R&R In The FASTLANE 017
Welcome to the 17th 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 8 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
Reiter DA, Lakoff DJ, Trueger NS, Shah KH. Individual Interactive Instruction: An Innovative Enhancement to Resident Education. Ann Emerg Med. Elsevier Inc.; 2012 Apr. 18;:1–4. PMID 22520994
- A useful discussion of how web 2.0 and ‘asynchronous learning’ has an important role in educating trainees and getting it recognised as valid learning.
- This is really important I think but my one concern is that if we show how much we can learn in our own time via free resources then they’ll take away our protected training time.
- Recommended by Andy Neill, Chris Nickson
Popat M, Mitchell V, Dravid R, Patel A, Swampillai C, Higgs A. Difficult Airway Society Guidelines for the management of tracheal extubation. Anaesthesia. 2012 Mar;67(3):318-40. PMID: 22321104
- The Difficult Airway Society has published these guidelines for tracheal extubation. The focus is on the peri-operative patient but it provides an overview and framework for a procedure rarely undertaken in the ED. It’s also healthy reminder that what goes in must come out.<
- Recommended by: John Larkin, Cliff Reid
Corrado D, Pelliccia A, Heidbüchel H, Sharma S, Link M, Basso C, et al. Recommendations for interpretation of 12-lead electrocardiogram in the athlete. European Heart Journal. 2010 Jan.;31(2):243–259. PMID: 19933514
- Linked to by someone on twitter (as usual I can’t remember). This is by the Italian folk famous for ECG screening of ALL athletes. Seeing as 50% of athletes will have “abnormal” ECGs this is a great paper to pick out which “abnormal” bits matter and which are actually normal.<
- Recommended by: Andy Neill
Moyer VA. What we don’t know can hurt our patients: physician innumeracy and overuse of screening tests. Ann Intern Med. 2012 Mar 6;156(5):392-3. PubMed PMID: 22393136.
- Clear evidence that physicians need education on what our tests are telling us.<
- Recommended by: Mike Jasumback
Reiter DA, Lakoff DJ, Trueger NS, Shah KH. Individual Interactive Instruction: An Innovative Enhancement to Resident Education. Ann Emerg Med. Elsevier Inc.; 2012 Apr. 18;:1–4. PMID 22520994
- A useful discussion of how web2.0 and ‘asynchronous learning’ has an important role in educating trainees and getting it recognised as valid learning. This is really important I think but my one concern is that if we show how much we can learn in our own time via free resources then they’ll take away our protected training time.
- Recommended by: Andy Neill, Chris Nickson
Dumas F, Manzo-Silberman S, Fichet J, Mami Z, Zuber B, Vivien B, Chenevier-Gobeaux C, Varenne O, Empana JP, Pène F, Spaulding C, Cariou A. Can early cardiac troponin I measurement help to predict recent coronary occlusion in out-of-hospital cardiac arrest survivors? Crit Care Med. 2012 Apr 6. [Epub ahead of print] PubMed PMID: 22488008.
- Some cardiac arrest patients will do better going to the cath lab – but your bedside troponin measurement doesn’t accurately predict who.
- Recommended by: Ryan Radecki
- Learn more: Post-arrest troponin measurements predict little
Le Cong M, Gynther B, Hunter E, Schuller P. Ketamine sedation for patients with acute agitation and psychiatric illness requiring aeromedical retrieval. Emergency Medicine Journal. 2011 May 12. PMID: 21565879
- We all know Minh Le Cong is a retrieval legend but now we have publications to prove it. This describes a series of psychotic patients who got ketamine to get them on a plane (I suspect he stole the idea from the A-team) and transferred safely. I suspect ketamine would be useful to get control in the ED too.
- Recommended by: Andy Neill
Brancati FL. The art of pimping. JAMA. 1989 Jul 7;262(1):89-90. PubMed PMID: 2733128.
- The classic, original work on the art of pimping in medicine.
- Recommended by: Chris Nickson
Ding W, Shen Y, Yang J, He X, Zhang M. Diagnosis of pneumothorax by radiography and ultrasonography: a meta-analysis. Chest. 2011 Oct;140(4):859-66. Epub 2011 May 5. Review. PubMed PMID: 21546439.
- Ultrasound for pneumothorax is more frequently useful than FAST for free fluid. This should really be standard EM practice.
- Recommended by: Andrew Brainard
Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also a 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 three amazing children.
On Twitter, he is @precordialthump.
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