This edition contains 4 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Justin Morgenstern and 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
Lauria M et al. Psychological Skills to Improve Emergency Care
Providers’ Performance Under Stress. Ann Emerg Med 2017. PMID: 28460863
- This is an excellent review of the literature on psychological skills with specific application to emergency care, critical care and resuscitation. A true must read for any resuscitationist.
- Recommended by: Anand Swaminathan
The Best of the Rest
Retrieval, prehospital, and disaster Cram N et al. A prospective evaluation of the availability and utility of the Ambulance Call Record in the emergency department. CJEM. 2017; 19(2):81-87. PMID: 27620168
- This is an interesting study that gets at one of my major pet peeves. Emergency medicine is a team sport, but all too often, the prehospital and in-hospital personnel seem to be divided into separate teams. This is a neat study that looked at how often the EMS record was available to the treating emergency physician. It is a prospective cohort looking at the adult patients transported by ambulance to either of the 2 academic emergency departments in London, Ontario (Canada). The numbers aren’t surprising. The EMS record was available at the time of the first physician assessment 19% of the time. (However, another 20% of the records had been completed and faxed at this time, but just hadn’t made it out of the mysterious fax universe and onto the patients’ charts.) Records were available at some point during the patient’s ED stay for 31% of patients. (There were some verbal handovers, but still almost half of patients had no information available from EMS.) Frequently, physicians thought this information, if available, would have resulted in important changes in patient management.
- Recommended by: Justin Morgenstern
Obermeyer Z et al. Early death after discharge from emergency departments: analysis of national US insurance claims data. BMJ. 2017;356:j239. PMID: 28148486
- There are some recurring themes on which patients have poor outcomes after discharge – “altered mental status” being the most prominent. However, while the odds ratios for mortality may seem impressive, the absolute increase in risk is tiny.
- Recommended by: Ryan Radecki
Giordano P et al. Recommendations for the use of long-term central venous catheter (CVC) in children with hemato-oncological disorders: management of CVC-related occlusion and CVC-related thrombosis. On behalf of the coagulation defects working group and the supportive therapy working group of the Italian Association of Pediatric Hematology and Oncology (AIEOP). Ann Hematol. 2015 Nov;94(11):1765-76. PMID: 26300457
- Occluded central vascular catheters are more than a nuisance to children who need them. This article is robust, but boils down some salient points about how we can evaluate and manage these occluded CVCs in the ED.
- Recommended by: Sean M. Fox
- Read more: Occluded Vascular Catheter (Pediatric EM Morsels)
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.