The 24th edition of our series of eminence-based evidence:
A free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.
This edition contains 6 recommended reads. Find out more about the R&R in the FASTLANE project here and check out the team of contributors from all around the world.
This week’s ‘R&R Hall of Famers’
- Hurst JW. Naming of the waves in the ECG, with a brief account of their genesis. Circulation. 1998 Nov 3;98(18):1937-42. Review. PubMed PMID: 9799216.
Ever wondered how the different waves on the ECG got their names? Or the physiology behind them? Read this and wonder no more. Recommended by Chris Nickson
Fulltext
This week’s R&R recommendations
- Martin M, Conlon LW. Does Platelet Transfusion Improve Outcomes in Patients With Spontaneous or Traumatic Intracerebral Hemorrhage? Ann Emerg Med. 2012 Jul 27. [Epub ahead of print] Pubmed PMID: 22841709
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Recommended by Richard Body
- Swadron SP. Pitfalls in the management of headache in the emergency department. Emerg Med Clin North Am. 2010 Feb;28(1):127-47, viii-ix. PubMed PMID: 19945603.
This is a great review of the pitfalls in assessing headache in the ED. It makes sense and resonates with my own practice. Recommended by Chris Nickson
- Hurst JW. Naming of the waves in the ECG, with a brief account of their genesis. Circulation. 1998 Nov 3;98(18):1937-42. Review. PubMed PMID: 9799216.
Ever wondered how the different waves on the ECG got their names? Or the physiology behind them? Read this and wonder no more. Recommended by Chris Nickson
Fulltext
- Reiter DA, Strother CG, Weingart SD. The quality of cardiopulmonary resuscitation using supraglottic airways and intraosseous devices: A simulation trial. Resuscitation. 2012 Jul 13. [Epub ahead of print] PubMed PMID: 22796543.
Great article in Resuscitation by my former co-chief Dena Asaad Reiter et al on time to access + airway in simulated arrest, showing that LMA+IO is much faster than ETI+CVC in arrested mannekins. (Disclaimer: I was one of the study subjects) Recommended by Seth Trueger
- Isbister GK. Antivenom efficacy or effectiveness: the Australian experience. Toxicology. 2010 Feb 9;268(3):148-54. Epub 2009 Sep 25. Review. PubMed PMID: 19782716.
The work of Geoff Isbister strikes at the heart of many of the controversies in Australian toxinology. Does Redback antivenom work? Does brown snake antivenom correct venom-induced consumptive coagulopathy? In this review he explores the reasons why different antivenoms may or may not work – both in the lab (efficacy) and in the patient (effectiveness). Recommended by Chris Nickson
- Stuke L, Diaz-Arrastia R, Gentilello LM, Shafi S. Effect of alcohol on Glasgow Coma Scale in head-injured patients. Ann Surg. 2007 Apr;245(4):651-5. PubMed PMID: 17414616; PubMed Central PMCID: PMC1877033.
Although a retrospective trawl through a database (of over 100,000 patients mind) this paper is about as good as the evidence gets for this topic. The conclusion is worth paying heed to: “Alcohol use does not result in a clinically significant reduction in GCS in trauma patients” (Though we’ve all seen it – it is a trap for the unwary) Recommended by Chris Nickson
Fulltext
The R&R iconoclastic sneak peek icon key
The list of contributors The R&R ARCHIVE R&R Hall of fame
You simply MUST READ this!R&R Hot stuff!
Everyone ‘s going to be talking about thisR&R Landmark paper
A paper that made a differenceR&R Game Changer?
Might change your clinical practiceR&R Eureka!
Revolutionary idea or conceptR&R WTF!
Weird, transcendent or funtabulous!R&R Boffintastic
High quality researchR&R Trash
Must read, because it is so wrong!R&R Mona Lisa
Brilliant writing or explanation
That’s it for now…
That should keep you busy for a week at least… Leave a comment below if you have any queries, suggestions, or comments about this week’s R&R in the FASTLANE or if you want to tell us what you think is worth reading.
About Chris Nickson
Love the ECG nomenclature article, although it left out a common component of ECG’s: the I-wave.
Best appreciated at 2am on a 36 hour shift.
“Do you see that wave right there?”
“Which wave?”
“That one, right there.”
“That’s a wave?”
“Well…maybe.”