Welcome back to The Resus Room! This time, we’re diving into the fascinating and often overlooked world of electrical injuries. From household mishaps and workplace accidents to tasers and even lightning strikes, electrical injuries can range from minor shocks to life-threatening cardiac arrests.

As always, we’ll be taking you through the full spectrum of care, from first contact at the roadside to critical management in resus. And let’s be honest, there’s a real lack of clear guidance out there when it comes to managing these cases. So, we’ve done the legwork, scoured the literature, and we’re here to make sense of it all.

In this episode, we’ll cover:

• Pathophysiology; how electricity interacts with the body and why not all shocks are created equal.
• Classification; what makes a low-voltage injury different from a high-voltage one, and why that matters.
• Prehospital & ED Management; who needs an ECG, who needs admission, and what to do with those tricky "seemingly fine" patients.
• Special cases; tasers, lightning strikes, and the unique challenges they pose.

One of the big questions we’ll be tackling: Does everyone who gets an electric shock need to go to hospital? We’ve all seen them, the patient that has a shock at work, but they feel fine. So, do they need a work-up, or can they safely go home?

So, grab a coffee (or maybe a non-conductive beverage of choice), and let’s get stuck in to Electrical Injuries!

Once again we’d love to hear any thoughts or feedback either on the website or via X @TheResusRoom!

Simon, Rob & James

Welcome back to March 2025's papers podcast!

We start off this month with a fascinating paper looking at the experiences of relatives who were witness to unsuccessful resuscitation. We often talk on the podcast about the impact of medical or technical interventions, but this paper offer us an opportunity to consider the huge impact of our non-technical elements of practice and reflect on how we can best support relatives whilst still performing resuscitation to the best of our abilities.

Next up we look at a paper deriving and validating a new adult trauma triage score The sBATT that predicts early mortality and need for intervention.

Lastly we have a think about the use of adrenaline in out of hospital traumatic cardiac arrests; what association does it have on outcomes?

Once again we’d love to hear any thoughts or feedback either on the website or via X @TheResusRoom!

Simon & Rob