Research and Reviews in the Fastlane 100

This study, using skin tests, found that 0 out of 211 patients demonstrated cross-reactivity between penicillin and aztreonam. The authors recommend skin testing prior to administration and skin testing isn’t a perfect surrogate for a systemic reaction upon IV administration but the best evidence we have shows that cross-reactivity is highly unlikely. Recommended by: Anand Swaminathan Pediatrics Park G et al. Randomized single-blinded clinical trial on effects of nursery songs for infants and young children’s anxiety before and during head computed tomography. Am J Emerg Med. 2015. PMID: 26314215 This RCT randomized children aged <4 years who were undergoing CT scans to receive either nursery rhymes (via musical CD) or standard care (with no music). The children who received the music had significantly lower agitation scores measured using a visual analogue scale (absolute difference 2.4 cm, p=0.03). The paper has some weaknesses. For example, even though the research associate assessing agitation wore earphones to block out any music, they seem unlikely to have been truly blinded to allocation because they’ll have seen the child’s reaction. What’s more, the difference is modest. Still, it’s a nice idea and gives us some evidence (even if it does have weaknesses) to suggest that music might be helpful in this situation. Recommended by: Rick Body Emergency Medicine Un, et al. Novel Vagal Maneuver Technique for Termination of Supraventricul...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Anaesthetics Education Emergency Medicine Emergency Medicine Update Haematology Immunology Infectious Disease Intensive Care Palliative care Pediatrics R&R in the FASTLANE critical care literature recommendations research and r Source Type: blogs