This edition contains 4 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Justin Morgenstern and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check out the full list of R&R contributors
This Edition’s R&R Hall of Famer
Miner JR et al. Hunger and Food Insecurity among Patients in an Urban Emergency Department. West J Emerg Med 2013. PMID: 23687545
- Social determinants of health adversely affect patient health and increase utilization of health institutions, especially emergency services. The prevalence of hunger and/or food insecurity is under-recognized in ED populations, especially in urban safety-net hospitals. This fact may adversely affect ability to create health among socially disadvantaged populations. It’s simply not enough to ask if your patient is taking their medications as prescribed but rather to search out the reasons for why. Social determinants are frequently the cause. Emergency providers should actively seek out this information and contact available resources to provide support.
- Recommended by: Anand Swaminathan
- Further reading: Hunger and Food Insecurity in ED Patients (Core EM)
The Best of the Rest
Friedman BW et al. Diazepam Is No Better Than Placebo When Added to Naproxen for Acute Low Back Pain. Annals of emergency medicine. 2017. PMID: 28187918
- Surprise! RCT shows diazapem doesn’t help low back pain. Might make the patient complain less… but that doesn’t mean they’re actually better. Add this to the growing list of studies showing that even reasonable-seeming short courses of benzos are dangerous, and the risk vs benefit seems well against prescribing benzos for back pain.
- Recommended by: Seth Trueger
Quirky, weird and wonderful
Sutherland S. Late-night breastfeeding advice. Canadian family physician. 62(7):579. 2016. PMID: 27412213
- I like this short essay. It describes the author’s struggle trying to breastfeed on her first night home with her first born child. The difficulties feeding lead to chaos in the house, anger, and feelings of inadequacy. After speaking to an on call family doctor by phone, her partner draws her a warm bath, lights some candles, and leaves her a glass of sherry. The single formula feed that night made no difference to her long term desire or ability to breast feed. She uses this story to remind us that not all medical advice needs to involve medicine. We treat people, not diseases. Sometime everyone just needs a warm bath.
- Recommended by: Justin Morgenstern
Emergency MedicineHughes KE et al. Safety of Computer Interpretation of Normal Triage Electrocardiograms. Acad Emerg Med. 2017;24(1):120-124. PMID: 27519772
- It is probably the case, if a computer ECG read reports it as entirely normal, there is a very low likelihood of a serious missed diagnosis. This could reduce interruptions in your Emergency Department, depending on your current protocols.
- Recommended by: Ryan Radecki
The R&R iconoclastic sneak peek icon key
|The list of contributors||The R&R ARCHIVE|
|R&R Hall of famer You simply MUST READ this!||R&R Hot stuff! Everyone’s going to be talking about this|
|R&R Landmark paper A paper that made a difference||R&R Game Changer? Might change your clinical practice|
|R&R Eureka! Revolutionary idea or concept||R&R Mona Lisa Brilliant writing or explanation|
|R&R Boffintastic High quality research||R&R Trash Must read, because it is so wrong!|
|R&R WTF! Weird, transcendent or funtabulous!|
That’s it for this week…
That should keep you busy for a week at least! Thanks to our wonderful group of editors and contributors 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.