June 2021; papers of the month
The Resus Room
Simon Laing
4.9 • 708 Ratings
🗓️ 1 June 2021
⏱️ 34 minutes
🧾️ Download transcript
Summary
This month we've got three papers that have challenged our practice both from an in-hospital and pre-hospital perspective.
Firstly we consider a paper that looks at admission saturations for patients with exacerbations of COPD and compare this to the BTS guidance on oxygen therapy, regarding altering oxygen saturations for those proven not to be hypercapnoeic. Should we be aiming for 88-92% or 94-98%?
Next we look at a paper from the team at KSS looking at dispatch to older trauma victims and consider whether current triggers for HEMS dispatch are set at the appropriate level to catch those in this cohort that may benefit from critical care interventions.
Lastly we look at a paper evaluating the QRS width in PEA cardiac arrests and consider firstly whether a broad QRS complex is predictive of hyperkalaemia and secondly whether we would treat patients based off this finding?
Once again we'd love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
Enjoy!
Simon and Rob
Transcript
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| 0:00.0 | Welcome to the recess room podcast. |
| 0:03.5 | Five, four, three, two, one, fire. |
| 0:11.9 | So hi, and welcome back to the recess room podcast. |
| 0:15.3 | I'm Simon Lang, and I'm Rob Fenwick. |
| 0:17.5 | And this is June 2021's Papers of the Month. |
| 0:21.0 | It is, Langers. |
| 0:21.9 | Yeah, lockdown has been eased. |
| 0:23.4 | And in good news, you're allowed back in pubs and restaurants, of course. |
| 0:26.2 | I presume bad news for Mrs. Lang, though, is that hugging is now allowed. |
| 0:29.5 | So the last few months would have been like a dream for her, I imagine. |
| 0:33.6 | I'll stop being harsh. |
| 0:35.4 | But we have got three papers for you. |
| 0:37.8 | We are looking at oxygen therapy in COPD. |
| 0:40.4 | We are looking at Hems Dispatch to Old Trauma Patients. |
| 0:44.1 | And we have got one on wide QRSPA with hyperclemia in cardiac arrest. |
| 0:49.5 | So varied topics, but man, there's some good stuff in there, isn't there? |
| 0:52.7 | Yeah, there definitely is. |
| 0:53.6 | And it feels like a little while since we've got together, Rob. |
| 0:56.7 | I know. |
| 0:57.0 | Since our recess guideline update, it's been an absolute pleasure. |
| 1:01.0 | Thank you very much. Yeah, it's been ideal. |
| 1:03.6 | It's good to have a break. It makes the heart grow fonder, doesn't it, as they say. |
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