4.8 • 678 Ratings
🗓️ 1 December 2017
⏱️ 28 minutes
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You've got a critically unwell patient who needs an RSI. You've got lots of things to think about but specifically do you ramp them up or keep them supine, additionally do you use a checklist or are those things a complete waste of time? This month we have a look at 2 papers which should shed some light on the subject.
We also look at a systematic review and meta-analysis which hopefully helps us answer a question we've been looking at on the podcast for quite some time: in the the context of a cardiac arrest that has gained a ROSC, if the ECG is not diagnostic of a STEMI but the history is suggestive of a cardiac event, should the patient go straight to the cathlab for PCI?
As always don't just take our word for it but go and have a look at the papers yourself and we would love to hear your thoughts.
JC: Should non ST elevation ROSC patients go to cath lab? St.Emlyn’s
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0:00.0 | Welcome to the Recess Room podcast. |
0:03.9 | Five, four, three, two, one, fire. |
0:13.6 | So hi, and welcome back to the Recess Room podcast. I'm Simon Lang. |
0:18.3 | And I'm Rob Fenwick. |
0:19.7 | And this is December's Papers of the Month. |
0:23.7 | Oh yes, it's getting cold outside Simon but we've got some heartwarming papers to discuss with you this month. |
0:29.8 | That's quite a preemptive bit of weather forecasting there, Rob, because we're recording this quite early for your selfish reasons. |
0:35.7 | Indeed, but it is actually very cold where I am at the moment. |
0:38.8 | So we've got some cracking papers for you this month, three papers, but from two trials. |
0:43.4 | We'll explain more in a minute. |
0:45.1 | Yep. |
0:45.3 | And before we pile into them, a huge thanks yet again to our sponsors, AbPrak, who provide |
0:50.8 | high-quality, advanced care practitioners up and down the country |
0:54.2 | and are also involved in setups of ACP services in other hospitals in the UK. |
0:59.2 | So if you want to hear some more or get in touch, have a look on the website, |
1:02.5 | click through to the Apprent link. |
1:04.2 | I'm sure they'd love to hear from you. |
1:06.2 | Anyway, without further ado, let's crack on with the papers. |
1:11.2 | So first up is a paper from chest entitled, A Multi-Center Randomised Trial of Ramped Position |
1:19.2 | Versusiness-Sniffing Position during Endotrochial Intubation of Critically Ill Adults. |
1:26.2 | Lead author is Matthew Semler, and as you said, just published in |
1:30.7 | chest recently. Okay, so this is quite an interesting paper because it seems to be that the |
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