Research and Reviews in the Fastlane 127
This study didn’t look at simple abscesses but rather at ones that most clinicians would have given antibiotics to and in spite of that, they found only a relatively modest benefit. Despite the headline, this is NOT practice changing.
Recommended by: Anand Swaminathan
Further reading: Are Antibiotics Back in Favor for Abscesses? (EM Literature of Note), Trimethoprim-Sulfamethoxazole for Uncomplicated Skin Abscesses? (R.E.B.E.L. EM)
The Best of the Rest
Emergency Medicine
Martin SP, et al. Double-dorsal single-volar digital subcutaneous anaesthetic injection for finger injuries in the emergency department: A randomised controlled trial . Emergency Medicine Australasia. 2016. PMID 26991958
Intuitively, most of us would prefer one injection over two injections, particularly if outcomes were essentially the same. Traditional nerve blocks involve two dorsal injections, one on either side of the digit. Yet, previous literature shows a single subcutaneous injection on the volar aspect works quite well as a digital block. This randomized study of 86 ED patients again reminds us that we should be employing this nerve block more.
Recommended by: Lauren Westafer
Further reading: Trick of the trade: Single digital block (ALiEM)
Airway
Khandelwal N, et al. Head-Elevated Patient Positioning Decreases Complications of Emergent Tracheal Intubation in the Ward and Intensive Care Unit. Anesth Analg. 2016 PMID: 26866753
Is intubating patients in the supine position no lon...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Jeremy Fried Tags: Airway Anaesthetics Emergency Medicine Infectious Disease Neurology R&R in the FASTLANE Resuscitation EBM Education literature recommendations research and reviews Source Type: blogs
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