February 2018; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 February 2018

⏱️ 27 minutes

🔗️ Recording | iTunes | RSS

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Summary

Welcome back, we've got 3 absolute beauties of papers for you this month!

You'll have struggled not to have heard about the ADRENAL trial, a trial of iv steroids in the sickest of patients with septic shock. We also have a look at a trial that many have been quoting as sound evidence for the utility of pH during the prognostication of patients in cardiac arrest. Finally we have a look at a paper that may shed some concern on the use of Double Sequential Defibrillation that we covered recently on the podcast...

We'd love to hear from you with any thoughts or feedback you have on the podcast. And we've now launched of Critical Appraisal Lowdown course, so if you want to gain some more skills in critical appraisal make sure you go and check out our online course here.

Enjoy!

Simon & Rob

References & Further Reading

TheBottomLine; ADRENAL

St Emlyns; ADRENAL

Adjunctive Glucocorticoid Therapy in Patients with Septic Shock. Venkatesh B. N Engl J Med. 2018

External Defibrillator Damage Associated With Attempted Synchronized Dual-Dose Cardioversion. Gerstein NS. Ann Emerg Med. 2018

Initial blood pH during cardiopulmonary resuscitation in out-of-hospital cardiac arrest patients: a multicenter observational registry-based study. Shin J. Crit Care. 2017

Transcript

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0:00.0	Welcome to the Recess Room podcast.
0:03.9	Five, four, three, two, one, fire.
0:13.0	So hi, and welcome back to the Recess Room podcast. I'm Simon Lang.
0:18.1	And I'm Rob Fenwick.
0:19.5	And this is February 2018's Papers of the Month.
0:24.7	It is indeed.
0:25.5	You have that calendar down, Simon Lang.
0:29.2	I do.
0:30.1	In fact, we would always say this, wouldn't we?
0:31.8	But we've got three superb papers to run through this month.
0:35.7	I think they're mediocre at best.
0:37.7	Mediocre at best.
0:38.6	No, actually, they are genuinely very good.
0:40.3	Please stay and listen for a little bit longer.
0:44.0	Now, so we've got some stuff on steroids and sepsis.
0:47.3	We've got pH prognostication in cardiac arrest
0:50.8	and a paper that flies in the face of DSD, dual sequential defibrillation,
0:57.5	a topic that we talked about previously on the podcast and raises some significant concerns.
1:03.3	It does indeed, and our resident expert on that, Mr James Yates, was invited to come on for a special
1:10.6	cameo this month and unfortunately
1:12.7	ended up working. So we'll have him on to discuss it at a later date maybe. No doubt.
1:18.2	Before we get involved in those papers though, a huge thanks once again to our sponsors,
	...

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