February 2017; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 February 2017

⏱️ 27 minutes

🔗️ Recording | iTunes | RSS

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Summary

Welcome back to Papers of the Month. February holds a diverse number of topics on some really interesting areas of practice.

We kick off with a snap shot systematic review from the Annals of Emergency Medicine on the effect of Amiodarone or Lignocaine on the outcome from refractory VF or VT arrests, are drugs losing more favour yet again in cardiac arrest.

Next up is a pilot study following the surgical theme of minimal intervention for appendicitis, can antibiotics safely be used in a particular cohort of patients to prevent the need for surgery? And moreover could this be even safer than the traditional surgical cure?

Last up we cover a paper looking at the survival from traumatic cardiac arrest and consider the bias that may occur by reporting those resuscitation attempts that are of limited duration in with the whole cohort; are we painting a overly negative picture of the prognosis of traumatic cardiac arrest?

As ever we would highly encourage you to go and read the papers yourselves, these are only our takes on the literature and we would love to hear your thoughts below.

Enjoy

Simon & Rob

References & Further Reading

In Patients With Cardiac Arrest, Does Amiodarone or Lidocaine Increase Meaningful Survival? Hunter BR. Ann Emerg Med

Antibiotics-First Versus Surgery for Appendicitis: A US Pilot Randomized Controlled Trial AllowingOutpatient Antibiotic Management. Talan DA. Ann Emerg Med. 2016 Dec

Resuscitation attempts and duration in traumatic out-of-hospital cardiac arrest. Beck B. Resuscitation 2017 Feb

Transcript

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0:00.0	Welcome to the Recess Room podcast.
0:03.8	Five, four, three, two, one, fire.
0:13.1	So hi, and welcome back to the Recess Room podcast. I'm Simon Lang.
0:17.5	And I'm Rob Fenwick.
0:18.9	And this is February's. Yes, indeed. No, it's not, is it?
0:24.7	Yes, it's February's papers of the month. It's February's papers of the month. Very good. Right, okay.
0:29.9	We've got some diverse papers for you this month. We've got a bit on refractory VF or VT,
0:36.2	and whether or not Lignacane or amiodron is beneficial to patient
0:39.2	outcomes. We've got a paper coming to you about talking about appendicitis management, so
0:43.7	management in the ED particularly, which is one of the areas that is really exciting to have a
0:48.9	look at. And we've also got a paper looking at traumatic cardiac arrest and what might influence
0:55.4	pre-hospital clinicians' decisions as to how long to attempt resuscitation or either whether
1:01.3	to attempt it at all.
1:03.0	So we've got some great papers.
1:04.7	A big thanks once again to our sponsors, Abrak, who deliver high-quality advanced care
1:09.2	practitioners and emergency nurse practitioners up and down
1:11.9	the UK. If you want to be part of their team, then get in touch with Ab-Prak. Just click on the link
1:17.1	through our website and get in touch with them. Right. Okay, so without further ado, let's crack on
1:23.2	with paper number one. So this paper is one of the snapshot meta-analyses from the annals of emergency medicine.
1:33.7	It's entitled In Patients with Cardiac Arrest, Does Amiodarone or Lydicane Increase Meaningful Survival?
1:41.8	And the lead author was Benton Hunter. So this is quite a good one because
1:47.8	there is controversy about the drugs that we use in cardiac arrest and specifically about
	...

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