Research and Reviews in the Fastlane 037
Conclusion: Use of an age-adjusted d-dimer threshold reduces imaging among patients age <50 years with a Revised Geneva Score ≤ 10. While the adoption of an age-adjusted d-dimer threshold is probably safe, the confidence intervals surrounding the additional 1.5% of PE that was missed using an age-adjusted threshold necessitate a prospective study before this practice can be adopted into routine clinical care.
Recommended by: Salim R. Rezaie, Jeremy Fried
Read More: The Adventure of the Golden Standard (Rory Spiegel)
Resuscitation
Wik L et al. Manual vs. integrated automatic load-distributing band CPR with equal survival after out of hospital cardiac arrest. The randomized CIRC trial. Resuscitation 2014. PMID: 24642406
Mechanical CPR offers no benefit over manual CPR in patients with OHCA in terms of survival to discharge. Although a number of physicians have argued the merits of these devices in terms of freeing up hands, ensuring adequate compression’s etc, this is an expensive device ($15,000/unit) to adopt without proof of benefit.
Recommended by: Anand Swaminathan
Critical Care
ICU-Acquired Weakness and Recovery from Critical Illness. John P. Kress, M.D., and Jesse B. Hall, M.D.N Engl J Med 2014; 370:1626-1635April 24, 2014. PMID: 24758618
ICU acquired weakness contributes significantly to the considerable functional impairment survivors of critical illness face. This excellent review provides a nice summary and emphasizes the importance of a...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Nudrat Rashid Tags: Anaesthetics Cardiology Emergency Medicine Featured General Surgery Health Infectious Disease Intensive Care Neurology Neurosurgery Radiology Resuscitation Trauma critical care literature R&R in the FASTLANE recommendations Source Type: blogs
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