Research and Reviews in the Fastlane 140
In this study of 187 traumatic arrest patients, the survival rate was 3.2%. The authors found that if the patient had no cardiac motion AND no pericardial effusion, the mortality was 100%. This potentially identifies a group in which providers should not be subjected to the risks of thoracotomy.
Recommended by Anand Swaminathan
The Best of the Rest
Emergency medicine
Cheng YJ et al. The Role of Macrolide Antibiotics in Increasing Cardiovascular Risk. J Am Coll Cardiol. 2015. PMID 26564594
The harm is small – 1 in ~25,000 prescriptions – but this is another call to avoid unnecessary use of macrolide antibiotics when feasible.
Recommended by RPR
Emergency medicine
Body R et al. The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes. Resuscitation. 2010. PMID 20036454
Great paper by the Manchester group (ft Rick Body & Simon Carley) on what HPI features make ACS more likely. The winners: radiating to arms, vomiting ,central chest pain, and sweating observed. Rest pain or left arm radiation aren’t helpful. Obviously ACS workup and diagnosis is complicated and these aren’t changing my management a ton. I find them most helpful when negative to document discharge for low risk chest pain, and when positive to ratchet up my concern (more repeat ECGs, etc).
Recommended by Seth Trueger
Education
Duffy C et al. Social media and Anaesthesia Journals. BJA 2015. PMID 26582860
Short correspondence in BJA highlighting not ...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Soren Rudolph Tags: Clinical Research Education Emergency Medicine Intensive Care LITFL Pre-hospital / Retrieval R&R in the FASTLANE Resuscitation Review Trauma critical care Source Type: blogs
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