May 2024; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 May 2024

⏱️ 28 minutes

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Summary

Welcome back to the podcast and three great papers for May's episode!

First up we take a pretty deep look into refractory VF. This follows on from our our review of DOSE-VF in December '22's papers of the month and our recent Roadside to Resus on the topic. In that we discussed the possibility that many of the cases we see at pulse checks as being refractory VF may actually have had 5 seconds or more, post shock, where they jumped out of VF but then reverted back into it. This paper is a secondary analysis of DOSE-VF and reveals what really happen to these 'refractory VFs' by interrogating the defibrillators. What difference will it make to our strategy for recurrent and refractory VF?

Next up we take a look at elderly patients presenting to the Emergency Department with abdominal pain with an analysis of the features that predict a serious abdominal condition.

Lastly we look at the how different pressures exerted to the facemask when ventilating neonates can make in terms of bradycardia and apnoea.

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.
0:12.0	So hi, welcome back to the recess room podcast.
0:15.1	I'm Simon Lang.
0:16.5	And I'm Rob Fenwick.
0:17.5	And this is May 24's Papers of the Month.
0:23.2	Yes, team, we have got the usual three papers, but they are absolutely tip-top, I promise you, so we're going to be looking at double
0:28.2	sequential defibrillation, serious abdominal conditions in the older patient, and mask pressure
0:34.8	for neonatal resuscitation. I mean, oh, that is sweet, evidence-based medicine coming right at you whether you like it or not.
0:43.2	Of course, you can always turn it off if you don't want to.
0:46.2	Yeah, an absolutely selfish picks here, because that abdominal pain in the elderly patient,
0:50.6	we know that we can apply it to the three of us here on the podcast.
0:53.3	So good to know it's affecting those of us that are producing this. It doesn't say
0:59.0	middle aged. It's geriatric is actually the title of it. So I think we're safe at least for five more.
1:03.8	Yes. Before we get into it, a huge thanks to Zol Medical Corporation, who collaborate with us
1:09.7	on the podcast and make this all free open
1:12.4	access and available to you. And remember that once you've listened to the podcast, you go and
1:17.5	complete a certificate on the website, which you can pop in your free CPD portfolio, which again
1:22.8	is brought to you via Zol. And if you really enjoy doing that, then why not have a little look at
1:28.3	our cardiac arrest, sedation, intubation, or even critical appraisal course. There's so much
1:33.8	fun on that website to get involved in. Anyway, without further ado, let's crack into the podcast.
1:43.7	Right, well, we are starting off with an absolute banger.
	...

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