The Resus Room December 2024; papers of the month
Dec 1, 2024
Dive into fascinating discussions around pulse oximetry's role in diagnosing vascular injuries from trauma. Discover insights from a substantial RCT comparing intravenous and intraosseous access during cardiac arrest—how do they really stack up? Plus, uncover surprising trends linking high intubation attempts to better success rates among U.S. EMS agencies. The conversation offers a critical look at how differences in practice might shape outcomes and highlights the need for further research in emergency medical protocols.
AI Snips
Chapters
Transcript
Episode notes
Pulse Oximetry in Trauma
- Pulse oximetry readings below 96% suggest vascular disruption in limb trauma.
- No single test can definitively exclude vascular injury.
Using Pulse Oximetry
- Consider pulse oximetry waveform and saturation levels alongside other assessments for limb trauma.
- Don't rely solely on pulse oximetry to rule out vascular injury, but it adds to the overall picture.
IO vs. IV Access
- Paramedic-3 trial showed no difference in 30-day survival between IO and IV access in cardiac arrest.
- Time to drug administration was identical between both groups.