R&R in the FASTLANE 002

Research and Reviews in the Fastlane 600

Welcome to the 2nd edition of Research and Reviews in the Fastlane. R&R in the Fastlane is 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 10 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Anand Swaminathan and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the : Overview; Archives and Contributors


This Edition’s R&R Hall of Famer

RR Hall of FAMER

Spielmans GI, Parry GI. From Evidence-based Medicine to Marketing-based Medicine: Evidence form Internal Industry Documents. J Bioethical Inquiry, 2010 March;7:13-29. [Full Text PDF]

  • Must-read article with amazing quotes from drug company e-mails and PowerPoint presentations
  • Recommended by:Leon Gussow

RR Game Changer

Sterns RH, Rojas M, Bernstein P, Chennupati S. Ion-exchange resins for the treatment of hyperkalemia: are they safe and effective? J Am Soc Nephrol. 2010 May;21(5):733-5. Epub 2010 Feb 18.  PMID: 20167700 – [Full Text]

  • “I’ve been looking for 1 paper to give the gen med folks to get them to understand why we no longer believe in exchange resins to treat Hyper-K. I have found the paper! It is a review article that embraces all of the data -and only 3 pages long.” -Scott Weingart
  • Recommended by: SDW, CPN
  • Learn more: EMCrit – Hyperkalemia and Is kayexalate useless?

RR Game Changer

Darshane S, Ali M, Dhandapani S, Charters P. Validation of graded difficulty in Laerdal SimMan: functional comparisons between Macintosh, Truview EVO2, Glidescope Video Laryngoscope and Airtraq. Eur J Anaesthesiol. 2011 Mar;28(3):175-80. PMID: 21088593.

  • Choose your weapon: which video laryngoscope should your department buy?
  • Recommended by: OJF

RR Game Changer

Marik PE, Rivera R. Hypertensive emergencies: an update. Curr Opin Crit Care. 2011 Dec;17(6):569-80.  PMID: 21986463.

  • Patients with true hypertensive emergencies are often mismanaged. Solid review with helpful pearls and pitfalls.
  • Recommended by: SL

RR Mona Lisa

Walley KR. Use of central venous oxygen saturation to guide therapy. Am J Respir Crit Care Med. 2011 Sep 1;184(5):514-20. Review. PMID: 21177882.

  • How to use that ScVO2 for fun and profit!
  • Recommended by: MJ

RR Mona Lisa

Weisberg LS. Management of severe hyperkalemia. Crit Care Med. 2008 Dec;36(12):3246-51. Review. PMID: 18936701.

  • An excellent concise overview of the management of severe hyperkalemia: it highlights the poor efficacy and dangers of calcium resonium, shows that not everyone responds to beta2-agonists, emphasizes the unpredictability of the cardiovascular manifestations and is packed with evidence-based pearls.
  • Recommended by: CPN
  • Learn more: EMCrit –Hyperkalemia and Is kayexalate useless?

RR Trash

Chernyshev OY, Martin-Schild S, Albright KC, Barreto A, Misra V, Acosta I, Grotta JC, Savitz SI. Safety of tPA in stroke mimics and neuroimaging-negative cerebral ischemia. Neurology. 2010 Apr 27;74(17):1340-5. Epub 2010 Mar 24. PMID: 20335564; PMCID: PMC2875935.


RR Game Changer

Jones EM, Albright KC, Fossati-Bellani M, Siegler JE, Martin-Schild S. Emergency department shift change is associated with pneumonia in patients with acute ischemic stroke. Stroke. 2011 Nov;42(11):3226-30. Epub 2011 Sep 8. PMID: 21903956.

  • We need to get stroke patients out of the Emergency Department up to units dedicated to their care.
  • Recommended by: RPR
  • Learn more:  Emergency Medicine Literature of Note – ED Nursing Hand-offs & Stroke Outcomes

RR Eureka

Karaduman S, Yürüktümen A, Güryay SM, Bengi F, Fowler JR Jr. Modified hair apposition technique as the primary closure method for scalp lacerations. Am J Emerg Med. 2009 Nov;27(9):1050-5. PMID: 19931749.


RR Boffintastic

Osterholm MT, Kelley NS, Sommer A, Belongia EA. Efficacy and effectiveness of influenza vaccines: a systematic review and meta-analysis. Lancet Infect Dis. 2011 Oct 25. [Epub ahead of print]  PMID: 22032844.

  • Anyone sick of influenza yet? Here’s how good vaccines are at stopping the virus in its tracks.
  • Recommended by: RBO

Research and Reviews icon glossary

Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also the Innovation Lead for the Australian Centre for Health Innovation at Alfred Health and Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.

After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education.

He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE.  He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of litfl.com, the RAGE podcast, the Resuscitology course, and the SMACC conference.

His one great achievement is being the father of two amazing children.

On Twitter, he is @precordialthump.

| INTENSIVE | RAGE | Resuscitology | SMACC

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