Research and Reviews in the Fastlane 065

This study looked at how patients and doctors can use shared decision making to reduce in patient work ups for low risk chest pain. Using a chest pain decision aid, they reduced in patient work ups by 19%. The brilliance here is in the application of the theory of shared decision making and the knowledge transfer to patients using this system.Recommended by: Anand SwaminathanThe Best of the RestCardiology, Emergency MedicineBangalore S et al. Clinical outcomes with β-blockers for myocardial infarction: a meta-analysis of randomized trials. Am J Med. 2014;127(10):939-53. PMID: 24927909The pendulum for beta blockers in MI keeps swinging around. In this systematic review, they find a decrease in recurrent MI but no mortality difference since we entered the “reperfusion era.” There might be some benefit, but in the first 90 minutes in the ED, my nurses & I probably have more important things to do.Recommended by: Seth TruegerCardiologyNørgaard BL et al. Diagnostic performance of noninvasive fractional flow reserve derived from coronary computed tomography angiography in suspected coronary artery disease: the NXT trial (Analysis of Coronary Blood Flow Using CT Angiography: Next Steps). J Am Coll Cardiol. 2014; 63(12):1145-55. PMID: 24486266A look at what is next in line for non-invasive to evaluate ED low-risk chest pain patients. FFTct seems to be a mediocre test assessed using a questionably benign definition of disease as the gold standard, in a remarkably he...

Source: Life in the Fast Lane - January 7, 2015 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Cardiology Education Emergency Medicine Intensive Care Pre-hospital / Retrieval Respiratory Resuscitation airway critical care R&R in the FASTLANE recommendations Review Trauma Source Type: blogs