November 2019; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 November 2019

⏱️ 28 minutes

🔗️ Recording | iTunes | RSS

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Summary

We've got some papers this month that focus on our sickest patients!

If you had a patient that you found in cardiac arrest and you believed they had a PE, would you thrombolyse them during the arrest, and how much more likely do you think they would be to survive? Our first paper looks at exactly this question.

Second up we consider the potential harms associated with adrenaline administration to those in traumatic arrest.

Finally, when RSI'ing a patient and considering your pharmacological cocktail, how likely are you to reach for the fentanyl and how much concern would you have over the risk of this rendering the patient haemodynamically unstable? We take a look at a recent review on the topic and get Dr. Ian Ferguson's insights as the lead author.

Make sure to get in touch with any comments on any of the reviews, and importantly make sure you check out the papers and draw your own conclusions.

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.
0:12.0	So hi, and welcome back to the recess room podcast.
0:15.4	I'm Simon Lang, and I'm Rob Fenwick.
0:17.5	And the nights are getting longer.
0:19.9	The evenings are getting chillier.
0:21.7	It is November 19's Papers of the Month.
0:25.2	It is Simon and we are coming out swinging this month with three cracking papers.
0:29.7	We've got a little bit on thrombolysis during cardiac arrest for PEs.
0:33.5	We've got some adrenaline in traumatic cardiac arrest.
0:37.4	And we're also going to be looking at a little bit around fentanyl during RSI.
0:41.9	So definitely worth tuning in for, and we hope you enjoy it.
0:45.0	There have been some really interesting things, I think, which have come out of these papers, and bits that challenge my practice.
0:50.5	Certainly, maybe that leaves me as a bit of an outlier, but we shall look forward
0:54.5	to going through the papers. Before we start, a huge thanks to S.J. Trem, the Scandinavian Journal of
1:00.3	Trauma, Resuscitation and Emergency Medicine. They're an online journal that combined with us for
1:05.6	this podcast, every single paper they publish is free and open access online, and we'll be covering one of them in each month.
1:14.4	So without further ado, let's crack on with a podcast.
1:20.1	So Rob, if you got someone that collapses in front of you that had a bit of pleuritic chest pain and you're pretty sure that they've
1:28.4	got a pee, they then go on to have a cardiac arrest. Would you thromboise them during that arrest?
1:34.2	That is a good question, Simon Lang, and I would, I would say, that if that diagnosis of
1:40.0	PE was really high up on my list of differentials. Then for that patient, if they collapsed in
	...

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