January 2026; papers of the month
The Resus Room
Simon Laing
4.9 • 708 Ratings
🗓️ 1 January 2026
⏱️ 32 minutes
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Summary
Welcome to January's Papers of the Month, which marks 10 years of the podcast!
First up, we look at a large multicentre cohort study from the East of England examining the association between prehospital post-intubation hypotension and mortality in severe traumatic brain injury. Preventing secondary brain injury sits at the centre of what we're try to achieve in early TBI care, but this paper quantifies the impact of post-RSI hypotension in a dramatic way and the associated increase in 30-day mortality.
Our second paper moves into the world of stable supraventricular tachycardia, asking whether an elevated troponin level in this cohort predicts short-term cardiovascular events. Troponin testing in SVT is common but debated: is it useful, or is it a diagnostic red herring?
Finally, we look at BICARICU-2, a major multicentre RCT examining sodium bicarbonate for severe metabolic acidemia in patients with moderate–severe AKI. We explore what this means for bicarbonate use for this group of patient, both in terms of mortality rates and the need for renal replacement therapy.
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. |
| 0:15.7 | I'm Simon Lang. |
| 0:17.0 | I'm Rob Fowick. |
| 0:18.0 | And I'm James Yates. |
| 0:19.1 | James Yates. |
| 0:20.0 | This is Papers of the Month. Welcome back to January 2026 Papers of And I'm James Yates. James Yates. This is Papers of the Month. |
| 0:21.2 | Welcome back to January 2026 Papers of the Month with James Yates here. Well, it's just a little cameo. Don't get carried away. This isn't going to happen every month. It's here for the whole thing. It's here for the whole day, Simon. I can give him one of the papers if you want me. Well, we are back with our standard papers of the month. |
| 0:37.3 | James is going to leave us in a moment for more important events. |
| 0:41.3 | But... Well, we are back with our standard papers of the month. James is going to leave us in a moment for more important events. |
| 0:41.0 | But welcome to the new year. |
| 0:43.4 | We hope you've had a fantastic celebration. |
| 0:45.5 | But the reason that we're all here is because this marks 10 years of the podcast. |
| 0:50.9 | Ooh, look at that. |
| 0:53.8 | That's a way to make you feel old. |
| 0:57.8 | Yeah, absolutely. |
| 0:59.1 | So we're now 270 episodes deep. |
| 1:02.5 | There's around 150 hours of listening. |
| 1:05.2 | So that's more than six days back-to-back audio, having to tolerate us if you want to do that. |
| 1:10.3 | And more than seven million downloads. |
| 1:13.5 | So huge thanks to friends and family for keep pressing those buttons and getting our numbers up. |
... |
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