September 2023; papers of the month

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 1 September 2023

⏱️ 39 minutes

🔗️ Recording | iTunes | RSS

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Summary

Welcome back to the podcast!

We're back with three really interesting papers after our summer break, with some great points to think about with regards to our practice and patient outcomes.

First up we take a look at the CT FIRST study which looks at the benefit of whole body CT in patients presenting with a ROSC after their out of hospital cardiac arrest with no obvious cause. Should we be more liberal in our imaging requests in this patient cohort?

Next up we have a think about thrombolysis for massive PEs. When it comes to these patients we have to consider the very real potential complications of thrombolysis and that can often dissuade us from treating them. This paper looks at an alternative dose in thrombolysis and describes some really interesting results.

Finally we take a look at a CT study which is scanning trauma patients after they have died. What injury patterns do they find, which injuries would have been amenable to treatment and are there any lessons on practice to be learnt?

Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom and we'll see you back in September!

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.
0:12.1	So hi, and welcome back to the Recess Room podcast.
0:16.5	I'm Simon Lang, and I'm Rob Fenwick.
0:18.9	And as you can tell, we're absolutely rejuvenated after a long, steamy summer break.
0:25.6	That sounds a little bit odd.
0:27.8	I don't know what you've been doing, Langa's, but I tell you what, my kids are going back to school next week,
0:33.3	and their bags have been packed since mid-August waiting by the door.
0:37.2	I am looking forward to seeing those teachers at the school gates, man.
0:40.7	I thought shifts were bad, but his parenting is relentless.
0:44.9	Relentless.
0:45.6	Be quite a surprise if they take them on board as well, being less than three years of age,
0:49.2	won't it?
0:49.5	But let's keep our fingers crossed.
0:52.0	We'll try our luck.
0:53.1	We'll try a look.
0:54.1	Anyway, thank you for the counselling there. I feel... Let's keep our fingers crossed. We'll try our luck. We'll try our luck.
0:56.1	Anyway, thank you for the counselling there.
0:59.9	I think I feel ready to talk about some papers.
1:02.1	And as usual, we've got three of the bad boys.
1:05.8	So Simon seems to have gone a little bit radiology on us this month.
1:10.9	He's going to be looking at the diagnostic yield of CT imaging after out of hospital cardiac arrest and about the findings of post-mortem CT findings in blunt trauma patients,
	...

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