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The Resus Room

Podcasts from the website TheResusRoom.co.uk Promoting excellent care in and around the resus room, concentrating on critical appraisal, evidenced based medicine and international guidelines.
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Now displaying: December, 2017
Dec 11, 2017

Handover matters.

Handover of patient care occurs at multiple points in the patient's journey and is a crucial point for transference of information and inter professional working.

Whether it's the big trauma in Resus with the prehospital services presenting to the big crowd, right the way through to the patient coming to minors who looks like they will be going home shorty, each of these transactions of information needs to be done correctly.

Handover can be stressful though and different parties will have different priorities that they are trying to juggle. In this podcast we explore handover, some of the barriers and issues that exist. We have a look at the evidence that exists on it's importance, impact and associated techniques. We also look at tools that exist that can be used to facilitate effective handover.

As ever make sure you look at the articles mentioned in the podcast yourself and we would love to hear your thoughts.

Enjoy!

SimonRob & James

References & Further Reading

Information loss in emergency medical services handover of trauma patients. Carter AJ. Prehosp Emerg Care. 2009

Maintaining eye contact: how to communicate at handover. Dean E. Emerg Nurse. 2012

The handover process and triage of ambulance-borne patients: the experiences of emergency nursesBruce K. Nurs Crit Care. 2005

Handover from paramedics: observations and emergency department clinician perceptions. Yong G. Emerg Med Australas. 2008 

Review article: Improving the hospital clinical handover between paramedics and emergencydepartment staff in the deteriorating patient. Dawson S. Emerg Med Australas. 2013

Dec 1, 2017

You've got a critically unwell patient who needs an RSI. You've got lots of things to think about but specifically do you ramp them up or keep them supine, additionally do you use a checklist or are those things a complete waste of time? This month we have a look at 2 papers which should shed some light on the subject.

We also look at a systematic review and meta-analysis which hopefully helps us answer a question we've been looking at on the podcast for quite some time: in the the context of a cardiac arrest that has gained a ROSC, if the ECG is not diagnostic of a STEMI but the history is suggestive of a cardiac event, should the patient go straight to the cathlab for PCI?

As always don't just take our word for it but go and have a look at the papers yourself and we would love to hear your thoughts.

A Multicenter Randomized Trial of a Checklist for Endotracheal Intubation of Critically Ill Adults. Janz DR. Chest. 2017

Early coronary angiography in patients resuscitated from out of hospital cardiac arrest without ST-segment elevation: A systematic review and meta-analysis. Khan MS. Resuscitation. 2017

JC: Should non ST elevation ROSC patients go to cath lab? St.Emlyn’s

CHECK-UP Checklist; The Bottom Line 

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