Research & Reviews in the Fastlane 102

This study reviewed data from over 30,000 OHCA and found that the initiation of early CPR (prior to EMS arrival) was associated with increased 30-day survival (10.5% vs. 4.0%). Unfortunately, the database has only limited information on neurologic function and thus, improved functional status cannot be assessed from this data set. However, this study further supports the need for increased lay person training as well as methods of bringing those lay providers to the patient (i.e. GoodSam application, mobile phone programs etc). Recommended by Anand Swaminathan Trauma Reith G et al. Injury pattern, outcome and characteristics of severely injured pedestrian. Scand J Trauma Resusc Emerg Med 2015. PMID 26242394 Although Farley and Waddel’s “fatal triad” (a combination of injuries of head, pelvis/hip, and knee region) could not be reproduced in this German trauma data registry, pedestrians are vulnerable and may suffer severe injuries and have higher subsequent mortality when involved in road traffic collisions. The authors stress that trauma teams should be aware of the “trigger term” pedestrian and anticipate the typical pedestrian motor vehicle collision victim as a very young or very old patient with significant head and lower extremity trauma and impaired level of consciousness and cardiovascular circulation. Recommended by Soren Rudolph Pediatrics McCrory MC et al. Off-Hours Admission to Pediatric Intensive Care and Mortality. Pediatrics 2014. PMID 2528...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Anaesthetics Education Emergency Medicine Emergency Medicine Update Infectious Disease Intensive Care Pre-hospital / Retrieval R&R in the FASTLANE Review Toxicology Trauma critical care literature research and reviews Source Type: blogs