March 2020; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 March 2020

⏱️ 32 minutes

🔗️ Recording | iTunes | RSS

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Summary

We've got a great spread of topics for you this month, stretching all the way from Prehospital Critical Care, to core Emergency Medicine topics.

Those of us seeing 'non-specific' complaints will appreciate how difficult they can be to diagnose and manage effectively. We have a look at a paper that helps characterise this group and give some context to their mortality risk. This may well help inform conversations and decision making with this patient group.

Recent literature has looked at a more conservative management for traumatic pneumothoraces, but what about those that are spontaneous? The British Thoracic Society has guidelines for how we should deal with them but a recent RCT in the New England Journal of Medicine looks at an even more conservative approach for our patients; can we decrease the number of aspirations and drains that we are performing?

Finally we've covered recently a paper on the topic of Prehospital Critical Care on the outcomes for patients in cardiac arrest, in this episode we have a look on their impact in trauma patients and hear from the lead author Ali Maddock on the implications of the study's findings.

Enjoy!

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.
0:12.2	So hi, and welcome back to the recess stream podcast. I'm Simon Lang. And I'm Rob Fenwick.
0:17.7	And this is March 2020's Papers of the Month. It is Simon and as ever we have
0:23.1	got three papers for you. We will be looking at pre-hospital critical care. We'll be looking at
0:27.6	management of spontaneous pneumothorax and we've also got something on those cryptic,
0:32.8	non-specific complaints that present to the ED. So definitely worth hanging around for.
0:37.7	Yeah, so something for everyone, whether that be from the pre-hospital environment all the way
0:41.6	through to the emergency department and critical care. Before we get going, a huge thanks to our
0:46.4	partners on this podcast, the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine,
0:51.9	also known as SJTrem. There are a free open access journal who publish all of their articles online.
0:58.0	Every month we'll be covering one of them, so make sure you go over and have a look at their
1:01.5	website, which we'd hyperlink to on ours, and check out their articles for free.
1:06.0	So without further ado, let's crack on with the podcast.
1:13.6	So not long ago, we covered a paper by Johannes von Vapelius Felt, which looked at the impact that pre-hospital critical care teams
1:19.0	might have on patients in cardiac arrest. Now, the results of that didn't seem to show a benefit
1:25.3	in the outcomes for those patients that pre-hospital critical care
1:28.7	are attending. Now obviously cardiac arrests aren't the only set of patients that pre-hospital
1:34.3	critical care are going to and trauma is a significant degree of most services work.
1:39.8	Now just recently in the EMJ there's been a paper which looks on the impact that pre-hospital
1:45.3	critical care teams have on patients with trauma.
1:48.5	And that is what paper number one is all about.
	...

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