Research and Reviews in the Fastlane 085

This study was a retrospective cohort study of 298 patients with confirmed PE. In this population, a 45% were HST negative while 55% were positive. From the HST-negative group, there were no death, CPR or need of thrombolysis compared with 6% of mortality and 9% of CPR or thrombolysis in the HST-positive group. It appears that HST is a good prognosis biomarker in patients with pulmonary embolism. Recommended by: Daniel Cabrera Emergency medicineLin BW. A Novel, Simple Method for Achieving Hemostasis of Fingertip Dermal Avulsion Injuries. J Emerg Med 2015. PMID: 25886984 Fingertip avulsion injuries are typically frustrating to repair. This article reviews a simple method for fixing these injuries using tissue adhesives. Recommended by: Anand Swaminathan Critical Care Loubani OM et al. A systematic review of extravasation and local tissue injury from administration of vasopressors through peripheral intravenous catheters and central venous catheters. J Crit Care 2015; 30(3): 653.e9-653.e17. PMID:25669592 In critically ill patients, with hemodynamic instability, vasopressor infusion through a proximal PIV (antecubital fossa or external jugular vein), for <4hours of duration is unlikely to result in tissue injury and will reduce the time it takes to achieve hemodynamic stability. Recommended by: Salim R. Rezaie Research and Critical Appraisal Wears RL. Are We There Yet? Early Stopping in Clinical Trials. Ann Emerg Med 2015; 65(2):214-5. PMID: 25601251 This is a bri...
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