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

How much does hypothermia following ROSC matter on arrival in ED?

A low body temperature on arrival at hospital following out-of-hospital-cardiac-arrest is associated with increased mortality in the TTM-study. Hovdenes J, et al. Resuscitation. 2016.

Does advanced airway management prehospitally make a difference in cardiac arrest?

The role of prehospital advanced airway management on outcomes for out-of-hospital cardiac arrest patients: a meta-analysis. Jeong S, et al. Am J Emerg Med. 2016.

Are beta blockers in VF that won’t budge a good option?

Refractory ventricular fibrillation treated with esmolol. Lee YH. Resuscitation. 2016 Aug 

How quickly will you lose your video skills??

 Retention of laryngoscopy skills in medical students: a randomised, cross-over study of the Macintosh, A.P. Advance(™) , C-MAC(®) and Airtraq(®) laryngoscopes. Hunter I, et al. Anaesthesia. 2016.

Is there more prognostic value in the VBG post arrest?

The association between hemoglobin concentration and neurologic outcome after cardiac arrest. Johnson NJ, et al. J Crit Care. 2016.

Should we continue to observe anti coagulated head injuries with an initial normal CT head?

Risk of Delayed Intracranial Hemorrhage in Anticoagulated Patients with Mild Traumatic Brain Injury: Systematic Review and Meta-Analysis. Chauny JM. J Emerg Med. 2016 Jul  

Beware the neurological presentation of an aortic dissection….

Acute Aortic Dissection Presenting as Bilateral Lower Extremity Paralysis: A Case Report. Hughes KE, et al. J Emerg Med. 2016.

Thrombolysis???

Review article: Why is there still a debate regarding the safety and efficacy of intravenous thrombolysis in the management of presumed acute ischaemic stroke? A systematic review and meta-analysis. Donaldson L, et al. Emerg Med Australas. 2016.

What’s the value of a prehospital physician?

Association between prehospital physician involvement and survival after out-of-hospital cardiac arrest: A Danish nationwide observational study. Hamilton A, et al. Resuscitation. 2016.

MACS takes a new twist, could it help rule out some more suspected acute coronary syndromes?

Troponin-only Manchester Acute Coronary Syndromes (T-MACS) decision aid: single biomarker re-derivation and external validation in three cohorts. Body R, et al. Emerg Med J. 2016.

What is the evidence base supporting capnography?

Capnography for procedural sedation in the ED: a systematic review. Dewdney C, et al. Emerg Med J. 2016.