Research and Reviews in the Fastlane 122

This study looked at reducing the rate of peripheral IV (PIV) failure by applying a drop of cyanoacrolate to the PIV site. In this nonblinded, randomized trial, failure rates were 10% lower in the cyanoacrolate group. This difference was mostly due to decreased dislodgement rate (7% vs. 14%). Although this looks impressive, the absence of blinding biases the results towards the cyanoacrolate group making this intervention look better than it may be in real life. Also, let’s not remember that cyanoacrolate isn’t cheap. Is the added cost worth the savings from PIV replacement? A multi-center study with cost-analysis is needed. Recommended by Anand Swaminathan Quirky, weird and wonderfulDrennan IR et al. Out-of-hospital cardiac arrest in high-rise buildings: delays to patient care and effect on survival. Can Med Assoc J 2016. PMID 26783332 Looking for a new home? You might want to avoid high rises. This registry study found that living on or above the 3rd floor of a building is associated with a decreased survival as compared to living on the lower floors. No one who lived above the 25th floor survived! Recommended by Justin Morgenstern Systems and administrationSkaugset LM et al.  Can You Multitask? Evidence and Limitations of Task Switching and Multitasking in Emergency Medicine. Ann Emerg Med 2015. PMID 26585046 Emergency physicians are masters of multitasking – or so we think. This review explains that most of what we think of as multitasking is re...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Airway Education Emergency Medicine Pediatrics Pre-hospital / Retrieval Procedure R&R in the FASTLANE Resuscitation critical care recommendations research and reviews Source Type: blogs