October 2025; papers of the month
The Resus Room
Simon Laing
4.9 • 708 Ratings
🗓️ 1 October 2025
⏱️ 29 minutes
🧾️ Download transcript
Summary
This month we've got three really interesting papers that shine a light on aspects of cardiac arrest management that many of us will recognise from clinical practice.
First up, we look at the feasibility of arterial line placement during ongoing cardiac arrest in the Emergency Department. In our SPEAR episode we talked about the balance between securing invasive monitoring versus the potential distraction from other essential parts of resuscitation. This paper takes a pragmatic look at whether arterial access is achievable in that critical period in the Emergency Department, the success rate and the time required.
Next up, we look at a paper that helps to give us a more accurate feel for the rate and predictors of high-risk adverse events for Emergency Department paediatric ketamine sedation.
Our final paper looks at ultrasound during cardiac arrest. Specifically, whether the hands-off time during the pulse check are longer with traditional manual checks or with ultrasound. This systematic review and meta-analysis puts some numbers to the best way to minimising hands-off time.
So whether you're a regular on the arrest team, sedating children, or supporting resuscitation from the periphery, these papers provide some useful food for thought on where our focus should be in those critical minutes.
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. I'm Simon Lang. |
| 0:17.2 | And I'm Rob Fenwick. And this is October 2025's Papers of the Month. |
| 0:23.1 | Oh yes, Simon Lang, I have got my bags packed, ready for a little trip to London. |
| 0:28.8 | Can you guess what for? |
| 0:30.0 | I literally cannot wait. |
| 0:31.4 | I'm chomping at the bit, pretty much at the train station ready to go. |
| 0:35.1 | We have got our live recess room room face-to-face event with |
| 0:39.7 | Zol Medical, which is taking place in just one day if you're listening to this, of course, |
| 0:45.1 | on the 1st of October. We are super excited about it, aren't we, fella? Yeah, it's going to be |
| 0:49.7 | absolutely fantastic to meet lots of you down there. We're pretty excited for our own little jolly |
| 0:53.8 | down there as well. Very much looking forward to meeting some more listeners and going through the |
| 0:58.3 | latest and greatest in cardiac arrest management. And actually on that theme, we've got a few |
| 1:03.5 | papers looking at cardiac arrest today. But before we get into that, a huge thanks to Zol Medical Corporation, who clearly are setting |
| 1:13.4 | out this live roadside to resus that you can probably hear us travelling down the tracks |
| 1:18.1 | to at the moment, and also for collaborating with us on the podcast and making this all free, |
| 1:24.2 | open access and available to you in their pursuits of excellent patient care. |
| 1:30.4 | Well, you are absolutely right, Simon. |
| 1:32.1 | We have got some great papers, as we always do, because we search high and low all over the bookshelves, |
| 1:38.9 | trying to find the best stuff for you. |
| 1:40.5 | And this month we're going to be looking at arterial line placement during cardiac arrest. I'm then taking us through the frequency of adverse events in |
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