February 2020; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 February 2020

⏱️ 36 minutes

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Summary

Welcome back!

Three very different topics and papers for you this month. First up we have a look at the risk/benefit of sending troponins on patients aged 65 years an older when presenting with non-specific complaints; does this help their work up, or is this a classic case of over-testing?

Next up we take a look at the causes of our patients presenting to the ED with a reduced level of consciousness, this paper may help inform your differentials and knowledge on the likelihood of different pathologies.

Finally, following on from our recent Roadside to Resus episode on Seizures, we take a look at an RCT which compares 3 second line anti epileptics; will this give us the definitive answer over which we should be using?

Once again we would love to hear you comments and feedback, and make sure you check out the articles yourselves and come to 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.
0:11.8	So hi, and welcome back to the Recess Room podcast.
0:15.3	I'm Simon Lang.
0:16.5	And I'm Rob Fenwick.
0:17.6	And this is February 2020's Papers of the Month.
0:21.6	That's right, Langers.
0:22.6	We've got troponins.
0:23.9	We've got comas.
0:25.1	And we've got the set trial looking at the cessation of seizures with different secondary medications.
0:31.3	This is going to be about it.
0:33.0	Yeah, it should be good, actually.
0:34.3	Well, we've really let you down if it's not. But this follows on really
0:38.0	nicely actually from our previous Radeside to Recess episode on seizures. So that last paper
0:43.2	that we'll be looking at is really interesting to see whether or not our conclusions about which
0:48.0	second line anti-apapaleptics are really the ones that we should be using. Before we get into the
0:52.6	podcast, a big thanks to the Scandinavian
0:54.9	Journal of Trauma, Resuscitation and Emergency Medicine. There are partners with us on this podcast
1:00.3	and are a free open access journal publishing papers on all the sorts of topics that we talk about
1:05.7	here. So without further ado, let's crack on to paper number one.
1:18.3	Okay, so on to troponin testing in an undifferentiated and elderly population.
1:24.8	Always get a little bit worried when we say elderly population and realise that each year as it creeps on, we're getting into that cohort.
	...

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