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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: January, 2018
Jan 22, 2018

In this episode we cover a paper that you have to know about!

The use of tranexamic acid(or TXA) has become widespread in the case of major trauma and post partum haemorrhage. This time we discuss a recent paper that asks us if giving it within 3 hours is enough, or whether we need to be even more specific regarding its urgency of administration in order to save lives from bleeding.

There is a superb podcast over at our buddies site PHEMCAST which covers an interview with one of the authors and we'd highly recommend listening to that!

Enjoy!

Simon & Rob

References

Effect of treatment delay on the effectiveness and safety of antifibrinolytics in acute severe haemorrhage: a meta-analysis of individual patient-level data from 40 138 bleeding patients. Gayet-Ageron A. Lancet. 2017

Jan 12, 2018

Prehospital Care is evolving rapidly and is one of the most exciting and dynamic specialties to be involved with at the moment.

As a reflection of it's progress the Faculty of Pre Hospital Care held  its first scientific conference this week. We were lucky enough to be invited by Caroline Leech, EM & PHEM Consultant and the person responsible for organising this superb event, to interview some of the superb speakers at the event.

Here are the speakers we were lucky enough to catch up with and the topics they discuss

Matt Thomas – Hyperoxia: when oxygen is harmful

Jo Manson – The hyperacute inflammatory response to trauma

Rob Moss – FPHC Consensus Statement - Spinal

Malcolm Russell – FPHC Consensus Statemnent – External Haemorrhage

Tim Nutbeam – Pre-hospital research: what do we not know? 

David Menzies – Impact brain apnoea & motorsport

Stacey Webster – Calcium in pre-hospital blood transfusion: the missing link

Rod Mackenzie Injury prevention, control & recovery

A huge thanks to all involved in the conference for having us at the conference and we hope to see you all next year!

SimonRob & James

 
References and links
 
 
FPHC Consensus statement guidelines
 

Ionised calcium levels in major trauma patients who received blood in the Emergency DepartmentWebster S. Emerg Med J. 2016

TOP-ART

Jan 1, 2018

Happy New Year!!

Welcome back to the podcast and what we hope will be a superb year. We've got three excellent papers that are extremely relevant to our practice and will have an impact on practice.

First up it's a paper looking at the benefit of iv versus oral paracetamol in the Emergency Department, something we do really frequently but what does the evidence say? Next we have a look at the difference that topical TXA could make to epistaxis in terms of bleeding cessation. Lastly we look at a systematic review looking at adenosine versus calcium channel blockers for SVT.

Very soon we'll be releasing our Critical Appraisal Lowdown course, so keep an eye out for that.

And finally a huge thanks to our sponsors ADPRAC for all of the support with TheResusRoom.

Enjoy!

Simon & Rob

 

 

 

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