July 2025; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 July 2025

⏱️ 30 minutes

🔗️ Recording | iTunes | RSS

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Summary

Welcome back to Papers of the Month! Three more papers to both inform and challenge our practice across the spectrum of emergency care.

First up we look at a systematic review and meta-analysis on noradrenaline vs adrenaline for our medical post-ROSC patients; what evidence exists out there and should we all be delivering noradrenaline as our first line treatment for those with shock?

Next up a paper to really challenge the treatment algorithm for status epilepticus in paediatrics, with an RCT of midazolam and ketamine versus midazolam alone. There are some huge differences here in the form of termination rates and some great discussion to be had around the specifics of the paper and how that might translate into future practice.

Finally we look at a paper assessing the impact of i.m. versus i.v. metoclopramide for migraines and acute severe headaches. The paper looks at the impact of length of stay within the Emergency Department and also the efficacy of the treatment.

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.
0:17.3	And I'm Rob Penwick.
0:18.5	And this is July 2025's Papers of the Month. Yes, currently recording
0:24.2	and cooking in the middle of a heat wave here in Shropshire in my home office with absolutely
0:30.5	no air conditioning and Simon prohibits me from having a fan on due to the background hum. I mean
0:36.0	podcasting ain't easy. That's all I'm saying.
0:38.2	That's all I'm saying.
0:39.3	You mean cooking in terms of weather?
0:41.2	I thought you meant we were going to do a culinary episode to add extra interest to the listener.
0:45.9	We'll do that.
0:46.5	I reckon James could do a veggie special, couldn't you?
0:48.7	And the rest of us can just eat all the other things.
0:51.0	Awesome, yeah. I'll suggest that for a roadside to recess. I'll have a thing. Roadside to restaurant, maybe. Oh, yeah.
0:58.2	Nice. We've got it. We've got the name coming soon. Anyway, rather than prolong the recording
1:03.3	and lose around five kilos in sweat and go down with a heat illness, I think it's probably best
1:07.6	we get cracking. And to be honest with you, it is worth it because we have got some interest in papers to bring you.
1:13.1	So firstly, we're going to be looking at noradrenaline versus adrenaline after cardiac arrest.
1:18.4	Then ketamine for pediatric status epilepticus.
1:21.8	Osh, that sounds good.
	...

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