Papers of November 2019

We’ve got some papers this month that focus on our sickest patients!

If you had a patient that you found in cardiac arrest and you believed they had a PE, would you thrombolyse them during the arrest, and how much more likely do you think they would be to survive? Our first paper looks at exactly this question.

Second up we consider the potential harms associated with adrenaline administration to those in traumatic arrest.

Finally, when RSI’ing a patient and considering your pharmacological cocktail, how likely are you to reach for the fentanyl and how much concern would you have over the risk of this rendering the patient haemodynamically unstable? We take a look at a recent review on the topic and get Dr. Ian Ferguson’s insights as the lead author.

Make sure to get in touch with any comments on any of the reviews, and importantly make sure you check out the papers and draw your own conclusions.

Enjoy!

Simon & Rob

References & Further Reading

Epinephrine during resuscitation of traumatic cardiac arrest and increased mortality: a post hoc analysis of prospective observational studyYamamoto R. Scand J Trauma Resusc Emerg Med. 2019

Does the addition of fentanyl to ketamine improve haemodynamics, intubating conditions or mortality in emergency department intubation: A systematic review. Ferguson I. Acta Anaesthesiol Scand. 2019

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