July 2024; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 July 2024

⏱️ 30 minutes

🔗️ Recording | iTunes | RSS

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Summary

There's a huge paper to talk about this month in the PREOXI trial, a multi centre RCT looking at the pre oxygenation strategy in critically unwell patients undergoing RSI, with patients either getting high flow oxygen through a facemask or NIV. The results are pretty remarkable and may well be practice changing as we'll discuss in the podcast!

Next up we take a look at a feasibility of lidocaine patches for older patients with rib fractures and the potential benefit in terms of pain and respiratory complications.

Lastly we take a look at the benefit of performing a CT head scan in the Emergency Department for patients with a first fit. At times this can feel like a significant utilisation of resources, but what is the yield of positive scans and impact on patient care?

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. I'm Simon Lang, and I'm Rob Fenwick.
0:18.2	And this is July 2024's Papers of the Month.
0:22.6	Yes, team, we will be sliding into July with slightly more finesse than either the British summer
0:27.9	or the England football team's first three matches at the Euros.
0:31.2	Thankfully, though, we've got both me and him on the papers, so it's a tried and tested lineup.
0:36.2	First up, though, we're going to be looking
0:37.9	at the pre-oxy trial. Not sure if you've come across it, Simon. It was pretty low-key on the
0:42.6	social media channels, so we'll cover it just in case you've missed it. So pre-oxy first. Then we're
0:48.4	going to be looking at rib fractures and finally CT scans following first presentations of seizures
0:53.7	and potentially there could be some
0:55.6	practice changes in this month so definitely worth hanging around for yeah absolutely preoxy is a
1:01.1	fantastic paper along with the other two as well lots of things to discuss and actually i only found
1:06.0	out that the euros was on when i was in the supermarket with mrs lang the other day and realized
1:10.0	that it was quite quiet in there and she pointed out that's because the euros were on. So there
1:13.8	we go. That's how much my finger is on the pulse of this football malarkey that seems to be
1:18.2	going on. But I'm not really missing out on much. I've got a very useful gauge for me. So basically
1:22.9	my children fleece me for anything like stickers or cards in advance of large sporting events.
1:28.5	So I'm aware about a month before, General.
1:30.8	Yeah, and the recess room Panini sticker album will be available shortly.
1:35.0	Oh, there's an idea.
	...

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