Research and Reviews in the Fastlane 168

Welcome to the 168th 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 Critical care Hutchinson PJ, et al. RESCUEicp Trial Collaborators. Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension. N Engl J Med 2016. PMID: 27602507 The RESCUEicp trial looked at craniectomy as a last tier intervention in patients with severe TBI and refractory intracranial hypertension. Patients had to be between 10-65 years of age with a raised ICP of >25mmHg for 1-12 hours (different from the DECRA trial) despite stage I and II measures which were defined clearly. Patients that were not randomised to the decompressive craniectomy arm could have one later based on the discretion of the neurosurgeons or receive a barbiturate infusion.  The patients receiving a decompressive craniectomy had a lower mortality unfortunately they were more lik...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Anaesthetics Education Emergency Medicine Intensive Care Neurology Neurosurgery Pre-hospital / Retrieval R&R in the FASTLANE Resuscitation recommendations research and reviews Source Type: blogs