Papers of August 22


Welcome back! This month we take a look at 3 papers covering the breadth of Emergency Care.

First up we look at a paper evaluating outcomes for patients discharged on scene by an EMS service; how many reattend ED, how many require ICU care and what is the associated mortality rate?

NEXUS and Canadian c-spine rules both incorporate the presence of c-spine tenderness when deciding whether to image the neck as a result of trauma. But what is the prevalence of c-spine tenderness without trauma and how might that affect our clinical assessment?

Finally we take a look at a paper focussing on the risk of laryngospasm in paediatric sedation; what is the risk, which factors make it more likely to occur, and what can we do to mitigate it’s risk?

Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.

Simon & Rob

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References

Predictors of Laryngospasm During 276,832 Episodes of Pediatric Procedural Sedation. Peter Cosgrove. Ann Emerg Med. 2022

Outcomes in patients not conveyed by emergency medical services (EMS): a one-year prospective study. Erik Höglund. Scand J Trauma Resusc Emerg Med. 2022

Prevalence of midline cervical spine tenderness in the non-trauma population. J Scott Delaney. Emerg Med J. 2022

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