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Optimal Timing for Life-Saving Procedures in Critical Care: Finding the Goldilocks Moment
"Time Critical: Information Light" decision-making is vital in emergency medicine, requiring swift actions with minimal data. However, uncertainty decreases over time as more information becomes available. This model highlights the importance of making high-stakes decisions promptly, avoiding premature or delayed interventions. The "Goldilocks" principle takes this further to guide clinicians to find the optimal timing for life-saving procedures, balancing risks and benefits. Training, peer reviews, and simulation exercises are essential to enhance decision-making skills in these high-pressure situations. #FOAMed @stemlyns
JC: Evaluation of Lidocaine Patches for Elderly Patients with Rib Fractures: A Feasibility Study
Discover the feasibility of using topical lidocaine patches for pain management in elderly patients with rib fractures. This multicentre, randomised controlled trial evaluated the practicality of recruiting and retaining older patients in emergency settings. Results indicate high adherence to the intervention and significant findings on pain and pulmonary complications. However, challenges in data collection for pain and frailty-specific outcomes were noted. The study highlights the need for a larger, placebo-controlled trial to confirm the clinical benefits of lidocaine patches. Learn more about the implications for improving care in elderly trauma patients. #FOAMed @stemlyns
Non fatal strangulation
The Faculty of Forensic & Legal Medicine's guidelines for managing non-fatal strangulation (NFS) in acute and emergency care highlight the need for immediate assessment, focusing on airway, breathing, and circulation stabilisation. Clinicians must identify red flags such as difficulty breathing, petechial haemorrhages, and neurological symptoms. CT angiography is recommended within one hour for symptomatic patients. Safeguarding assessments for domestic abuse and sexual violence are essential, along with appropriate referrals. Follow-up care includes providing safety netting information and arranging neuropsychological assessments. These guidelines advocate a trauma-informed, multidisciplinary approach to improve outcomes for patients who have experienced NFS. @stemlyns #FOAMed
JC: Systematic review of the Manchester Acute Coronary Scores.
Journal Club on the impact of the MACS score in emergency medicine (systematic review). Learn how this tool improves diagnosis and patient outcomes while optimizing hospital resources."Keywords: MACS score, emergency medicine, acute coronary syndrome, systematic review, patient outcomes, hospital resource management, clinical prediction rule, chest pain diagnosis. #FOAMed
JC: Does the outcome from refractory VF differ from recurrent VF in DOSE-VF patients? • St Emlyn's
This secondary analysis of the DOSE VF trial highlights double sequential external defibrillation (DSED) as a superior strategy over standard and vector change defibrillation for refractory ventricular fibrillation (RVF) in out-of-hospital cardiac arrest, improving survival rates and neurological outcomes significantly. #FOAMed @stemlyns
Ten Tips for Better Presentations - Part 1 • St Emlyn's
Enhance your presentation skills and become a confident speaker. Learn the secrets to captivating your audience and delivering impactful presentations.Discover essential tips for creating impactful presentations. Learn how to engage your audience, design effective slides, and deliver your message clearly.