Research and Reviews in the Fastlane 160

Welcome to the 160th 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 DePeter KC, et al. Does the Use of Ibuprofen in Children with Extremity Fractures Increase their Risk for Bone Healing Complications? J Emerg Med 2016. PMID: 27751698 Many orthopedists recommend steering clear of NSAIDS for analgesia in acute fracture due to concern for fracture malunion. This dogma persists despite mixed evidence and a paucity of evidence of harm in kids. This is a retrospective study, limited by typical issues with that design, who found no association between exposure to ibuprofen during initial ED visit for acute fracture of bones at high risk of malunion (OR 0.8 0.4-1.8). Note: they excluded patient support with osteogenesis imperfecta, recent chemo or steroids, and other systemic reasons for delayed union. Do not withhold a fantas...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Emergency Medicine Intensive Care R&R in the FASTLANE Resuscitation EBM Education literature recommendations research and reviews Source Type: blogs