Research and Reviews in the Fastlane 130

In this study, valproate was less efficient and requiring more rescue medications compared to Ketorolac and Metoclopramide. It appears that valproate is not as helpful as a rescue medication as previously thought. Recommended by: Daniel Cabrera Emergency Medicine, Pre-Hospital/Retrieval Bhalla MC et al. Simple Triage Algorithm and Rapid Treatment and Sort, Assess, Lifesaving, Interventions, Treatment, and Transportation mass casualty triage methods for sensitivity, specificity, and predictive values. Am J Emerg Med 2015; 33(11): 1687-91. PMID: 26349777 If you haven’t been exposed to mass casualty triage before, this paper is definitely worth a read. I wouldn’t worry too much about the performance of the individual scores, because the data is retrospective and a lot of the necessary information wouldn’t have been recorded on the chart. However, we all need to be ready mass casualty events, and the triage systems are worth reviewing. Recommended by: Justin Morgenstern Emergency MedicineMeeker D et al. Effect of Behavioral Interventions on Inappropriate Antibiotic Prescribing Among Primary Care Practices: A Randomized Clinical Trial. JAMA 2016;315(6):562-70. PMID: 26864410 A cluster-randomized controlled trial using education, “shame”, and “reproach” was able to dramatically reduce inappropriate prescribing for sinusitis. Recommended by: Ryan Radecki Further reading: Changing Clinician Behavior for Low-Value Care (EM Lit of No...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Airway Emergency Medicine Gastroenterology Intensive Care Pediatrics Pre-hospital / Retrieval EBM Education literature R&R in the FASTLANE recommendations research and reviews Resuscitation Source Type: blogs