Welcome back to the podcast and to November’s Papers of the Month!

We start off looking at the rate of pneumothoraces in patients following ROSC after a medical cardiac arrest. What is the incidence? Are there any risk factors? And how might this affect our index of suspicion and imaging practice?

We’ve spoken before about how difficult vertigo can be as a presentation to the Emergency Department; really common, often benign but with differentials that include posterior circulatory strokes, tumours and infections. Our second paper looks at a clinical risk score for patients presenting with vertigo to the ED and consider how this might affect practice.

And finally we take a look at a great paper focussing on pre-alerts to the ED; consider current barriers, understanding and ways that we could improve the process both for the patients and staff.

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

Simon & Rob

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Post-resuscitation pneumothorax: retrospective analysis of incidence; risk factors and outcome-relevance. Auinger. SJTREM. 2024

Development of a Clinical Risk Score to Risk Stratify for a Serious Cause of Vertigo in Patients Presenting to the Emergency Department. Ohle. Ann Emerg Med. 2024

What influences ambulance clinician decisions to pre- alert emergency departments: a qualitative exploration of pre-alert practice in UK ambulance services and emergency departments. O’Hara. EMJ. 2024

The Resus Room; Pre Alerts, Roadside to Resus