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The Resus Room

July 2017; papers of the month

The Resus Room

Simon Laing

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

4.8678 Ratings

🗓️ 1 July 2017

⏱️ 24 minutes

🧾️ Download transcript

Summary

We're back with 3 superb topics this month!

First off we have a look at the utility of ultrasound for the detection of pneumothoraces in the context of blunt trauma.

Next we look at the need to scan facial bones when scanning a patient's head following trauma.

Last of all we look at a paper reviewing the association between the use of a bougie and the first pass success when performing ED RSI.

Have a listen to the podcast and most importantly make sure you have a look at the references and critically appraise the papers yourself. We'd love to hear your thoughts and comments at the bottom of the page.

Enjoy!

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to the Recess Room podcast.

0:03.9

Five, four, three, two, one, fire.

0:12.8

So hi, and welcome back to the Recess Room podcast. I'm Simon Lang.

0:17.4

And I am Rob Fenwick.

0:19.2

And this is July's Papers of the Month. Oh yeah. Oh yeah.

0:24.5

We have got three really, really good papers actually. We're going to be running through

0:28.1

Ultrasound and pneumothoroses. We're going to be talking a bit about CT scans. And when you're

0:33.7

seating ahead, whether or not we should be including facial bones as well. And we're going to wrap up with whether or not a bogey should be used for all ed intubations.

0:42.7

Okay, and big thanks to our sponsors our Pract for making this all possible.

0:46.4

So, without further ado, let's crack on with the podcast.

0:51.2

Right, paper number one then.

0:53.5

Ultrasound and pneumothoroses. Something you see match

0:56.5

of, Rob? No, not a huge amount, actually, to be fair. I don't see it done on a frequent

1:01.5

basis where I work. I'm certainly aware of it being big in the literature, and I'm certainly

1:05.9

aware of there being places that do it really regularly. But it's not really something that we

1:10.4

tend to do up in our

1:11.5

region that much or not in my trust anyway. So are you doing a lot of it down where you are?

1:16.2

To see a reasonable amount of it actually, and there are definitely some experts when it comes

1:20.1

to ultrasound, including chest and cardiac around where I work. So no, it is something actually

1:25.3

that see a reasonable amount of and definitely something I'm trying to get better at.

1:28.3

So this paper sort of sparked a bit of interest. So published in the EMJ, lead author was Thomas Sauter, and the title of paper, detection of pneumothoracies in patients with multiple blunt trauma, use and limitations of eFAST. So really it's a paper that

1:47.5

as it says is trying to look at how good, how accurate it is to perform a lung ultrasound to have

...

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