Research and Reviews in the Fastlane 043

This study claimed a sensitivity and specificity of 100% in this group of patients questioning the traditional “CT, LP” approach to managing patients with clinical suspicion for SAH. However, the study has flaws and we eagerly await external validation. Recommended by: Salim R. Rezaie Emergency Medicine Williams CM, Maher CG, Latimer J et al. Efficacy of paracetamol for acute low-back pain: a double-blind, randomised controlled trial. Lancet. 2014 Jul 23. pii: S0140-6736(14)60805-9. doi: 10.1016/S0140-6736(14)60805-9. PMID 25064594 Should we continue to give paracetamol for lower back pain? In this Australian multicentre, double-dummy, randomised, placebo controlled trial 1652 patients with acute lower back pain were randomly allocated either to regular doses of paracetamol, as-needed doses of paracetamol or placebo. The primary outcome was time until recovery from low-back pain. Surprisingly the regular or as-needed dosing with paracetamol did not affect recovery time compared with placebo. Recommended by: Søren Rudolph Retrieval, Prehospital Borst GM, Davies SW, Waibel BH, Leonard KL, Rinehart SM, et al. When birds can’t fly: An analysis of interfacility ground transport using advanced life support when helicopter emergency medical service is unavailable. J Trauma Acute Care Surg. 2014 Aug;77(2):331-7. PMID 25058262 A novel contribution to the ongoing debate over utilization of helicopter EMS in trauma, demonstrating no survival benefit associated...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Anaesthetics Emergency Medicine Infectious Disease Intensive Care Neurology Pediatrics Pre-hospital / Retrieval R&R in the FASTLANE Radiology Toxicology and Toxinology critical care literature recommendations research and reviews Source Type: blogs