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The Resus Room
October 2022; papers of the month
Oct 1, 2022
This podcast dives into three interesting topics: fluid therapy in acute pancreatitis, intubation performances in prehospital anesthesia, and surgical vs conservative management of chest wall trauma. The hosts discuss the study designs, outcomes, and implications of each topic, emphasizing the need for collaboration between specialists and a clearer evidence base.
35:18
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Quick takeaways
- Aggressive fluid resuscitation in acute pancreatitis can lead to fluid overload without improving outcomes.
- Utilizing non-physicians for intubation in an interchangeable operator model is safe and effective in trauma patients.
Deep dives
Fluid strategies in acute pancreatitis
A recent study examined the management of fluid strategies in acute pancreatitis. Historically, aggressive fluid resuscitation was the recommended approach, but the evidence base is shifting towards more streamlined care. The study, known as the waterfall study, compared aggressive fluid resuscitation with more conservative strategies. The results showed that aggressive fluid resuscitation led to a higher incidence of fluid overload without improving clinical outcomes.
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Discover
highlights
Listen to the best highlights from the podcasts you love and dive into the full episode