December 2018; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 December 2018

⏱️ 32 minutes

🔗️ Recording | iTunes | RSS

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Summary

Well the year maybe coming to a close but the high quality papers keep on coming out!

We've got 3 great articles to cover in this episode which have some key points to reflect on in our practice. First up we take a look at the application of Canadian c-spine rules by ED triage nurses and the potential impact this approach could hold.

Next up we have a look at the addition of magnesium to current ED rate control of uncompromised patients presenting with rapid AF.

Lastly we look at a paper on the conservative management of traumatic pneumothoraces, including those undergoing positive pressure ventilation, which reviews the complication rate of this approach.

As always make sure you take a look at the papers yourselves and form your own opinions, we would love to hear you comments and feedback.

Enjoy!

Simon & Rob

References & Further Reading

Ian G. Stiell, Catherine M. Clement, Maureen Lowe, Connor Sheehan, Jacqueline Miller, Sherry Armstrong, Brenda Bailey, Kerry Posselwhite, Jannick Langlais, Karin Ruddy, Susan Thorne, Alison Armstrong, Catherine Dain, Jeffrey J. Perry, Christian Vaillancourt, 2018, 'A Multicenter Program to Implement the Canadian C-Spine Rule by Emergency Department Triage Nurses', Annals of Emergency Medicine, vol. 72, no. 4, pp. 333-341

Wahid Bouida, Kaouthar Beltaief, Mohamed Amine Msolli, Noussaiba Azaiez, Houda Ben Soltane, Adel Sekma, Imen Trabelsi, Hamdi Boubaker, Mohamed Habib Grissa, Mehdi Methemem, Riadh Boukef, Zohra Dridi, Asma Belguith, Semir Nouira, 2018, 'Low‐dose Magnesium Sulfate Versus High Dose in the Early Management of Rapid Atrial Fibrillation: Randomized Controlled Double‐blind Study (LOMAGHI Study)', Academic Emergency Medicine

Steven P. Walker, Shaney L. Barratt, Julian Thompson, Nick A. Maskell, 2018, 'Conservative Management in Traumatic Pneumothoraces', Chest, vol. 153, no. 4, pp. 946-953

SGEM#232: I Can See Clearly Now the Collar is Gone – Thanks to the Triage Nurse

London Trauma Conference; Cardiac Arrest Masterclass

Transcript

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0:00.0	Welcome to the Recess Room podcast.
0:03.9	Five, four, three, two, one, fire.
0:13.2	So hi, and welcome back to the Recess Room podcast. I'm Simon Lang.
0:18.1	And I'm Rob Fenwick. And this is December's Papers of the Month
0:22.1	Indeed it is
0:23.0	It's good to have you back on the mic Simon
0:24.7	After a short absence
0:26.6	Growing that horrendous moustache that's on your face
0:29.9	It looks like a red squirrel has crawled up onto your face and died
0:34.1	It is awful
0:35.0	It hasn't
0:36.2	But yeah by the time this is released, hopefully it will have been removed all
0:41.9	in the cause of charity, of course. Oh, my goodness, I hope so. Not the removal in the cause
0:48.1	of charity, the growing of it in the cause of charity in the third place. So we've got three good papers, haven't we?
0:56.0	Apparently so, yeah, apparently so.
0:58.0	We have indeed.
0:58.7	We're covering Canadian C-Spy rules and application by triage nurses.
1:03.0	We're looking at occult or traumatic pneumothoroses that are picked up on CT scanning rather
1:09.2	than clinically.
1:10.5	And we are also looking at everyone's favourite wonder drug magnesium.
1:14.1	It's good.
1:14.7	There are definitely some points to take back to practice from this one.
	...

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