Research and Reviews in the Fastlane 055

This study demonstrates a higher success rate (100% vs. 88%) and lower pneumothorax rate (0% vs. 5%) in comparing ultrasound guided versus landmark technique for placement. Although the ultrasound guided method may be technically difficult to learn and take some time investment, that time is repayed in the shorter time to accessing the vessel and lower complication rate. Recommended by: Anand Swaminathan Emergency medicineRosen P. The biology of emergency medicine. JACEP. 1979 Jul;8(7):280-3. PubMed PMID 449164 Peter Rosen has called this ‘the only good article I have ever written’. This is Rosen’s rationale, published in 1979, for the need for emergency medicine as a specialty and his way of silencing the doubters. Well worth reading to see how far the specialty has come – or not come – and for an insight into what our international colleagues are facing as they fight to create the specialty in far flung places. The article is packed with specialty-defining quips and quotations, such as “The hardest mental change to create in new residents is to “assume the worst even if statistically improbable.” Nowhere in inpatient medicine does one learn that in early disease states, the threat to life, or well-being, hides itself. The responsibility is to describe or to deny that life threat rather than to place a specific label on a patient.”… and “We are poorly taught in medical school and residencies to distinguish s...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Anaesthetics Clinical Research Emergency Medicine Intensive Care Neurology Resuscitation Trauma critical care Education literature R&R in the FASTLANE recommendations Research and Review Source Type: blogs