The St.Emlyn’s Podcast

Ep 268 - Top Papers of 2024 from The Big Sick Conference

Apr 23, 2025
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INSIGHT

Arterial Lines Beat Non-Invasive BP

  • Non-invasive blood pressure monitoring has poor agreement with arterial line measurements.
  • In hypertensive or hypotensive patients, non-invasive readings are especially unreliable, so arterial lines are preferred.
INSIGHT

Diastolic BP Crucial For ROSC

  • Diastolic arterial blood pressure during cardiac arrest is strongly associated with return of spontaneous circulation (ROSC).
  • Raising the diastolic pressure above about 35 mmHg seems critical for ROSC.
ADVICE

Use Serratus Anterior Blocks

  • Use serratus anterior plane blocks for rib fracture pain management when possible.
  • They're easy to perform and effectively reduce pain regardless of rib fracture location.
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