August 2024; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 August 2024

⏱️ 32 minutes

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Summary

The UK REBOA trial left many with doubts over its utility for trauma patients in ED. The time from injury to its use was around 90 minutes and the trial was stopped when it didn't reduce and maybe even increased mortality compared to standard care alone.

But what effect does REBOA have when used prehospitally and how feasible is it? Our first paper, from London HEMS, looks at this and gives a fascinating insight into it's use and the physiological response seen with it.

We've recently looked at dual sequential defibrillation for refractory VF with the DOSE-VF trial. Our second paper this month looks at how a double defibrillator strategy, in the context of cardioversion for AF, may affect restoration of sinus rhythm in obese patients.

Finally we take a look at the use of video livestreaming from scene to EMS, in a feasibility RCT. How can it affect accurate dispatch of the most appropriate resources and what impact does it have on those that use it?

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.
0:18.2	And this is August 24's Papers of the Month.
0:23.0	Yes, we are, buddy.
0:24.1	Back again to provide you and everyone else
0:26.6	with some topical paper reviews
0:28.3	to stop you getting bored
0:29.9	whilst you're all away on your summer break.
0:31.7	Just what I'm sure you all absolutely wanted
0:34.7	and all had at the top of your wish list.
0:36.7	And actually, we're also having
0:38.0	a little summer break, aren't we Langer? So, you know, I hope you got your little ride-along trunk for
0:42.6	the airport for Mrs Lange to pull you along on and I hope you get on that plane nice and safely,
0:47.7	buddy. Oh mate, I thought you were saying that you'd booked a room for the both of us, so it's
0:51.0	quite looking forward to our romantic trip away. But yes, indeed, we have got our annual leave coming up. So you'll be delighted to know that we know podcasts until
0:58.3	our next one for September's Papers of the Month. And talking about autumn, creeping around
1:04.3	the corner, a huge thanks to Zol Medical Corporation, who enabled us to deliver this podcast in a free
1:09.9	open access format in their pursuit
1:12.1	of excellent patient care and who are also collaborating with us to deliver a live
	...

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