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The Resus Room

Top 10 EM papers; 2016-17

The Resus Room

Simon Laing

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

4.8678 Ratings

🗓️ 25 April 2017

⏱️ 25 minutes

🧾️ Download transcript

Summary

This podcast is taken from a talk I gave at Grand Rounds at The Bristol Royal Infirmary on the Top 10 Papers in EM over the last 12 months.

Many of these have been covered in previous podcasts, but running through them gives a good opportunity for further recap and reflection.

Papers Covered;

Chest wall thickness and decompression failure: A systematic review and meta-analysis comparing anatomic locations in needle thoracostomy. Laan DV1. Injury. 2015 Dec 13. pii: S0020-1383(15)00768-8. doi: 10.1016/j.injury.2015.11.045. [Epub ahead of print]

(more in February'sPapers of the month)

Platelet transfusion versus standard care after acute stroke due to spontaneous cerebral haemorrhage associated with antiplatelet therapy (PATCH): a randomised, open-label, phase 3 trial. Baharoglu MI. Lancet.2016 May 9. pii: S0140-6736(16)30392-0. doi: 10.1016/S0140-6736(16)30392-0. [Epub ahead of print]

(more in July's Papers of the month)

Causes of Elevated Cardiac Troponins in the Emergency Department and Their Associated Mortality. Meigher S. Acad Emerg Med. 2016

(more in our Troponins podcast)

Propofol or Ketofol for Procedural Sedation and Analgesia in Emergency Medicine-The POKER Study: A Randomized Double-Blind Clinical Trial. Ferguson I, et al. Ann Emerg Med. 2016.

(more in September's Paper's of the month)

Prevalence of Pulmonary Embolism among Patients Hospitalized for Syncope. Prandoni P. N Engl J Med. 2016

(more in our podcast PE The Controversy)

Association Between Tracheal Intubation During Adult In-Hospital Cardiac Arrest and Survival. Andersen LW. JAMA. 2017

(more in March's Papers of the month)

Review article: Why is there still a debate regarding the safety and efficacy of intravenous thrombolysis in the management of presumed acute ischaemic stroke? A systematic review and meta-analysis. Donaldson L. Emerg Med Australas. 2016 Aug 25

(more in our Stroke Thrombolysis podcast)

Prophylactic hydration to protect renal function from intravascular iodinated contrast material in patients at high risk of contrast-induced nephropathy (AMACING): a prospectiverandomisedphase 3controlledopen-labelnon-inferiority trialNijssen EC. Lancet. 2017

(more in April's Papers podcast)

Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial. Sierink JC. Lancet. 2016 Jun 28

(more in August's Papers podcast)

Accuracy of point-of-care focused echocardiography in predicting outcome of resuscitation in cardiac arrest patients: A systematic review and meta-analysis. Tsou PY. Resuscitation. 2017 

(more coming up in May's Papers podcast!)

Enjoy and we'll be back with our papers of the month next week!

Simon

 

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to the Recess Room podcast.

0:03.9

Five, four, three, two, one, fire.

0:12.6

So hi, and welcome back to the Recess Room podcast. I'm Simon Lang, and there is no one else sat here with me.

0:20.8

Rob Fenwick has not come on this one.

0:23.1

I'm all by myself.

0:24.5

But don't worry, there is no chance of getting rid of him for good.

0:27.7

He is definitely going to be back here in the next episode.

0:31.3

So this is just an extra podcast that we've slotted in.

0:35.2

It's taken from a talk I gave at the Grand Round and the Bristol

0:38.1

Royal Infirmary and it's on the top 10 papers in emergency medicine, 2016 to 2017. Before we start,

0:46.7

it's probably worth saying that there haven't been a phenomenal amount of game-changing papers

0:53.5

that have come out in this time period. But there have been

0:55.8

a lot of papers that provided some food for thought and certainly make us question the way we

1:00.8

practice in emergency medicine. As always, make sure you're going to have a look at the papers

1:05.5

yourself. You may well disagree with our take on the papers with one to two minutes per paper so make sure you go

1:12.3

and critically appraise the papers yourself because there's a lot more that we can cover in

1:16.4

just this short podcast but hopefully it will give you some more food for thought or some

1:21.6

spaced repetition on covering some ground that we've been over in the last 12 months so without

1:27.0

further ado let's crack on

1:28.3

with paper number one. So when you've got a patient in front of you who you want to

1:33.8

decompress their pneumothorax with a needle, what is the best anatomical space that you can go

1:39.9

for? Well, traditional teaching would have said the second intercostal space in the mid clavicular line.

...

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