Papers of July 2020 – The Resus Room

There are more great pieces of research to enjoy this month!

We start off with a paper following on nicely from our Roadside to Resus episode on Stabbing, which looks at the ability of prehospital providers to predict whether stab injuries penetrate to deep structures, or are purely superficial from clinical assessment.

Next up we take a look at a paper using high sensitivity troponin and their limit of detection, to assess whether we could be safely discharging patients earlier from the emergency department.

Finally we have a look at the results from the RECOVERY group on dexamethasone use in COVID-19, have we got a treatment that can help improve survival in patients admitted with the virus?

We’d love to hear any thought or comments you have either on the website or via twitter @TheResusRoom.

Enjoy!

Simon & Rob

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References & Further Reading

Performance of Pre-Hospital Evaluations in Ruling Out Invasive Chest Stab Wounds. Pascal Augustin. Scand J Trauma Resusc Emerg Med. 2020

Limit of Detection of Troponin Discharge Strategy Versus Usual Care: Randomised Controlled Trial. Edward Watts Carlton. Heart. 2020

Effect of Dexamethasone in Hospitalized Patients With COVID-19 – Preliminary Report. Horby PW et al. medRxiv Preprint 2020.

JC: Are we fully LoDED. St. Emlyns Dexamethasone [RECOVERY Trial]; FOAMCast

LODED, June 2020; RCEMLearning

CoVid, Dex and Death…Recovery ; Broome Docs

Dexamethasone & COVID – A Stud in Immunopathology, Evidence-Based Medicine, and Ourselves ; PulmCrit