October 2023; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 October 2023

⏱️ 32 minutes

🔗️ Recording | iTunes | RSS

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Summary

Welcome back!

This month we kick off looking at an RCT which looks at whether we should convey patients with a ROSC from a likely cardiac cause (without a STEMI in their ECG) to a cardiac arrest centre, or whether they would be as well served at their local Emergency Department. This paper has huge potential implications for service design for cardiac arrest patients.

Next up we look at another RCT evaluating if patients with a suspected uncomplicated appendicitis who have urgent surgical intervention benefit in terms of a reduced perforation rate, when compared with those who have surgery within 24 hours.

Lastly we take a look at the use of bicarbonate, calcium and magnesium in cardiac arrest and see if there use is supported in a huge cardiac arrest registry.

Once again we’d love to hear any thoughts or feedback either on the website or via X @TheResusRoom!

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.
0:12.4	So hi, and welcome back to the Recess Room podcast.
0:15.6	I'm Simon Lang, and I'm Rob Fenwick.
0:18.0	And this is October 2023's Papers of the Month.
0:22.2	Oh yes, October already.
0:24.4	But I tell you, mate, I am feeling incredibly enthusiastic because I've attended both the Australasian College of Paramedics Conference and I've been to the Rkem annual scientific Congress.
0:34.5	And they were both absolutely awesome.
0:36.3	So I'm definitely up for chatting about
0:37.9	some papers that we have got coming up for you today. I mean, we've got some good ones.
0:42.0	Firstly, do patients do better when they are taken to a cardiac arrest center? Secondly, I've
0:47.1	got all general surgery on us. You know, I'm having a look at a paper, looking at the optimal
0:51.2	timing of surgery for patients with acute appendicitis.
0:55.1	And finally, well, you're taking us through the role of bicarbonate calcium and magnesium in cardiac arrest.
1:00.7	So lovely stuff, I think, mate.
1:02.0	Yeah, we are.
1:02.9	And certainly in that third paper, I know you really want to comment hard on the statistical models that are used in that.
1:07.7	So very much looking forward to you taking a deep dive into those processes.
1:12.5	Before we get into it, though, a massive thanks to Zol Medical Corporation, who support the podcast
1:18.3	and make this all free and open access and available to you. And along with the Australian
1:24.0	College of Paramedics, indeed, helped you whizz over to the other side of the world, I believe.
1:29.1	They did.
	...

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