

October 2025; papers of the month
23 snips Oct 1, 2025
This month features intriguing research on cardiac arrest management. One study explores the feasibility of placing arterial lines during ongoing emergencies, highlighting success rates and timing. Another paper assesses the safety of ketamine for pediatric sedation, revealing low rates of critical events over 20 years. Lastly, a systematic review measures the effectiveness of ultrasound versus manual checks during pulse assessments, showing improved accuracy and reduced interruption times. These findings provide valuable insights for resuscitation practices in critical situations.
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Live Event Mention Frames Episode
- Simon and Rob announced a live Resus Room event in London with Zoll Medical on 1 October.
- They used the mention to frame the episode's focus on cardiac arrest papers.
Arterial Lines Can Be Done During Arrest
- Intra-arrest arterial lines are achievable in the ED when performed by experienced operators with ultrasound guidance.
- Most successes occurred within three attempts and usually within four minutes of the first attempt.
ROSC Rise Doesn’t Equal Survival Gain
- The arterial-line group had higher ROSC rates but no improvement in survival to admission or discharge.
- This raises the possibility of detection bias or that monitoring alone may not change long-term outcomes.