October 2020; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 October 2020

⏱️ 33 minutes

🔗️ Recording | iTunes | RSS

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Summary

Welcome back to the Papers of the Month podcast, once again we've got 3 more papers to inform, discuss and hopefully improve our practice.

First up we have a look at a paper which looks to quantify the prognostic utility of lactate in our sick Resus patients; we often look at the initial lactates and draw conclusions for what they mean, but this paper helps us understand the results a bit further.

For our patients that sustain a head injury, the NICE guidelines advocate that all patients on direct oral anticoagulants should have a CT head scan, irrespective of clinical findings or other high risk features of the patients history. Quantifying the risk that these patients have for an intracranial bleed is really important, as to date it isn't fully understood. Our second paper looks at this directly and can help inform practice, guidelines and discussions with patients.

Finally; we often think about how we can improve resuscitation of our patients in cardiac arrest, look for the latest treatment and evidence, but it can be easy to overlook how our actions can significantly affect their loved ones who may be present at this time. We take a look at a fascinating study looking at the impact of inviting patients in to witness the resuscitation in its entirety and the effect that this has in regards too PTSD. In our opinion this paper holds a huge amount to think about and is a game changer!

Finally keep an eye out for our CPD portal and app which is in the final stages of testing and will be out very shortly!! We'll be keeping you up to date on twitter @TheResusRoom with its launch

Enjoy!

Simon & Rob

Transcript

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0:00.0	Welcome to the Recess Room Podcast.
0:03.0	Five, four, three, two, one, fire.
0:12.0	So hi, and welcome back to the Recess Room podcast. I'm Simon Lang. And I'm Rob Penwick. And this is October 2020's Papers of the Month.
0:22.5	Yes, nights are getting a bit colder now, aren't they, mate?
0:24.7	I'm sure you've got your fleecy blanket down from the loft by now.
0:28.2	But fear not, we've got a nice big dose of evidence-based medicine for you to snuggle up to in the form of our usual three papers.
0:35.4	And this month, we have got some really very topics.
0:37.9	So we're going to be looking at the murky world of lactate in non-trauma patients.
0:42.2	We're going to be looking at the troublesome area of DOAC, so direct oral anticoaginference and head injuries.
0:47.4	And Simon, oh yes, he will be looking at a randomised controlled trial of witnessed resuscitation,
0:53.4	which was published just seven years ago.
0:56.5	So not exactly hot off the press, not even loop warm, but it was too good not to include.
1:01.6	And I can't believe we didn't spot this when it came out.
1:04.0	Well, we weren't doing the podcast for a start, but I think it just goes to show how long it takes me to review a paper.
1:09.1	But before we go on, Rob, can I just really compliment you on what great chat you have?
1:14.3	Because every single episode, it always seems to come back to, yeah, the weather's doing this.
1:19.6	I can just imagine you courting in your youth, a brilliant chat you'd have had.
1:24.4	Slightly better than the chat you had before we came on air,
1:26.7	where you were telling me that
1:27.8	sound like I've got a female voice rather than male.
1:30.5	So by the time this goes out, we'll make sure that I've turned the bass right up on the episode.
1:35.3	I would just like to say that he started off several octaves higher than he is currently
	...

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