March 2019; papers of the month
The Resus Room
Simon Laing
4.8 • 678 Ratings
🗓️ 1 March 2019
⏱️ 32 minutes
🧾️ Download transcript
Summary
We've got a broad array of topics and papers for you this month!
First up we look at a paper from the NEJM assessing the potential benefits in providing ventilations to patients undergoing an RSI. Next we look at patients presenting with both syncope and pre-syncope to the emergency department, this paper quantifies the risk that we should be apportioning to these two different presentations. Finally, we look at a paper that suggests the manual pulse check in CPR is dead, and that the time has come for doppler and ultrasound to replace it!
As always make sure you take a look at the papers yourselves and draw you own conclusions, we'd love to hear your thoughts.
Enjoy!
Simon & Rob
References & Further Reading
Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults. Casey JD. N Engl J Med.2019
Comparison of 30-Day Serious Adverse Clinical Events for Elderly Patients Presenting to the Emergency Department With Near-Syncope Versus Syncope. Bastani A. Ann Emerg Med.2019
Comparison of manual pulse palpation, cardiac ultrasonography and Doppler ultrasonography to check the pulse in cardiopulmonary arrest patients. Zengin S. Resuscitation.2018
Transcript
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| 0:00.0 | Welcome to the Recess Room podcast. |
| 0:03.9 | Five, four, three, two, one, fire. |
| 0:13.3 | So hi, and welcome back to the Recess Room podcast. |
| 0:17.1 | I'm Simon Lang. |
| 0:18.4 | And I'm Rob Fenwick. |
| 0:19.5 | And we're through now to March 2019's Papers of the Month |
| 0:24.0 | Oh yes we are getting through the months quickly this year Simon the weather is getting better |
| 0:28.8 | I am supercharged let's crack on with these papers my friend they are good ones |
| 0:33.1 | Yeah not biased at all they're great so we've got three great topics. We're having a little |
| 0:39.1 | look at the use of bag valve mask ventilation during RSI prior to intubation. We're looking at |
| 0:46.3 | the risk of patients presenting with presyncope compared to syncope and the associated |
| 0:51.1 | morbidity and mortality that they hold. And then finally, we're going to be having a think about whether or not we should be doing our pulse checks |
| 0:57.5 | and advanced life support with ultrasound, Doppler or with manual pulse checks. |
| 1:03.4 | Very completely straightforward topics, that. |
| 1:05.5 | Excellent. |
| 1:06.4 | Just a hint of critical appraisal involved in them. |
| 1:08.9 | Before we get into the paper, a huge thanks |
| 1:11.0 | once again to Aprack for supporting the podcast. They provide high quality advanced clinical |
| 1:16.5 | practitioners to EDs up and down the country. If you're looking to be part of their outfit, |
| 1:20.8 | then have a look at the hyperlink on the website through to their details. So without further |
| 1:25.5 | ado, let's get on with the podcast. So traditional teaching |
| 1:31.8 | when we were thinking about RSIing patients, that's a rapid sequence induction of anaesthesia, |
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