Research and Reviews in the Fastlane 189

This study compares emergency medical care statistics for an urban metropolitan community in Oregon before and after the implementation of the Affordable Care Act in the USA. With the incidence of cardiac arrest approximately 17 percent lower post ACA than before it certainly brings home the potential implications of repealing and replacing the ACA. Recommended by: Virginia Newcombe Emergency Medicine van der Hulle T, et al; YEARS study group. Simplified diagnostic management of suspected pulmonary embolism (the YEARS study): a prospective, multicentre, cohort study. Lancet 2017. PMID: 28549662 The largest demonstration to date of the viability of 1000 ng/mL as the D-dimer cut-off for pulmonary embolism. Recommended by: RPR Further reading: Is the road to hell paved with D-dimers? (Emergency Medicine Literature of Note) Emergency Medicine Kawano T, et al. H1-antihistamines reduce progression to anaphylaxis among emergency department patients with allergic reactions. Academic emergency medicine 2016. PMID: 27976492 The conclusions of this study state that “early H1a treatment in the ED or prehospital setting may decrease progression to anaphylaxis”. This would definitely be new information, but I am not sure it is actually what the data shows. This was a retrospective chart review (with excellent chart review methods) looking at 2376 patients coded as having allergic reactions at 2 Canadian emergency departments. They excluded patients with anaphylaxis. When co...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Emergency Medicine R&R in the FASTLANE Resuscitation EBM Education recommendations research and reviews Source Type: blogs