Research & Reviews in the Fastlane 108

This study had 25 Navy Corpsmen, 6.7% of whom had previously performed pneumothorax on a real patient, needle decompress cadavers at both the 2nd ICS mid-clavicular line and the 5th ICS anterior axillary line. The misplacement rate at the 5th ICS was 22.0% ves 82.0% at the 2nd ICS (p < 0.001). The participants placed the needles closer to the target spot in the 5th ICS and rated it easier. When will decompression at the 5th ICS anterior axillary line become the default spot? Recommended by Lauren Westafer Systems and Administration Jena AB, et al. Physician spending and subsequent risk of malpractice claims: observational study. BMJ 2015. PMID 26538498 An interesting look at malpractice claims and physician resource utilization in the United States that raises more questions than it answers. The authors examined malpractice claims rates and hospital charges in Florida, finding that across multiple specialties, those physicians with higher charges also had fewer claims. While some may use this data to justify routine utilization of higher resources, a more nuanced examination would see it as one more piece of the puzzle investigating how physicians, patients, and society interact as a whole. Clearly, both the resource utilization and malpractice claims environment in the U.S. are in need of overhaul, and this is an important study for all involved to be aware of. Recommended by Jeremy Fried Critical Care Levy B et al. Experts’ recommendations for the managem...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Administration Airway Cardiology Education Emergency Medicine Intensive Care Pre-hospital / Retrieval R&R in the FASTLANE Resuscitation Trauma critical care EBM literature recommendations research and reviews Source Type: blogs