December 2019; papers of the month
The Resus Room
Simon Laing
4.8 • 678 Ratings
🗓️ 1 December 2019
⏱️ 36 minutes
🧾️ Download transcript
Summary
Well the year has flown by and it's already time for December's Papers of the Month Podcast!
Head injuries are a huge work load for those of us involved in Emergency Care. Identifying those at risk of deterioration from a traumatic brain injury is a priority, as early intervention and prognostication can make a huge difference to patient outcomes. CT scanning is relatively easy to access and with it investigation creep has lowered our threshold of investigation and use of radiology resources; first up we have a look at a paper that looks at the potential benefits from employing a number of different guidelines in identifying the patients with traumatic brain injury, whilst comparing the risk of over investigation.
Next up we have a look at the commonly made diagnosis of urinary tract infection in the older population and a review paper that will help you make the right diagnosis when it's present and not over diagnose when not.
Finally we have a think about the potential benefit of a fluid bolus during induction of anaesthesia for our patients undergoing RSI; can a 500 mL fluid bolus prevent cardiovascular collapse? And we also hear the authors insights on the great RCT.
Make sure to get in touch with any comments on any of the reviews, and importantly make sure you check out the papers and draw your own conclusions.
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. |
| 0:12.2 | So hi, and welcome back to the recess room podcast. I'm Simon Lang, and I'm Rob Femwick. |
| 0:17.8 | And we've rapidly reached the end of the year. This is December 19's papers of the month. |
| 0:22.8 | I know, where's it gone? |
| 0:23.8 | Where's it gone? |
| 0:24.5 | But we are here with you. |
| 0:25.7 | I'm sure that's a massive relief. |
| 0:27.7 | Absolutely. |
| 0:28.5 | We've got three more papers for you. |
| 0:30.4 | This time we're going to be looking at the effect of a fluid bolus prior to RSI in critically unwell patients. We're going to be having a look at the diagnosis of urinary tract infection in the elderly |
| 0:41.8 | population and let's just say we might not be doing it the best way we possibly can. |
| 0:46.8 | And finally we'll be having a look at head injuries and the best diagnostic strategy |
| 0:51.9 | to find those patients that have got traumatic brain injury and also |
| 0:55.9 | to make sure that we're not just CT scanning everybody who's possibly bumped their head. |
| 1:01.7 | Oh, diverse and awesome is my summary of this month's papers. |
| 1:06.3 | So before we dive into it, a big thanks to the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, |
| 1:12.8 | who are the collaborators with us in this project. |
| 1:15.4 | Each month will cover one of their papers, and every single paper that they publish is free and open access online. |
| 1:21.4 | So go and check out their journal, which we've got the hyperlink to, on our website, to see all of their work. |
| 1:29.8 | So without further ado, let's crack on with the podcast. |
| 1:38.0 | So when you've got a patient in front of you that needs an RSI, a rapid sequence induction, |
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