer hiatus, so it better be a good one!

Journals are littered with some great articles at the moment, so we've chosen 3 great papers that cover a number of really important EM topics.

Over the last few years more emphasis has been put on a more conservative management on pneumothoraces and following that trend we take a look at a paper evaluating the safety of using a small bore chest drain for the delayed management of haemothoraces, compared with large bore.

Next up we take a look at the Injury Severity Score and how well it correlates with the need for life saving interventions in trauma.

Lastly there is another great paper on the management of acute atrial fibrillation; comparing electrical cardioversion with the potential use of procainamide prior to shocking. Does it result in fewer patients requiring a shock, and when it comes to the shock is AP pad positioning more effective that anterolateral?

We'll be taking a small break over the summer and will be back in September for our next Papers Podcast and keep an eye out for the launch of our FREE CPD app and web platform this summer.

Enjoy!

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.
0:11.4	So hi, and welcome back to the recess room podcast.
0:14.6	I'm Simon Lang.
0:15.9	And I'm Rob Fenwick.
0:17.0	And this is August 2020's Papers of the Month.
0:21.3	Yes, it is.
0:22.0	I hope you've been having an amazing summer, managing to get out and about and see a few places.
0:26.6	If you haven't, fear not, we are here.
0:28.9	You know the score by now.
0:30.0	We've got three papers that have caught our eye.
0:32.4	This month we're going to be talking about small or large board chest tubes for hemathorax. We're also going to be looking at if there's a relationship between life-saving procedures and the injury severity score. And the final paper is what is the optimal strategy to tackle acute onset AF in the emergency department. I wouldn't want to miss out on that. Would you, Langer's? No, it's been quite good actually this month, doesn't it?
0:54.2	Because we've had a multitude of different papers that we could have picked.
0:57.4	So it would appear that the limelight has come off COVID in the publication world,
1:01.6	and we've got some really good topics and thoughts on our practice that we can have a think about.
1:06.5	Before we start, a big thanks to SJTrem, the Scandinavian Journal of Trauma, Resuscitation and
1:12.0	emergency medicine. They partner with us on this podcast and they make this all possible.
1:17.3	Their journal is online with all articles free and available for you to have a look at.
1:21.7	So go over and have a look at the hyperlink on our website through to their journal and take a look at those articles which
1:27.7	will no doubt be of interest. So Rob, this is it. This is our last episode until our small
1:34.2	summer hiatus. So we'll be back with September's papers in the month. So let's hope this is a good
1:39.5	one. Excellent. So paper number one, as we've just alluded to, this is about chest strains in hemathorax.
	...

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