October 2019; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 October 2019

⏱️ 32 minutes

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Summary

Welcome to October '19 papers podcast.

You can't go far without the topic of TXA as a treatment for anything that bleeds being mentioned! With the publication of CRASH-2 and the WOMAN trial practice has crept such that administration in gastro-intestinal bleeding is seen fairly frequently. However, current guidelines don't recommend the use of TXA in GI bleeding, so this month we have a look at a systematic review which looks to answer whether it's administration is supported by the evidence, before we get a definitive answer from the HALT-IT trial.

Next up, following on from our Burns Roadside to Resus podcast, we take a look at a paper that quantifies the potential benefit of thorough first aid in the management of paediatric burns, a really key paper on the topic, with really powerful results.

Finally, we all know that Sepsis is a core area of our practice, but at times it may feel like the attention on those that could possibly have severe sepsis displaces the ability to care for other critically ill patients. We take a look at a great paper developing a prehospital screening tool to focus in on those patients that really do require time-critical care.

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.
0:12.2	So hi, and welcome back to the Reeser Room podcast. I'm Simon Lang.
0:17.0	And I'm Rob Fenwick.
0:18.1	And the months are rolling on. This is October 2019's Papers of the Month.
0:24.1	It certainly is.
0:24.9	And we've got three balters for you, as always.
0:27.2	We've got some great emergency medicine topics.
0:29.4	So we are talking about burns.
0:31.5	First aid care for burns.
0:32.7	That's my paper, so I mention that first.
0:34.8	Simon's doing a little bit on trinaxamic acid in upper GI bleeding,
0:39.2	and we've also got a great paper on pre-hospital sepsis.
0:43.4	Yeah, there are some great things to think about here,
0:45.7	and some, as you've said, some really core emergency medicine topics,
0:49.2	which are great to get back to.
0:51.0	Before we start, a huge thanks to our partners in this podcast, the Scandinavian Journal
0:55.8	of Trauma, Resuscitation and Emergency Medicine. They are a fantastic journal who are free and online
1:02.3	with every article they publish. We'll cover one of their articles each month, so make sure you
1:08.0	go and check out their papers along with the other papers we
1:10.9	discuss in the podcast to make up your own minds. So without further ado, let's crack on with
1:15.4	the podcast. So starting off then with Tranixamic acid for upper GI bleeding. Now Rob,
	...

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