December 2023; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 December 2023

⏱️ 33 minutes

🔗️ Recording | iTunes | RSS

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Summary

We've talked about Aortic Dissection before in our Roadside to Resus episode and the huge difficulties in picking out these rare but potentially devastating cases and this month we've got a fantastic paper on the topic! The DAShED study looks at patients presenting with symptoms that could be suggestive of aortic dissection and helps us understand the diagnostic challenge and approach to acute aortic syndrome, along with testing the characteristics of a number of decision tools.

Next up we look at a paper from Bendszus, an RCT of medical versus thrombectomy and medical treatment for acute ischaemic strokes with a large infarct, with some really powerful results.

Finally we look at a paper that shows some staggeringly different ROSC rates for patients in cardiac arrest depending on the size of the ventilation bag used!

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.
0:03.4	Five, four, three, two, one, fire.
0:12.1	So hi, and welcome back to the Recess Room podcast.
0:15.4	I'm Simon Lang.
0:16.8	And I'm Rob Fenwick.
0:17.8	And this is December 2023's Papers of the Month.
0:22.3	Yes, it is Simon.
0:23.4	Like a slightly dodgy, aging, ginger Santa and is incredibly handsome, enthusiastic elf.
0:29.3	We have got a sack full of evidence-based papers for you.
0:32.6	Not what you'd want for Christmas, but probably quite beneficial for your patients anyway.
0:37.3	So first up this month, we're going to be looking at the dashed study.
0:40.6	So this is the diagnosis of acute aortic syndromes in the ED, followed by a super
0:46.2	interesting look at the role for stroke thrombectomy.
0:49.4	And then finally, an observational study of what happens when we use small adult bag valve masks instead of large ones in adult cardiac arrests.
0:57.8	Bosh, Simon, put that in your evidence-based medicine sack.
1:01.4	It's in my dropbox folder, but I'm not sure it's in my evidence-based sack.
1:05.0	Before we crack into the episode, a huge thanks to Zol Medical Corporation, who collaborate with us on the podcast
1:12.1	and make this all free and open access in their pursuit of excellent patient care.
1:18.5	So, without further ado, let's crack in to paper number one.
1:26.1	So, looking at acute aortic syndrome, as Rob has already mentioned,
1:30.3	and as the authors describe in their introduction of the paper,
1:33.7	acute aortic syndrome is an infrequently occurring presentation,
	...

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