Research and Reviews in the Fastlane 062

This study is a meta-analysis looking at whether tamsulosin increases the rate of spontaneous stone passage in patients with renal colic. The authors report a benefit to the drug with a RR for passage of 1.50. However, this meta-analysis is significantly flawed as the studies entered into it had significant bias mainly due to issues with randomization as well as a high level of heterogeneity. This meta-analysis typifies the issue of garbage in equals garbage out and does not change the fact that tamsulosin has little good evidence to defend its use in these patients.Recommended by: Anand SwaminathanEmergency Medicine, Resuscitation, PulmonaryOddo M et al. Management of mechanical ventilation in acute severe asthma: practical aspects. Intensive Care Med. 2006 Apr;32(4):501-10. PMID: 16552615Look, obviously the goal is to not intubate the patient presenting with a severe asthma exacerbation… but our jobs often place us between the rock and the hard place. This article describes how best to deal with the uncomfortable position and benefit the patient the most.Recommended by: Sean FoxRead More: Mechanical Ventilation for Severe Asthma (Pediatric EM Morsels)Emergency Medicine, Pediatrics Poonai N et al. Oral administration of morphine versus ibuprofen to manage postfracture pain in children: a randomized trial. CMAJ 2014. PMID: 25349008This parallel-group, randomized, blinded superiority trial compared oral ibuprofen with oral morphine in pediatric patients (n=134) discharg...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Education critical care emergency Emergency Medicine Intensive Care Press Ganey R&R in the FASTLANE recommendations Review Source Type: blogs