January 2024; papers of the month
The Resus Room
Simon Laing
4.8 • 678 Ratings
🗓️ 1 January 2024
⏱️ 28 minutes
🧾️ Download transcript
Summary
Happy New Year!
We've got some great topic and in person events lined up for 2024 which we'll be able to share some more details about with you soon.
This month we look at an RCT of conservative airway management in patients with a low GCS following presentation with acute poisoning.
Next up we take a look at paper reviewing our diagnostic ability with dissociative seizures; this gives us some really valuable signs and symptoms to looks for and outlines how we can improve with these presentations.
Lastly we look at prognostic scores following out of hospital cardiac arrests with a study that compares four different scores. If reliable they have significant scope to help us to both prognosticate and give valuable information to family and loved ones on their presentation to ED.
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. |
| 0:16.3 | I'm Simon Lang. |
| 0:17.6 | And I'm Rob Fenwick. |
| 0:18.7 | And this is January 24's Papers of the Month. |
| 0:24.0 | Yes, happy new year team. We have got lots of good stuff coming for you in the next 12 months. |
| 0:29.4 | Looking forward to sharing info on that in due course. But first up, we've got three papers to ease you into the new year. |
| 0:36.2 | So the first one we're covering this month is an RCT on airway management and comatose patients with acute poisoning. |
| 0:43.2 | Then I'll be taking us through a paper on dissociative seizures. And finally, it's all about validation of a score to predict neurological outcomes after cardiac arrest. |
| 0:53.2 | And that, to me, sounds like a strong start to |
| 0:55.8 | 2024. It certainly does. And tell you what, paper number one, if you're sat up listening to |
| 1:00.5 | this live on January 1st, there's probably going to be quite a few patients that might benefit |
| 1:05.3 | from the outcome of this paper, actually. Totally. Excellent. And before we get into it, a huge thanks to Zol Medical Corporation, |
| 1:14.2 | who partner with us on the podcast and make this all free, open access and available to you |
| 1:20.7 | in their pursuit of excellent patient care. |
| 1:24.5 | So, without further ado, let's crack in to the first episode of 2024. |
| 1:30.3 | Okay, so as the authors state in our next paper, tracheal intubation is recommended for comatose |
| 1:40.3 | patients for those with severe brain injury, But it's use in patients with decreased levels |
| 1:46.9 | of consciousness from acute poisoning is uncertain. And this is a really interesting RCT here, |
| 1:54.8 | which looks to see whether or not a conservative approach for those with a low GCS following a |
| 1:59.7 | toxidrome is better than current |
... |
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