This is the second part of the Roadside to Resus discussion on asthma. Make sure you’ve listened to part 1 before delving into this one!
Part 2 covers
We hope you enjoy the episode and would love to hear your feedback!
References & Further Reading
Detection of pneumothoraces in patients with multiple blunt trauma: use and limitations of eFAST. Sauter TC. Emerg Med J. 2017
TheResusRoom; Needle Thoracostomy podcast
TheResusRoom; BTS Asthma Guidelines 2016 podcast
LITFL; Non-invasive ventilation (NIV) and asthma
Intensiveblog; Asthma mechanical Ventilation Pitfalls
Asthma is a common disease and presents to acute healthcare services extremely frequently.
The majority of presentations are mild exacerbations of a known diagnosis and are relatively simple to assess and treat, many being completely appropriate for out patient treatment.
On the other hand around 200 deaths per year are attributable in the UK to asthma, and therefore in the relatively young group of patients there is a real potential for critical illness with catastrophic consequence if not treated effectively. The majority of these deaths occur prior to the patient making it to hospital making the prehospital phase extremely important and hugely stressful in these cases.
It is also worth noting that of the deaths reported that many were associated with inadequate inhaled corticosteroids or steroid tablets and inadequate follow up, meaning that our encounter with these patients at all stages of their care even if not that severe at the point of assessment is a key opportunity to discuss and educate about treatment plans and reasons to return.
In part 1 of this podcast we will run through
Part 2 will be out shortly, we hope you enjoy the episode and would love to hear your feedback!
Detection of pneumothoraces in patients with multiple blunt trauma: use and limitations of eFAST. Sauter TC. Emerg Med J. 2017
TheResusRoom; Needle Thoracostomy podcast
TheResusRoom; BTS Asthma Guidelines 2016 podcast
LITFL; Non-invasive ventilation (NIV) and asthma
We're back with more great papers for you this month, hot off the press!
There's been a lot of talk over the last few years about apnoeic oxygenation and whether it really holds any benefit to patients undergoing RSI, we have a look at a systematic review that may help answer that question.
Next up we have a look at the choice of sedation agent used in the Emergency Department and how this correlates with patient satisfaction.
Finally, following on from our recent podcast on Double Sequential Defibrillation, we have a look at a paper published looking at the results of DSD from the London prehospital service. Will this reveal a patient benefit?
Let us know any thoughts and feedback you have on the podcast and thanks for your support with the podcast.
Enjoy!
References & Further Reading
Apneic oxygenation reduces the incidence of hypoxemia during emergency intubation: A systematic review and meta-analysis. Pavlov I. Am J Emerg Med. 2017
Double sequential defibrillation therapy for out-of-hospitalcardiac arrests: The London experience. Emmerson AC. Resuscitation. 2017