Research and Reviews in the Fastlane 061

Welcome to the 61st edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.This edition contains 6 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Anand Swaminathan and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check out the full list of R&R contributorsThis Edition’s R&R Hall of FamerEmergency Medicine, Trauma, Resuscitation Slessor D, et al. To be blunt: Are we wasting our time? Emergency department thoracotomy following blunt trauma: A systematic review and meta-analysis. Ann Emerg Med 2014. PMID: 25443990Should we be performing ED thoracotomies in patients with blunt traumatic arrest? This systematic review and meta-analysis looked at 27 studies and concluded that while good outcomes were rare (1.5%), the patients that had good outcomes all had vitals on admission and received ED thoracotomy within 15 minutes of cardiac arrest. The primary literature is limited but their proposed algorithm on which patients to consider thoracotomy aids in providing guidance to care.Recommended by: Sa’ad Lahri, Anand Swaminathan, Jeremy FriedThe Best of the RestAirway Ha...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: R&R in the FASTLANE airway critical care emergency Emergency Medicine Intensive Care recommendations Review Trauma Source Type: blogs