POEM 14.03.17

Patient Oriented Evidence that Matters Q. Is it ok to give droperidol to this psychotic gentleman? The Safety and Effectiveness of Droperidol for Sedation of Acute Behavioral Disturbance in the Emergency Department. Ann Emerg Med. 2015  1403 patients 10mg droperidol IM, IV Mean time to sedation 20mins Additional dosing required...

POEM 10.03.17

Patient Oriented Evidence that Matters Q. Low dose Perindopril…whats the point? RAS inhibitors’ dose-dependent efficacy: myth or reality?[Curr Med Res Opin. 2015] Perindopril is the only ACE inhibitor to show a real dose-response curve for BP decrease. While the effectiveness of RAS blockers on target organ damage is dose...

POEM 03.03.17

Patient Orientated Evidence that Matters Do I need to wake up my Anaesthetist to perform a procedural sedation? Intra-articular lignocaine (IAL) versus intravenous analgesia with or without sedation (IVAS) for manual reduction of acute anterior shoulder dislocation in adults. First published: 13 April 2011 Authors Conclusions: We observed no...

POEM 18.02.17

Patient Oriented Evidence that Matters Benzo’s for Back pain? Diazepam Is No Better Than Placebo When Added to Naproxen for Acute Low Back Pain Among ED patients with acute, nontraumatic, nonradicular low back pain, naproxen+diazepam did not improve functional outcomes or pain compared with naproxen+placebo 1 week and 3...

The debrief

…further attempts at resuscitation were futile. Debriefing is a dialogue between two or more people pertaining to the actions and thought processes involved in a particular patient care situation. Educational research strongly supports debriefing as an effective mechanism for promoting adult learning and enhancing skills and team performance....