Research and Reviews in the Fastlane 092

This study, on the other hand, was a well done, RDCT comparing tamsulosin to nifedipine to placebo in 1136 patients and showed no statistically significant difference for the primary outcome (need for further intervention at 4 weeks). Subgroup analysis showed a slight benefit for lower tract stones and the issue of utility in larger stones (> 5 mm) remains unanswered. However, with the move to reduce CT use in renal colic, we won’t know stone location or size on many patients making this drug far less useful in the real world. Recommended by Anand Swaminathan Read More: The Adventure of the Impassible Stone (EM Nerd); Finally an End to Tamsulosin for Renal Colic? (EM Lit of Note) The Best of the Rest Intensive CareNeuraz A et al. Patient Mortality Is Associated With Staff Resources and Workload in the ICU: A Multicenter Observational Study. Crit Care Med 2015; 43(8): 1587 – 94. PMID 25867907 This study aimed to assess the impact of the staffing-to-patient ratio and workload on ICU mortality. And what they found was the risk of death was increased by 3.5 when the patient-to-nurse ratio was greater than 2.5, and it was increased by 2.0 when the patient-to-physician ratio exceeded 14. High patient turnover (adjusted relative risk, 5.6) and the volume of life-sustaining procedures performed by staff (adjusted relative risk, 5.9) were also associated with increased mortality. Doesn’t this sound like a standard shift in the ED? Incredibly important pape...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Airway Emergency Medicine Intensive Care R&R in the FASTLANE Renal Resuscitation Trauma Urology critical care EBM Education recommendations research and reviews Source Type: blogs