Research and Reviews in the Fastlane 165

This study reveals (using US to determine soft tissue depth) that in obese patients, the standard 25 mm IO may not be adequate to penetrate the soft tissue and get into the bony cortex. If you’re unable to palpate the tibial tuberosity, there’s a good chance your IO won’t be long enough. In obese patients, consider reaching for the 45 mm IO needle instead of the 25 mm one. Remember that the 45 mm one can be used for shallower placement (some of the device will simply protrude from the skin). Recommended by: Anand Swaminathan Emergency Medicine Juhani-Mehta M, et al. Effect of Cranberry Capsules on Bacteriuria Plus Pyuria Among Older Women in Nursing Homes: A Randomized Clinical Trial. JAMA 2016. PMID: 27787564 Among older women residing at nursing homes, cranberry capsules vs placebo made no significant differences in presence of bacteriuria plus pyuria, rates of symptomatic UTIs, rates of death, or rates of hospitalization. Recommended by: Salim R. Rezaie Critical Care Hagan G & Nathani N. Clinical review: tuberculosis on the intensive care unit. Crit Care 2013. PMID: 24093433 Tuberculosis patients requiring ICU admission have very high mortality. This 2013 review article addresses the key key life-threats from tuberculosis and the specific issues that affect the management of critically ill patients with tuberculosis. Recommended by: Chris Nickson Critical Care Ong CJ, et al. Early Withdrawal Decision-Making in Patients with Coma After Card...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Anaesthetics Education Emergency Medicine Intensive Care R&R in the FASTLANE Resuscitation EBM literature recommendations research and reviews Source Type: blogs