October 2021; papers of the month
The Resus Room
Simon Laing
4.9 • 708 Ratings
🗓️ 1 October 2021
⏱️ 30 minutes
🧾️ Download transcript
Summary
Welcome to October's papers of the month!
Should patients who gain a ROSC following an out of hospital cardiac arrest go for an immediate angiogram if their ECG does not show an STEMI or Left Bundle Branch Block? We've looked at this before with the COACT trial which only looked at those patients with a shockable rhythm but this months paper looks at all ROSCs from all rhythms.
Next up we take a look at a paper that investigates senior paramedics decision making in cessation of cardiac arrests and think further about the decision making that goes into these complex decisions.
Finally we take a look at a huge trial assessing the use of balanced fluids versus Normal Saline in critically ill patients and gain more information about the strategy we should employ.
Once again we'd love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
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 Recess Room podcast. |
| 0:15.9 | I'm Simon Lang. |
| 0:17.6 | And I'm Rob Fenwick. |
| 0:18.8 | And this is October 2021's Papers of the Month. |
| 0:23.7 | Indeed, the autumn edition, always a cracker if you look back at the previous ones. |
| 0:29.6 | Well, we have definitely got three brilliant papers for you, so we're going to be looking at fluids in critically old patients, |
| 0:35.5 | an exploration of how senior paramedics decide to cease |
| 0:39.1 | resuscitation in PEA arrests, and continuing his obsession, Simon is again, wittering |
| 0:46.4 | on about angiography following out of hospital cardiac arrest. It is a new paper, though, |
| 0:51.5 | in the defence of me, not in his defence of course. |
| 0:55.0 | Yeah, mate, I mean it's just the Tomahawk trial. |
| 0:56.9 | I'm sure you won't have heard of it, but it is a fairly important piece of literature to cover. |
| 1:01.7 | I've heard of a Tomahawk steak. |
| 1:03.2 | I don't know about the Tomahawk trial. |
| 1:04.7 | Oh, God. |
| 1:06.0 | Cut that. |
| 1:06.5 | We'll edit that one out. |
| 1:07.7 | We'll edit that one out. We'll edit that one out. Anyway, it's all nice and toasty in the study. |
| 1:11.8 | The radiators are back on and we're here in our woolly jumpers ready to go through those three papers with you. |
| 1:17.7 | Before we get on to it, a big thanks to SJTrem, the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, |
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