Hi and welcome back to May's Papers of the Month. I'm Simon Lang. So we're slightly out of sync this month,

as we mentioned last time. We've just had MCEF's EBM Updates talk, so if you haven't

listened to that, check out that one first. But a couple of weeks later than anticipated,

we've got May's Papers of the Month.

So we've got three big ones for you.

Hopefully they'll bring into question some areas of your practice

and make you evaluate what you're doing

in a slightly different way.

As always, we would love to hear some feedback

either via the website, at our Twitter Twitter account or on our Facebook page.

So make sure you drop us the line there. So we've got three papers. We've got some on the

effects of pre-hospital hypothermia. We're having a little look at the reliability of clinical

assessments in the elderly population who present with a

synchable episode. But first of all, we're going to have a little look at positioning for our

patients who are undergoing an emergency RSI. So when you get a patient that comes into your

ED that's shorter breath, the first thing

you do is sit them up, trying to decrease the thoracic resistance they're going to have

to work against to take some good effective breaths.

And when we have larger patients that require intubation, we often sit them up in a ramped

position for pre-oxygenation and sometimes for the actual passage of the tube as well.

But why is it that we don't do this on all patients who are undergoing RSI?

And that's what this paper is looking at.

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