Research and Reviews in the Fastlane 126

This article is a well done, RDCT comparing non-dissociative dose intravenous ketamine (0.3 mg/kg) to intravenous morphine (0.1 mg/kg). The authors found no statistically significant difference between the two at 30 minutes. This data gives further credence to the use of ketamine for acute pain relief in the ED though it does not demonstrate superiority. Recommended by Anand Swaminathan Cardiology Kim S, et al. Searching for answers to clinical questions using google versus evidence-based summary resources: a randomized controlled crossover study. Academic medicine : journal of the Association of American Medical Colleges. 2014. PMID: 24871247 Rushing around the emergency department, it is obviously a lot more tempting to just google something rather than find a specific medical resource, but how good is Google? This is a prospective, randomized, controlled, crossover study in which they took 48 internal medicine residents and asked them to answer a series of medical questions. They were randomized to answer 5 questions, either use Google, or to use their choice ot DynaMed, First Consult, or Essential Evidence Plus. They then ‘crossed over’ and answered another 5 questions using the opposite tool. This was repeat for 48 weeks. There was no difference in time to correct answer, response rate, or accuracy. They answered found answers for 80% of the questions, but the correct answer in only 60%. Bottom line: Google doesn’t look worse than these specific medical tools...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Airway Cardiology Emergency Medicine R&R in the FASTLANE EBM Education literature recommendations research and reviews Source Type: blogs