Journal update monthly top five

This month’s update comes from the Emergency Department at Northern General Hospital, Sheffield. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. We identified the five most interesting and relevant papers (decided by consensus) and highlight the main findings, key limitations and clinical bottom line for each paper. Worth a peek—interesting, but not yet ready for prime time. Head turner—new concepts. Game changer—this paper could/should change practice. A non-inferiority randomised controlled trial comparing nebulised ketamine to intravenous morphine for older adults in the emergency department with acute musculoskeletal pain. Kampan et alTopic: AnalgesiaOutcome rating: Head turner Inadequate management of acute pain in older adults contributes to adverse outcomes including decline in mobility, cognition and mood. Effective analgesia is important but must consider the physiological changes associated with ageing that affects pharmacokinetics. Although opioids are effective,...
Source: Emergency Medicine Journal - Category: Emergency Medicine Authors: Tags: Journal update Source Type: research