Research and Reviews in the Fastlane 042

This article challenges the notion that lacerations need to be closed within a specific “golden period” lest they become infected. The authors find that diabetes, wound contamination, length greater than 5 cm and location on the lower extremity are important risk factors for wound infection. Time from injury to wound closure is not as important as previously thought. Recommended by: Anand Swaminathan Read More: Goldfinger (More Dogma of Wound Care) (SGEM) Emergency Medicine, Procedural Sedation Green SM, Andolfatto G. Managing Propofol-Induced Hypoventilation. Ann Emerg Med. 2014 Jul 11. pii: S0196-0644(14)00588-5. PMID 25017824 Great review on all practical aspects of propofol use in the ED setting. A wonderful primer for those in training and an outstanding review for those using it for years. Recommended by: Jeremy Fried Emergency Medicine, Cardiology Body R et al. Can emergency physicians ‘rule in’ and ‘rule out’ acute myocardial infarction with clinical judgement? Emerg Med J 2014. PMID 25016388 Gestalt takes another hit. Simon, Rick and their team of researchers look at the utility of physician gestalt in “ruling-in” and “ruling-out” MI. What they find is surprising. Two findings stand out. 1) in patients who were placed in the “definitely ACS” category, only 50.9% had ACS. 2) Gestalt barely improved with increasing clinical experience. In patients with the lower 3 risk categories by gestalt, a normal ...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: R&R in the FASTLANE critical care Emergency Medicine Intensive Care literature recommendations research and reviews Source Type: blogs