October 2018; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 October 2018

⏱️ 24 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Welcome back to October's Papers Podcast, this month we move airway from advanced airway management and bring you a broad array of papers.

First up we have a look at the relative success of a variety of pharmacological strategies for managing the acutely agitated patient in ED. Next up we have look at the well know CURB-65 score and it's ability to predict the need for critical care interventions. Lastly, we may all feel at times that performing a CT head on those well patients solely because they take anticoagulants may be a little on the excessive side, we review a paper that looks at the yield of positive scans in this cohort.

As ever don't just take our word for it, go and have a look at the papers yourself, we would love to hear any comments or feedback you have.

Enjoy!

Simon & Rob

References & Further Reading

IntramuscularMidazolam, Olanzapine, Ziprasidone, or Haloperidolfor TreatingAcuteAgitationin the Emergency Department. Klein LR. Ann Emerg Med. 2018

Performanceof the CURB-65Scorein PredictingCritical CareInterventionsin PatientsAdmitted With Community-AcquiredPneumonia.Ilg A. Ann Emerg Med.2018

Incidenceof intracranial bleedingin anticoagulatedpatientswith minor head injury: a systematic review and meta-analysis of prospective studies. Minhas H. Br J Haematol.2018

Transcript

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0:00.0	Welcome to the Recess Room podcast.
0:03.9	Five, four, three, two, one, fire.
0:13.1	So hi, and welcome back to the Recess Room podcast.
0:16.4	I'm Simon Lang.
0:17.8	And I'm Rob Fenwick.
0:19.1	And this is October's Papers of the Month.
0:23.0	Getting chilly, probably.
0:26.0	Feels very close to September, doesn't it?
0:29.0	It does. It does.
0:31.4	We are maximising our production schedule by recording a touch early, but only a touch.
0:36.2	Almost like they were recorded back to back, but that's obviously just the seamless way that they're edited.
0:42.0	So, yeah, we've got three great papers that we've just noticed coming up in October.
0:47.1	So we've got one looking at acute agitation in the emergency department and pharmacological strategies to deal with that.
0:54.7	We've got another paper looking at curb 65 and its ability to predict ICU admissions and
1:00.6	ICU interventions.
1:02.4	And finally, we'll be looking at paper, looking at intrasterebral bleeding on those patients
1:07.6	who are anti-coagulated and addressing maybe the issue of whether or not we need to be performing CT head scans on all of those patients.
1:18.1	Ooh.
1:18.5	Which seems to be a significant amount.
1:21.0	Really? Can't say I've noticed that.
1:23.3	Before we wade into those papers, though, a huge thanks once again to our sponsors, Abraq,
1:27.8	who deliver high-quality advanced clinical practitioners to emergency departments up and down the UK.
	...

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