Research and Reviews in the Fastlane 067

This study looks into the question and finds that medical students randomized to having their simulated patient die report increased cognitive load and had poorer learning outcomes. The authors caution that this doesn’t mean we shouldn’t have simulated patients die but that we need to plan for this outcome intelligently.Recommended by: Anand SwaminathanPediatricsMaffei FA et al. Duration of mechanical ventilation in life-threatening pediatric asthma: description of an acute asphyxial subgroup. Pediatrics 2004; 114(3):762-7. PMID: 15342851Interestingly, while we often preach to not intubate the asthmatic… there may be a sub-population of patients with Acute Asphyxial Asthma who have brief, albeit severe, exacerbations that require intubation, but then do fairly well. These patients may present to you with no other option than to intubate.Recommended by:  Sean Fox Critical CarePener A et al. Scandinavian clinical practice guideline on choice of fluid in resuscitation of critically ill patients with acute circulatory failure. Acta Anaesthesiol Scand. 2014. PMID: 25363535Scandinavian guidelines for fluid resusciation in critically ill patients. For general ICU patients, those with sepsis and trauma patients crystalloids rather than hydroxyethyl starch, gelatin and albumin are recommended . Unfortunately no recommendations are provided for burns as there are very limited data from randomised trials on fluid resuscitation in this patient population.Recomme...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Anaesthetics Cardiology Education Emergency Medicine Intensive Care Pediatrics R&R in the FASTLANE Resuscitation critical care examination recommendations Review Source Type: blogs