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In this episode of EMERGE, I had the pleasure of speaking with Zaf Qassim, an associate professor of emergency medicine, about critical interventions in trauma care. We discussed the TRAUMOX2 trial, which questions the reflexive use of high-flow oxygen in trauma patients and suggests that a restrictive oxygen strategy can reduce atelectasis without increasing other complications. We then contrasted delayed sequence intubation (DSI) with rapid sequence intubation (RSI) in trauma patients, highlighting how DSI can significantly reduce peri-intubation hypoxia. Lastly, we explored a study comparing non-invasive blood pressure monitoring to arterial BP monitoring in critically ill patients, emphasizing the inaccuracies of non-invasive methods, especially in severe cases, and the value of using arterial lines. The episode aims to encourage clinicians to reexamine traditional practices and adopt evidence-based approaches for better patient outcomes.

Links to papers discussed in this episode:

https://jamanetwork.com/journals/jama/fullarticle/2827980

https://pubmed.ncbi.nlm.nih.gov/37058727/

https://pubmed.ncbi.nlm.nih.gov/39192296/