Research & Reviews in the Fastlane 105

This study looked at the rate of central line-associated bloodstream infections (CLABSI) in ED placed lines and found the rate (2.0/1000 catheter days) to be the same as that in ICU placed lines (2.3/1000 catheter days). Additionally, they found that the introduction of a central line bundle aimed at standardizing practice was associated with a reduction in CLABSI in the ED (3.0/1000 before the bundle to 0.5/1000 after the bundle). Recommended by Anand Swaminathan Critical care Reitsma S et al. The endothelial glycocalyx: composition, functions, and visualization. Pflugers Arch 2007; 454(3): 345-59. PMID 17256154 We are increasingly aware of the endothelial glycocalyx and it’s central role in different pathophysiological steates. This “intricate self-assembling 3D mesh of polysaccharides” is really hard to get a real grip on. In trying to get educated I came across brilliant piece of explanatory paper. Although somewhat old it presents the reader with an in-depth explanation of the construction and function of the glycocalyx in vascular physiology and pathology, including mechanotransduction, hemostasis, signaling, and blood cell-vessel wall interactions. Recommended by Soren Rudolph Emergency medicine Gun G. et al. What Do We Miss Without Contrast In Patients With Flank Pain? Am J Emerg Med 2015. PMID 26439094 A nicely written report of two cases of renal arterial infarction causing acute flank pain in patients presenting to the ED reminds us that ...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Airway Anaesthetics Education Emergency Medicine Emergency Medicine Update Intensive Care Pre-hospital / Retrieval Psychiatry and Mental Health Resuscitation Trauma critical care R&R in the FASTLANE recommendations research and r Source Type: blogs