Research and Reviews in the Fastlane 177
This study has some frustrating findings: they looked at 318 patients who got a CTPA within 2 weeks of a negative CTPA and found a 5% positive rate. Is CTPA like a stress test, where we just can’t predict plaque rupture? Are people who get CTPAs people who other docs are also worried about PE? Or are we just ordering too many CTPAs? How many of these were false postives or negatives? Sadly, as with most clinical research on pulmonary embolism, I am let with more questions than answers (but we probably order too many CTPAs).
Recommended by: Seth Trueger
Pediatrics
Luck RP, et al. Cosmetic outcomes of absorbable versus nonabsorbable sutures in pediatric facial lacerations. Pediatr Emerg Care. 2008. PMID: 18347489
Removing sutures from children seems like it should be easy… well, we know that it isn’t always. This article (and others) support the use of absorbable sutures, particularly in children.
Recommended by: Sean M. Fox
Resuscitation
Kitamura T, et al. Public-Access Defibrillation and Out-of-Hospital Cardiac Arrest in Japan. N Engl J Med. 2016. PMID: 27783922
Automated electronic defibrillators profoundly increase survival when used by lay bystanders and a shock is provided. However, it took an installed base of half a million AEDs in Japan to save ~200 lives per year.
Recommended by: Ryan Radecki
Read more: Just How Many Lives Do AEDs Save? (Emlitofnote)
Resuscitation
Vase H et al. The Impella CP Device for Acute Mechanical Circulatory Su...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Nudrat Rashid Tags: Clinical Case Education Emergency Medicine Infectious Disease Intensive Care Pediatrics R&R in the FASTLANE Radiology Respiratory Resuscitation critical care research and reviews Source Type: blogs
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