The Resus Room cover image

The Resus Room

February 2023; papers of the month

Feb 1, 2023
This podcast covers three interesting topics. They discuss improving outcomes in refractory VF by changing pad position, limiting adrenaline use, and using beta blockers. They also talk about the use of fentanyl lozenges for pre-hospital pain relief, showing significant decrease in pain levels. Finally, they explore the management of acute behavioral disturbance, emphasizing the use of sedation and de-escalation strategies.
31:26

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Quick takeaways

  • Combining different approaches, such as limiting adrenaline and using beta blockers like Esmolol, can improve outcomes in managing refractory VF and VT in cardiac arrest.
  • Fentanyl lozenges show promise as a quick and effective alternative to intravenous pain medication for pain management in pre-hospital trauma care, with significant pain reduction and low side effects.

Deep dives

Managing refractory VF and VT in cardiac arrest

A paper explores combining different approaches to improve outcomes in managing refractory VF and VT, such as limiting adrenaline, using beta blockers like Esmolol, and changing pad positions during defibrillation.

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