June 2023; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 June 2023

⏱️ 27 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Welcome back to the podcast and to the first episode in collaboration with our new sponsors Zoll, a huge thanks to them in their support of free open access medical education!

First off this month we return to the topic of rib fractures; with an apparent shift in practice to the surgical fixation of multiple rib fractures, we take a look at an early vs late approach and consider the impact these results may have on trauma systems.

Next up it's a prehospital RCT assessing the use of a prehospital strategy including a single troponin to rule out acute coronary syndrome. Will this prove safe when compared to an in hospital strategy and what impact does it have on prehospital resources?

Finally we look at ventilation rates in cardiac arrest management. For as long as we can remember the guidance has been to ventilate at ten breaths per minute, but will a strategy involving a faster ventilatory rate yield better results?

Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.

Simon & Rob

Transcript

Click on a timestamp to play from that location

0:00.0	Welcome to the recess room podcast.
0:03.5	Five, four, three, two, one, fire.
0:12.2	So hi, and welcome back to the recess room podcast. I'm Simon Lang. And I'm Rob Fenwick.
0:18.0	And this is June 2023's Papers of the Month.
0:22.6	Oh yes, it certainly is, Simon.
0:24.5	We have got three absolutely belt-in papers for you this month.
0:28.6	So first of all, we're going to be looking at rib fixation for severe chest trauma.
0:32.9	When should it be happening?
0:34.3	Next up, I'll be taking us to a paper looking at single troponins in the
0:37.9	pre-hospital setting to exclude non-ST elevation MI. And then finally, you're going to be
0:43.8	looking at mechanical ventilation with 10 or 20 breaths in cardiac arrest. So, oh, this is
0:48.9	Rhesus Room Gold, Simon, isn't it? It certainly is, and it's pretty much heatwave weather here,
0:53.8	as far as I'm
0:54.4	concerned and Factor 50 slapped on so we should just about be safe to finish the recording anyway.
0:59.8	Before we get into it though, a huge thanks to our new sponsors who are Zol Medical Corporation
1:06.4	and those of you that have been along with the journey of the research room over the last few years
1:10.3	will know Zol because they've been huge advocates of the projects we've been involved with.
1:15.0	They've enabled us to set up the CPD portal where you can record all of these podcasts after
1:19.6	completing the MCQ, record all of your other CPD in their portfolio and have also helped us
1:24.9	deliver our sedation courses and masterclasses. So we are really thrilled
1:29.3	that they're supporting us from this point forward in our journey. And they're here, essentially,
1:34.8	to provide free open access medical education and support the best possible outcomes for our
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Simon Laing, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Simon Laing and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.