Papers of September 2021

Welcome back after our summer hiatus to September’s Papers Podcast!

Firstly we take a look at two different strategies for managing agitation in the Emergency Department, to achieve rapid control. Is haloperidol and midazolam, or ketamine alone, a better strategy?

Then we take a look at the results from RECOVERY-RS. We covered the design of the trial at it’s conception last year and this trial essentially looks to answer whether a strategy of high flow nasal oxygenation, CPAP or conventional oxygenation is best for our patients with suspected or confirmed COVID-19 when they present with hypoxia.

Lastly we turn to Rob and take a look at his recent publication on the use of cervical collars when dealing with a patient able to self extricate from a motor vehicle collision; how will the application of a collar or commands help with excessive movement?

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

Enjoy!

Simon & Rob

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References

Rapid Agitation Control With Ketamine in the Emergency Department: A Blinded, Randomized Controlled Trial. David Barbic. Ann Emerg Med. 2021

RECOVERY-RS Respiratory Support : Respiratory Strategies in COVID-19; CPAP, High-flow, and standard care. Perkins. Online pre-print. 2021

The role of cervical collars and verbal instructions in minimising spinal movement during self-extrication following a motor vehicle collision – a biomechanical study using healthy volunteers. Tim Nutbeam. Scand J Trauma Resusc Emerg Med. 2021

The Bottom Line; Recovery-RS

St. Emlyns; Recovery-RS

Critical Care Reviews; RECOVERY-RS

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