Papers of March 2020

We’ve got a great spread of topics for you this month, stretching all the way from Prehospital Critical Care, to core Emergency Medicine topics.

Those of us seeing ‘non-specific’ complaints will appreciate how difficult they can be to diagnose and manage effectively. We have a look at a paper that helps characterise this group and give some context to their mortality risk. This may well help inform conversations and decision making with this patient group.

Recent literature has looked at a more conservative management for traumatic pneumothoraces, but what about those that are spontaneous? The British Thoracic Society has guidelines for how we should deal with them but a recent RCT in the New England Journal of Medicine looks at an even more conservative approach for our patients; can we decrease the number of aspirations and drains that we are performing?

Finally we’ve covered recently a paper on the topic of Prehospital Critical Care on the outcomes for patients in cardiac arrest, in this episode we have a look on their impact in trauma patients and hear from the lead author Ali Maddock on the implications of the study’s findings.

Enjoy!

Simon & Rob

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References & Further Reading

Nonspecific complaints in the emergency department – a systematic review. Kemp K. Scand J Trauma Resusc Emerg Med. 2020

Conservative versus Interventional Treatment for Spontaneous Pneumothorax. Brown SGA. N Engl J Med. 2020Management of spontaneous pneumothoraces; British Thoracic Society 2010

Conservative Management of Pneumothoraces; St Emlyns

Prehospital critical care is associated with increased survival in adult traumapatients in Scotland. Maddock A. Emerg Med J. 2020

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