July 2016

Some of the papers that caught our eye this month…..

So you think you’re quick at tubing those ED patients, but are you??

Human factors in the emergency department: Is physician perception of time to intubation and desaturation rate accurate? Cemalovic N, et al. Emerg Med Australas. 2016.

When getting it right first time matters the most, what can you do to ensure intubation success?

Strategies to improve first attempt success at intubation in critically ill patients. Natt BS, et al. Br J Anaesth. 2016.

How low should you go? BP in acute intracerebral bleeds

Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage. Qureshi AI, et al. N Engl J Med. 2016

Normal hip X-ray but still suspecting a fractured neck of femur, what should be the next test?

Diagnostic Imaging Strategies for Occult Hip Fractures – A Decision and Cost-effectiveness Analysis. Yun BJ, et al. Acad Emerg Med. 2016.

Do episodes of hypotension or the use of vasopressors predict poor prognosis in ROSC?

Mean arterial pressure and vasopressor load after out-of-hospital cardiac arrest: Associations with one-year neurologic outcome. Laurikkala J, et al. Resuscitation. 2016.

Is the combination of a low wells score and a negative PERC enough?

A retrospective analysis of the combined use of PERC rule and Wells score to exclude pulmonary embolism in the Emergency Department. Theunissen J, et al. Emerg Med J. 2016.

When should we be doing a log roll in the context of trauma?

What is the purpose of log roll examination in the unconscious adult trauma patient during trauma reception? Singh Tveit M, et al. Emerg Med J. 2016.

Can we avoid the ABG in respiratory failure?

Venous and arterial blood gases in respiratory failure. Fenwick R. Emerg Nurse. 2016.

Knocking the heart back in line with drugs, is chemical cardioversion safe?

Safety and efficacy of pharmacological cardioversion of recent-onset atrial fibrillation: a single-center experience. Kriz R, et al. Am J Emerg Med. 2016.

Does a raised BMI pose a problem in defibrillation?

Body mass index and outcomes of in-hospital ventricular tachycardia and ventricular fibrillation arrest. Ogunnaike BO, et al. Resuscitation. 2016.

What’s the most important question/finding/investigation in a suspected SAH?

Spontaneous Subarachnoid Hemorrhage: A Systematic Review and Meta-Analysis Describing the Diagnostic Accuracy of History, Physical Exam, Imaging, and Lumbar Puncture with an Exploration of Test Thresholds. Carpenter CR, et al. Acad Emerg Med. 2016.

How much attention should we be paying to the t-wave in the context of a LBBB and a suspected MI?

Evaluation of T-Wave Morphology in Patients With Left Bundle Branch Block and Suspected Acute Coronary Syndrome. Meyers HP, et al. J Emerg Med. 2016.

What can we do to improve their outcomes? Post arrest patients.

Improving Survival From Cardiac Arrest: A Review of Contemporary Practice and Challenges. Jentzer JC, et al. Ann Emerg Med. 2016.

Not all that is raised troponin is cardiac badness!

Causes of elevated cardiac troponins in the emergency department and their associated mortality. Meigher S, et al. Acad Emerg Med. 2016.

In blunt abdominal trauma can we use a decision tool to save on CT abdomens?

Can clinical prediction tools predict the need for computed tomography in blunt abdominal? A systematic review. Sharples A, et al. Injury. 2016.

Vacuum mattress splint or long spinal board?

Comparison of tissue-interface pressure in healthy subjects lying on two trauma splinting devices: The vacuum mattress splint and long spine board. Pernik MN. Injury. 2016.

Is apnoeic oxygenation actually worth the bother?

BET 1: Does apnoeic oxygenation reduce the risk of desaturation in patients requiring endotracheal intubation? Denton G, et al. Emerg Med J. 2016.

NIV prior to RSI?

The utility of noninvasive nasal positive pressure ventilators for optimizing oxygenation during rapid sequence intubation. Kim TH, et al. Am J Emerg Med. 2016. 

HEMS airways management, how good is it? A service review

Advanced airway management in an anaesthesiologist-staffed Helicopter Emergency Medical Service (HEMS): A retrospective analysis of 1047 out-of-hospital intubations. Piegeler T. Resuscitation. 2016 May 27

Another look at the need for LP with an early CT head scan

Sensitivity of Early Brain Computed Tomography to Exclude Aneurysmal Subarachnoid Hemorrhage: A Systematic Review and Meta-Analysis. Dubosh NM, et al. Stroke. 2016

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