August 2022; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 August 2022

⏱️ 30 minutes

🔗️ Recording | iTunes | RSS

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Summary

Welcome back! This month we take a look at 3 papers covering the breadth of Emergency Care.

First up we look at a paper evaluating outcomes for patients discharged on scene by an EMS service; how many reattend ED, how many require ICU care and what is the associated mortality rate?

NEXUS and Canadian c-spine rules both incorporate the presence of c-spine tenderness when deciding whether to image the neck as a result of trauma. But what is the prevalence of c-spine tenderness without trauma and how might that affect our clinical assessment?

Finally we take a look at a paper focussing on the risk of laryngospasm in paediatric sedation; what is the risk, which factors make it more likely to occur, and what can we do to mitigate it's risk?

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.
0:11.8	So hi, and welcome back to the recess room podcast. I'm Simon Lang. And I'm Rob Fenwick.
0:17.8	And this is August 22's Papers of the Month. Yes, good to August 222's Papers of the Month.
0:22.3	Yes, good to be here for the Papers of the Month before having a customary summer break.
0:27.6	And I hope you're all looking forward to maybe getting away and to all the parents out there
0:31.4	only four more weeks before the kids are back at school get in.
0:35.2	But anyway, before that, we have got three cracking papers for you.
0:38.7	The first one is going to be about outcomes in patients that were not conveyed to hospital.
0:44.1	We've got then one about C-spines.
0:46.7	And finally, we've got one looking at laryngos spasm in pediatric sedation.
0:51.2	Gulp.
0:52.0	So good stuff this month.
0:53.7	Yeah, they're really, really interesting papers, I think,
0:56.1	and some really interesting challenges to our practice involved in this as well. So looking forward
1:00.7	to going through them. Before we get into the papers, a big thanks once again to SJTrem, the
1:06.0	Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, who partner with us on the podcast and make
1:11.6	this all free and open access and available to you. And just as a reminder, we've also got our
1:17.5	CPD diary, so after you've listened to this, make sure you either download that, use the app,
1:22.0	or go to the website with your account and run through the MCQ's relating to this episode
1:26.4	and get that free CPD
1:28.2	certificate for doing so. I mean, you need something for the hardship of listening to us
	...

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