January 2025; papers of the month
The Resus Room
Simon Laing
4.8 • 678 Ratings
🗓️ 1 January 2025
⏱️ 34 minutes
🧾️ Download transcript
Summary
Happy New Year!!!
We hope you've had some time off over the festive period and now we're back to kick start the new year with three more great papers.
Syncope is common presentation to the Emergency Department, accounting for 1% of presentations. Without a clear precipitant of the event it can be challenging to identify those patients who have a higher risk of associated morbidity and mortality, and furthermore those who would benefit from further investigation and observations. Our first paper looks at syncope risk-stratification tools and sheds some light on their utility.
Acute exacerbations of COPD with acute type 2 respiratory failure and frequently treated with non-invasive ventilation (NIV), with high flow nasal oxygenation a treatment normally for patients in type 1 respiratory failure. However our second paper is a fantastic RCT looking at the the application of either NIV or high flow nasal oxygenation in those type 2 COPD exacerbations, are both options for our patients?
Finally, since the advent of trauma networks in the UK, prehospital patients have been triaged to the most relevant centre based upon trauma triage tools. Our third paper looks at the performance of these tools and gives valuable insights for both those clinicians using the tools and those receiving trauma patients in both MTCs and other trauma units.
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. |
| 0:15.9 | I'm Simon Lang, and I'm Rob Fenwick. |
| 0:18.3 | And this is January 2025's of the month yes indeed welcome to |
| 0:25.9 | 2025 hope you have all had a great festive period and that you managed to spend some time with |
| 0:31.3 | your family and friends Simon I would firstly like to say congratulations on not making the same |
| 0:37.1 | gag you make every year on papers of the month, |
| 0:39.9 | which is, if you're listening to this as the bells chime midnight, but well done for steering clear of it, mate. |
| 0:45.4 | Clearly a lot wiser this year as well as a bit older. |
| 0:49.0 | But we're going to be springing into 2025 with three papers for you. |
| 0:52.5 | So we have got a paper looking at risk stratification |
| 0:55.4 | tools for patients with syncope. I'm going to be taken us through high flow nasal canulars |
| 1:00.1 | versus NIV in exacerbations as COPD. And then we've got a really interesting paper on the accuracy |
| 1:06.5 | of pre-hospital triage in English trauma networks. So what a great way to start the year. |
| 1:13.3 | It is indeed, apart from the fact that you really have completely blocked me from that |
| 1:17.4 | joke because I didn't believe it was only appropriate in the first few sentences. |
| 1:20.7 | But never mind, I've got nothing attentive comedic to offer other than that. |
| 1:24.8 | So I guess we'd just crack into the podcast. |
| 1:26.8 | Before we do so, |
| 1:28.4 | a huge thanks to Zol Medical Corporation who continue to collaborate with us on the podcast |
| 1:34.0 | and make it all free and open access to you. And excitingly, we have got another conference |
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