Papers of October 2019


Welcome to October ’19 papers podcast.

You can’t go far without the topic of TXA as a treatment for anything that bleeds being mentioned! With the publication of CRASH-2 and the WOMAN trial practice has crept such that administration in gastro-intestinal bleeding is seen fairly frequently. However, current guidelines don’t recommend the use of TXA in GI bleeding, so this month we have a look at a systematic review which looks to answer whether it’s administration is supported by the evidence, before we get a definitive answer from the HALT-IT trial.

Next up, following on from our Burns Roadside to Resus podcast, we take a look at a paper that quantifies the potential benefit of thorough first aid in the management of paediatric burns, a really key paper on the topic, with really powerful results.

Finally, we all know that Sepsis is a core area of our practice, but at times it may feel like the attention on those that could possibly have severe sepsis displaces the ability to care for other critically ill patients. We take a look at a great paper developing a prehospital screening tool to focus in on those patients that really do require time-critical care.

Enjoy!

Simon & Rob

References & Further Reading

Tranexamic Acid for Upper Gastrointestinal Bleeding. Beyda R. Acad Emerg Med. 2019 

Cool Running Water First Aid Decreases Skin Grafting Requirements in Pediatric Burns: A Cohort Study of Two Thousand Four Hundred Ninety-five Children. Griffin BR. Ann Emerg Med. 2019

Derivation and internal validation of the screening to enhance prehospital identification of sepsis (SEPSIS) score in adults on arrival at the emergency department. Smyth MA. Scand J Trauma Resusc Emerg Med. 2019

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