Papers of January 2022

Happy New Year!

Well we’ve got three really excellent papers to start off your new year with!

First up we take a look at the complication rates seen when performing a prehospital thoracostomy; how frequent are complications and what could this information hold in improving our ongoing practice?

Next up we take a look at an RCT on the use of Calcium in the context of cardiac arrest. Can it’s inotropic and vasopressor effects translate into better outcomes for our patients?

Lastly we take a look at another excellent RCT comparing the use of a bougie to a stylet in adult emergency intubations; which will lead to a great first pass success and will the results lead to a change in or practice and teaching?

Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.

Simon & Rob

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Complications associated with pre-hospital open thoracostomies: a rapid review. Stian Mohrsen. Scand J Trauma Resusc Emerg Med. 2021

Effect of Intravenous or Intraosseous Calcium vs Saline on Return of Spontaneous Circulation in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial. Mikael Fink Vallentin. JAMA. 2021

Effect of Use of a Bougie vs Endotracheal Tube With Stylet on Successful Intubation on the First Attempt Among Critically Ill Patients Undergoing Tracheal Intubation: A Randomized Clinical Trial. Brian E Driver. JAMA. 2021

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