February 2024; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 February 2024

⏱️ 31 minutes

🔗️ Recording | iTunes | RSS

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Summary

Welcome back to February's papers of the month.

Syncope is a really common presentation to the Emergency Department and it can be complicated to tease out those with a concerning precipitant from the others with a more benign cause. The first paper gives us some context to the management of these undifferentiated syncopes and provides a barometer for how stringently ESC guidance on the topic is followed.

Next up we take a look a huge RCT of transfusion thresholds in patients presenting with a myocardial infarction. Should we be restrictive in our approach, saving a valuable resource, or is it validated to transfuse more liberally in terms of the patients outcome?

Finally we take a look at a paper looking to tease out the predictors of post intubation hypotension in those getting a prehospital anaesthetic following trauma, with some interesting associations and factors to looks out for.

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.
0:03.5	Five, four, three, two, one, fire.
0:12.4	So hi, and welcome back to the Recess Room podcast. I'm Simon Lang. And I'm Rob Fenwick.
0:18.2	And this is February 24's Papers of the Month. Yes, and surely we've got
0:23.9	something for everyone this month, haven't we? We've got a nice cohort study on syncope, then an RCT
0:29.8	on transfusion thresholds following an MI, and lastly, the predictors of post-intubation hypotension.
0:37.6	We're staying tuned, Langerz.
0:39.1	It is, mate.
0:39.8	And we're absolutely privileged to have you back
0:42.5	following your near-death experience in a cyclone, I believe.
0:46.8	Yeah, we can egg it up.
0:48.3	Absolutely, it was near-death.
0:50.1	As I sat in my room drinking from my mini-bar and watching Netflix.
0:53.7	Yes, it was near death.
0:55.1	Tragic, tragic.
0:56.3	Yeah, well, glad the weather was really kind to you on your honeymoon.
0:59.1	So congratulations and good to have you back.
1:02.2	Now, before we get into it, a huge thanks to Zol Medical Corporation,
1:06.7	who collaborate with us on the podcast and make this all free and open access to you in their
1:12.1	pursuit of delivering excellent clinical care to patients. So, without further ado,
1:18.8	let's crack in to February's Papers of the Month.
1:26.1	Right, well, we're going to start off with syncope, and it's a really common presentation, obviously, as you'll all be aware, to emergency departments.
	...

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