May 2021; papers of the month
The Resus Room
Simon Laing
4.9 • 708 Ratings
🗓️ 1 May 2021
⏱️ 35 minutes
🧾️ Download transcript
Summary
Welcome back to May's Papers of the Month Podcast!
Three more papers for you on three varied topics. We start off with the use of end tidal carbon dioxide in the content of prehospital head injuries.Taking a look at a paper delving a bit deeper into the utility of end tidal CO2 when compared with arterial CO2 measurements on arrival in ED, in patients having received a prehospital anaesthetic; how accurate is end tidal and what level should we be aiming for?
Next we consider the importance of frailty in the outcomes of our older trauma patients and the ability of three different screening tools in identification of this cohort of high risk patients presenting to our hospitals.
Finally we take a look at a treatment which some prehospital services have already employed and others are considering; the use of CPAP for patients presenting with acute respiratory distress. Does the evidence support its use?
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. |
| 0:12.1 | So hi, and welcome back to the recess room podcast. I'm Simon Lang. And I'm Rob Fenwick. |
| 0:18.3 | And this is May 2021's Papers of the Month. It is indeed we are back as |
| 0:23.7 | always with your monthly look at some interesting papers and we have definitely got some good-ins for |
| 0:28.5 | this month so we're going to be taking you on a journey involving Entitle CO2 for head injury |
| 0:33.3 | frailty scores in major trauma and some CPAP for acute respiratory distress. |
| 0:38.9 | So grab some snacks and get comfy. |
| 0:41.1 | I will. |
| 0:43.0 | Not you, mate. You've got work to do. |
| 0:45.1 | No, three great papers covering practice from pre-hospital all the way into the emergency department |
| 0:50.3 | and on to critical care. |
| 0:52.1 | So hopefully something for everyone. |
| 0:55.3 | And before we get going, |
| 1:01.0 | a big thanks to SJTrem, the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, |
| 1:07.8 | who partner with us on this podcast and make this all free and open access. So without further ado, |
| 1:11.7 | let's crack into the episode. Excellent. So, me up first then, and this one is about end tidal CO2. |
| 1:18.9 | Now, as the author's state in their paper, in the UK, 20% of patients with severe traumatic |
| 1:24.7 | brain injury received pre-hospital emergency anaesthesia or fear. |
| 1:29.6 | And current guidance recommends that an end tidal carbon dioxide level should be aimed for between 4 and 4.5 kilopascals |
| 1:38.0 | to achieve a low to normal arterial pressure of carbon dioxide and reduced secondary brain injury |
| 1:44.0 | because, of course, |
... |
Please login to see the full transcript.
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.
Copyright © Tapesearch 2026.