August 2016

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

How much should we worry about that mild hyperglycaemia prior to discharge in ED?

Discharge Glucose Is Not Associated With Short-Term Adverse Outcomes in Emergency Department Patients With Moderate to Severe Hyperglycemia. Driver BE. Ann Emerg Med. 2016

Is it time for cardiac arrest centres to become the norm?

Admission of out-of-hospital cardiac arrest victims to a high volume cardiac arrest center is linked to improved outcome. Schober A, et al. Resuscitation. 2016.

The first prehospital REBOA case….

Resuscitative endovascular balloon occlusion of the aorta (REBOA) in the pre-hospital setting: An additional resuscitation option for uncontrolled catastrophic haemorrhage. Sadek S. Resuscitation. 2016

In major trauma is the pan scan the best way?

Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial. Sierink JC, et al. Lancet. 2016.

Time for an advanced airway curriculum for pads EM clinicians?

Development and Assessment of an Advanced Pediatric Airway Management Curriculum With Integrated Intubation Videos. Nagler J, et al. Pediatr Emerg Care. 2016

In paediatric traumatic brain injury what are the associated mortality outcomes when hypoxia and hypotension are treated expediently?

Timely Hemodynamic Resuscitation and Outcomes in Severe Pediatric Traumatic Brain Injury: Preliminary Findings. Kannan N. Pediatr Emerg Care. 2016

Morphine in the vein or fentanyl up the nose?

Randomized Trial of Intranasal Fentanyl Versus Intravenous Morphine for Abscess Incision and Drainage. Fenster DB. Pediatr Emerg Care. 2016

When tubing a patient with no teeth

A comparison of direct laryngoscopic views in different head and neck positions in edentulous patients. Kim H. Am J Emerg Med. 2016

Ultrasound for nurse performed cannulation?

A randomized controlled trial assessing the use of ultrasound for nurse-performed intravenous placement in difficult access patients in the ED. Bahl A, et al. Am J Emerg Med. 2016

Reach for the lyrics in the patient with a confirmed PE in PEA arrest?

Pulseless electrical activity in pulmonary embolism treated with thrombolysis (from the “PEAPETT” study). Sharifi M, et al. Am J Emerg Med. 2016

Looking for sedation and analgesia, should you be mixing propofol with ketamine or keeping it neat?

Propofol or Ketofol for Procedural Sedation and Analgesia in Emergency Medicine-The POKER Study: A Randomized Double-Blind Clinical Trial. Ferguson I, et al. Ann Emerg Med. 2016

The clock is ticking and it matters. What is the link between the 4 hour wait and ED performance?

The 4-hour standard is a meaningful quality indicator: correlation of performance with emergency department crowding. Higginson I, et al. Eur J Emerg Med. 2016

Should we be using the CMAC as a direct laryngoscope rather than video on the first pass attempt?

The Utility of the C-MAC as a Direct Laryngoscope for Intubation in the Emergency Department. Sakles JC, et al. J Emerg Med. 2016



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