February 2023; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 February 2023

⏱️ 31 minutes

🔗️ Recording | iTunes | RSS

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Summary

Welcome back!

Three more papers for you this month to inform and improve our care in acute and critical illness.

First up and following on from the recent DoseVF paper, we take a look at a study looking at the combined effect of vector change, esmolol and capping adrenaline administration in refractory VF with regards patient out ones. Could this be associated with even better patient outcomes?

Secondly we take a look at the utility of fentanyl lozenges in providing effective analgesia to patients in remote settings. Does this have potential for both prehospital and in-hospital patients prior to iv access.

Finally we cover a paper looking at prehospital management of acute behavioural disturbance; the need for restraint, the need for sedation and the subsequent effects on the patients.

Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.

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.
0:12.0	So hi, and welcome back to the recess room podcast.
0:15.5	I'm Simon Lang.
0:16.9	And I'm Rob Fenwick.
0:18.1	And this is February 2023's Papers of the Month.
0:22.5	Yep, hope you're all having a great start to 2023.
0:25.2	I'm currently sat in about 15 layers of clothing as it is super cold, at least by me.
0:29.9	Anyway, Simon's probably chucking 50s on the log burner or something, so he's nice and warm.
0:33.9	But I'm a bit more, being a bit tighter with my money and my heating.
0:38.0	Anyway, I won't go on to the issues around energy costs. Let's keep it focused on medicine.
0:43.4	So we've got three papers for you on some nicely varied topics this month.
0:47.8	So first up is going to be a paper looking at a different approach to managing refractory VF and VT in cardiac arrest.
0:54.9	Secondly, I'll be looking into fentanyl lozenges.
0:58.7	And finally, a look at the management of acute behavioural disturbance.
1:03.6	Oosh!
1:04.3	Yeah, three great papers and three really good topics to be covering.
1:08.4	And just as a note, Rob, I think you'll find that 50 pence pieces do not
1:11.6	burn very well when you put them in the fire. So thanks for the tip, but I think I'll ignore that.
1:16.9	Anyway, before we get into the podcast, a big thanks once again to S.J. Trem, the Scandinavian Journal
1:22.8	of Trauma, Resuscitation and Emergency Medicine, who partner with us on the podcast and make this all free,
1:29.3	open access and available to you. So once you've had to listen to the podcast, make sure you go
	...

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