Research and Reviews in the Fastlane 148

Welcome to the 148th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature. This edition contains 6 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Justin Morgenstern and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check out the full list of R&R contributors This Edition’s R&R Hall of Famer Emergency Medicine Taylor RA et al. Determination of a Testing Threshold for Lumbar Puncture in the Diagnosis of Subarachnoid Hemorrhage after a Negative Head CT: A Decision Analysis. Academic emergency medicine. 2016. PMID: 27378053 Test thresholds are an essential concept in emergency medicine, but have really only taken hold in PE workups so far. This group attempts to weigh the harms and benefits of LP after negative CT for subarachnoid haemorrhage and come up with a test threshold of 4.3%. This means that we are doing more harm than good by testing anyone with a pre-LP likelihood of disease less than 4.3% – which is almost everyone after a negative CT. (Look at figure 3 in the paper for more detail.) That being said, there are a lot of assumptions that go into...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Education Emergency Medicine Infectious Disease Neurosurgery R&R in the FASTLANE EBM literature recommendations research and reviews Source Type: blogs