April 2026; papers of the month

April 2026; papers of the month

This month we're heading firmly into the prehospital and community space, looking at how we make decisions when the diagnostics are limited and the system around us is evolving.

We start with a really practical question around traumatic pneumothorax. How good are we, clinically, at spotting the patients who actually need urgent decompression? This paper takes a hard look at the performance of the classic signs we're all taught, and challenges just how much we can rely on them in isolation when it really matters .

From there, we move into one of the biggest ongoing debates in prehospital trauma care: whole blood. The SWiFT trial gives us high-quality randomised data on whether early whole blood transfusion changes outcomes in major haemorrhage. It's a landmark UK study, and the results might not be quite what many were expecting .

Finally, we zoom out slightly and look at how senior decision-making in the community can change patient pathways. This service evaluation explores whether bringing experienced clinicians to the patient can safely reduce conveyance for head injuries, particularly in older and anticoagulated patients, without missing significant pathology.

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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Avsnitt(286)

August 2026; papers of the month

August 2026; papers of the month

This month we've got another really varied mix of papers that all have the potential to influence everyday emergency and prehospital practice. We start by asking a question that's becoming increasingl...

2 Aug 35min

Laryngectomy and Tracheostomy Emergencies; Roadside to Resus

Laryngectomy and Tracheostomy Emergencies; Roadside to Resus

Tracheostomy and laryngectomy emergencies are classic high-acuity, low-frequency situations. They do not happen every day, but when they do, airway problems can develop quickly, and the wrong interven...

16 Juli 50min

July 2026; papers of the month

July 2026; papers of the month

Welcome back to July's Papers of the Month. This month we've got three papers that tackle some of the biggest questions we face in emergency and critical care medicine. They're all very different stud...

1 Juli 31min

Excellence in Facemask Ventilation; Roadside to Resus

Excellence in Facemask Ventilation; Roadside to Resus

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16 Juni 59min

June 2026; papers of the month

June 2026; papers of the month

This month's episode takes us deep into trauma care, but not just the medicine we deliver but also the systems, circumstances and social factors that shape who survives and who doesn't. We start by lo...

1 Juni 32min

Reframing Anaphylaxis; Roadside to Resus

Reframing Anaphylaxis; Roadside to Resus

Anaphylaxis is one of those conditions we think we have got pretty well sorted. Recognise it early, give adrenaline, support the airway and circulation, and crack on. And in fairness, for the vast maj...

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May 2026; papers of the month

May 2026; papers of the month

This month's Papers of the Month is a real mix of papers that challenge some of the things we think we know, whilst also highlighting just how important systems and processes are in improving patient ...

1 Maj 33min

Excellence in Defibrillation; Roadside to Resus

Excellence in Defibrillation; Roadside to Resus

Timely and effective defibrillation is fundamental to excellent outcomes in cardiac arrest care. But there is a growing body of evidence suggesting that how we deliver those shocks may matter just as ...

8 Apr 47min

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