Research and Reviews in the Fastlane 158

Welcome to the 158th 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 5 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 Carson JL, et al. Clinical Practice Guidelines From the AABB: Red Blood Cell Transfusion Thresholds and Storage. JAMA 2016. PMID: 27732721. This is a must read article which may change your clinical practice. These clinical guidelines from the AABB are based on a large number of patients in multiple clinical trials:1. Restrictive RBC transfusion level of 7 g/dL is recommended for hemodynamically stable patients, even those who are critically ill. 2. Restrictive RBC transfusion level of 8g/dL is recommended for patients undergoing orthopedic surgery, cardiac surgery, and those with preexisting cardiovascular disease. 3. Patients should receive RBCs selected at any point in their licensed dating period. There is no need to restrict patients to the use of...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Education EBM Emergency Medicine literature R&R in the FASTLANE recommendations research and reviews Source Type: blogs