Research and Reviews in the Fastlane 138

This study seeks to prove a saying attributed to Hippocrates: “It augurs well, if the patient’s mind is sound, and he accepts food that’s offered him; but, if the contrary conditions do prevail, the changes of recovery are slim.” In a nutshell, Hippocrates felt that a good appetite and good cognition bode well for mortality. The author’s found that in a group of community living older adults, a graded effect was present. The more severe appetite loss or poor cognition, the more likely the patient would have a poor prognosis. Recommended by Anand Swaminathan Trauma Ogura T, et al. Nonoperative management of hemodynamically unstable abdominal trauma patients with angioembolization and resuscitative endovascular balloon occlusion of the aorta. Journal of Trauma and Acute Care Surgery. 2015. PMID 25539214 REBOA was a hot topic during 2014 after several reports of its use in the pre-hospital setting; this is one of the first papers exploring its use in the ED/Trauma bay. Japanese pilot study where 7 unstable abdominal trauma patients were place in REBOA and taken to emergency embolization/angiography; the mortality was 14%. There were no complications from the procedures. This is a very small study that explores about the feasibility of the approach, but the observed benefit compares favorably with historical mortality of blunt abdominal trauma requiring exp lap, which is 40-50%. Recommended by Daniel Cabrera Airway Norskov AK, et al. Diagn...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Clinical Research Education Emergency Medicine LITFL R&R in the FASTLANE Review Trauma critical care Intensive Care literature Resuscitation Source Type: blogs