Research and Reviews in the Fastlane 064

This study showed a poor specificity (48%) for two tools in identifying stroke patients in the field speaking to the need for better tools and/or better training. A low specificity means lots of patients without disease may be treated.Recommended by: Anand SwaminathanEmergency Medicine, Neurology Hamaekers AE, Henderson JJ. Equipment and strategies for emergency tracheal access in the adult patient. Anaesthesia. 2011 Dec;66 Suppl 2:65-80. PMID: 22074081How to access the cricothyroid membrane….or not! – a great review of the literature for different ways of gaining emergency airway access via the cricothyroid membraneRecommended by: Soren RudolphEmergency Medicine, ResuscitationBennett C et al. Management of pulmonary embolism: recent evidence and the new European guidelines. Eur Respir J 2014;44(6):1385-90. PMID: 25435521This easily digestible paper reviews the European guidelines for the management of pulmonary embolism (PE). The pearls:The clinical implication of a single subsegmental PE is unknown, but it often probably doesn’t need aggressive treatment.The FOAM world abounds with discussions of thrombolysis for intermediate risk PE (submassive) but these guidelines and this paper are far less enthusiastic given the risk of bleeding and use of a composite outcome in the PEITHO study.Outpatient PE management, for the right patient (based on PESI/sPESI and follow up) is here.Recommended by: Lauren WestaferPre-Hospital/Retrieval, Emergency MedicineSund...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Cardiology Education Emergency Medicine Gastroenterology Intensive Care Neurology Ophthalmology Pediatrics Pre-hospital / Retrieval Resuscitation critical care Press Ganey R&R in the FASTLANE recommendations Review Source Type: blogs