Monthly Archives: May 2017

BET1: Pre-hospital finger thoracostomy in patients with traumatic cardiac arrest

Jean-Francois Hibbert recommends

A short cut review was carried out to see if ‘finger’ thoracostomy was a safe and effective procedure to use in the pre-hospital setting in patients with traumatic cardiac arrest. Three relevant papers were found describing the use of this technique in the pre-hospital setting. The author, date and country of publication, patient group studied, study type, relevant outcomes, results study weaknesses of these papers are tabulated. Finger thoracostomy appears to be an acceptable and effective technique for trained physicians in the pre-hospital setting.

from Emergency Medicine Journal Best evidence topic reports http://ift.tt/2qVWl9z

Toward evidence-based emergency medicine: best BETs from the Manchester Royal Infirmary

Jean-Francois Hibbert recommends

Best Evidence Topic reports (BETs) summarise the evidence pertaining to particular clinical questions. They are not systematic reviews, but rather contain the best (highest level) evidence that can be practically obtained by busy practicing clinicians. The search strategies used to find the best evidence are reported in detail in order to allow clinicians to update searches whenever necessary. Each BET is based on a clinical scenario and ends with a clinical bottom line which indicates, in the light of the evidence found, what the reporting clinician would do if faced with the same scenario again.

The BETs published below were first reported at the Critical Appraisal Journal Club at the Manchester Royal Infirmary1 or placed on the BestBETs website. Each BET has been constructed in the four stages that have been described elsewhere.2 The BETs shown here together with those published previously and those currently…

from Emergency Medicine Journal Best evidence topic reports http://ift.tt/2qbwNbj

BET 2: Pre-hospital finger thoracostomy in patients with chest trauma

Jean-Francois Hibbert recommends

A short cut review was carried out to see if ‘finger’ thoracostomy is a safe and effective method of treating a tension pneumothorax in a pre-hospital setting. Five relevant papers were found looking at this technique in the pre-hospital setting. The author, date and country of publication, patient group studied, study type, relevant outcomes, results study weaknesses of these papers are tabulated. This technique appears to be safe and effective when performed by trained physicians in a pre-hospital setting.

from Emergency Medicine Journal Best evidence topic reports http://ift.tt/2qVXE8u