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The Resus Room
October 2023; papers of the month
Oct 1, 2023
This podcast discusses the implications of conveying patients with ROSC from cardiac arrest centers, timing of surgery for acute appendicitis, and the use of bicarbonate, calcium, and magnesium in cardiac arrest. It explores the findings of studies and the importance of well-designed prospective trials for more definitive evidence.
32:10
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Quick takeaways
- Patients with a presumed cardiac origin cardiac arrest, without ST segment elevation, showed no difference in all-cause mortality at 30 days whether taken to a cardiac arrest center or a local emergency department.
- Delaying surgery for up to 24 hours for patients with acute appendicitis does not increase the risk of complications like perforation.
Deep dives
Expedited Transfer to Cardiac Arrest Center for Non-ST Segment Elevation Out of Hospital Cardiac Arrest
A randomized clinical trial published in The Lancet explored whether patients with a presumed cardiac origin cardiac arrest, but without ST segment elevation, benefited from being taken to a cardiac arrest center rather than a local emergency department. The study found no difference in all-cause mortality at 30 days between the two groups.
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Discover
highlights
Listen to the best highlights from the podcasts you love and dive into the full episode