June 2024; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 June 2024

⏱️ 31 minutes

🔗️ Recording | iTunes | RSS

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Summary

Welcome back to June's Papers of the month!

We kick off this month looking at the work up of patients with a first episode of psychosis. With these patients there is a chance of a psychosis secondary to an underlying structural cause. Getting neuro-imaging to look for this prior to psychiatric assessment is tricky though, often with a need for sedation and then the subsequent delay for psychiatric assessment. Our first paper looks at the yield of positive scans for these patients and helps us to understand a bit more about the need for this.

Secondly; sepsis screening tools are commonplace in most emergency services and departments, but how do they compare against senior clinician gestalt?

Finally we look at the association of gastric distension in cardiac arrest and the rates of ROSC, should we be concentrating more on decompression of gastric volume intra-arrest?

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, welcome back to the recess room podcast.
0:15.7	I'm Simon Lang.
0:17.1	And I'm Rob Fenwick.
0:18.2	And this is June 2024's, not that you'd know it, looking out the window, papers of the month.
0:24.4	Absolutely. I thought this was a summer you'd ordered with that pasty skin, Simon Lang.
0:29.5	And you're such a bronze dodonis, sorry, I forgot. Those freckles really bring out the darker tones in your skin.
0:37.1	I've invested heavily in fake tan this year, so I am literally, I'm golden.
0:41.2	I'm golden up here in the Midlands, yeah.
0:43.6	Well, don't worry about that, Simon.
0:45.1	Don't worry about the weather out there.
0:46.5	We've got some evidence-based medicine for you.
0:48.5	So three good papers, in fact, three great papers.
0:51.4	We wouldn't bring you good.
0:52.2	We'd bring you great here, don't we? So we've got the prevalence of radiological abnormalities in first episode psychosis, some really
0:59.5	amazing results in that one. Second one I'm going to be taking us through is Gestalt versus
1:04.1	screening tools for sepsis. What a battle that's going to be. And finally, does a stomach
1:09.7	full of gas affect ross grades following
1:11.9	out of hospital cardiac arrest? So we have got free cracking papers, Langers. We certainly
1:16.5	have. Enough to read whilst it continues to rain anyway. Before we get into the podcast, a huge
1:23.0	thanks to Zol Medical Corporation, who collaborate with us on the podcast and make this all free
	...

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