Heart failure, sedation, intubation, anaphylaxis & cardiac arrest; EBM updates in Resuscitation

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 4 May 2016

⏱️ 33 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

So this is a talk I gave at the EMCEF 22 conference. This covers a few of the papers we've discussed in the last 6 months on the podcast but a bit of spaced repetition is never a bad thing!

We'll be running through topics on heart failure, sedation, intubation, anaphylaxis and duration of cardiac arrest. The papers are well worth a look and whilst not all high quality evidence they do bring to the front some really interesting questions about are practice and prompt us to challenge our habits. Enjoy!

References

Diagnosing Acute Heart Failure in the Emergency Department: A Systematic Review and Meta-analysis. Martindale JL. Acad Emerg Med. 2016 Mar;23(3):223-42. doi: 10.1111/acem.12878. Epub 2016 Feb 13.Martinda

Incidence of Adverse Events in Adults Undergoing Procedural Sedation in the Emergency Department: A Systematic Review and Meta-analysis. Bellolio MF. Acad Emerg Med. 2016 Feb;23(2):119-34. doi: 10.1111/acem.12875. Epub 2016 Jan 22.

Utility of gum-elastic bougie for tracheal intubation during chest compressions in a manikin: a randomized crossover trial. Komasawa N. Am J Emerg Med. 2016 Jan;34(1):54-6. doi: 10.1016/j.ajem.2015.09.016. Epub 2015 Sep 21.

Defining the learning curve for endotracheal intubation using direct laryngoscopy: A systematic review. Buis ML. Resuscitation. 2016 Feb;99:63-71. doi: 10.1016/j.resuscitation.2015.11.005. Epub 2015 Dec 19.

Incidence of clinically important biphasic reactions in emergency department patients with allergic reactions or anaphylaxis. Grunau BE. Ann Emerg Med. 2014 Jun;63(6):736-44.e2. doi: 10.1016/j.annemergmed.2013.10.017. Epub 2013 Nov 13.

Impact of cardiopulmonary resuscitation duration on survival from paramedic witnessed out-of-hospital cardiac arrests: An observational study. Nehme Z. Resuscitation. 2016 Mar;100:25-31. doi: 10.1016/j.resuscitation.2015.12.011. Epub 2016 Jan 13.

Transcript

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0:00.0	Hi and welcome back to the podcast. I'm Simon Lang. So being the start of the month, this should be May's
0:26.0	Papers of the Month. But just given a talk at the MCEF conference, which is run by Alan Doobie
0:35.0	on EBM updates in Resuscitation.
0:39.6	And this falls really well with the podcast, so we're flipping it around about this month.
0:46.0	May's papers of the month will be available in a couple of weeks' time,
0:50.3	and this podcast will hopefully give you some great recaps on some papers that we've covered
0:57.5	over the last few months.
0:59.7	I was actually at the Emek conference last week run by Scott Carrington and Chris Turner,
1:07.0	which was absolutely superb and in that they spoke about the value of spaced repetition
1:12.9	when you're learning so although these papers have been covered a bit in the past I think
1:18.6	it's well worth delving back into them and thinking about them in a slightly different way
1:23.6	before we get on to the talk there are two new foam resources that are just
1:30.9	about to come out that I really think you should know about. First of all, foam shed.
1:37.1	And you follow them on the Twitter handle at Foam Shed. So this is a site run by Chris Connolly, up in Sheffield,
1:47.7	aimed at producing one-minute wonders in emergency medicine with blog posts on all aspects of the M,
1:57.0	monthly journal club podcasts, reviewing recent and relevant papers to emergency medicine
2:02.9	and that is a site that is going to be up and running really soon so make
2:07.7	sure you follow them another resource that's going to be available soon is
2:11.7	the recess room.co.uk and you can follow them at their Twitter handle at the recess room.
2:18.3	We'll have more information for you on that resource as time goes on, but make sure you give them both a follow.
2:26.3	Anyway, enough of that, on to what you're really here for, let's crack on with the talk from the MCEF conference. Evidence-based updates in Resuscitation.
2:41.0	Right, so these papers are ones that have all come out in the last six months or so.
	...

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