After a month of radio silence we are back with the March episode of the Justin & Casey Journal club.
This month we have 11 papers in 3-quarters of an hour. We cover the good, bad and ugly of migraine sprays. How Facebook stats can determine your longevity, Marik’s Magic Sepsis Sauce and how to “toughen up” in the face of rudeness mid-Resus!
As always – the papers discussed are available on the links below in full-text, PDF glory. So don’t rely on our simple minds – have a read and make up your own mind! You can read Justin’s in depth, written analysis over at First10EM (great blog!)
Bottom line: Opioids are a problem. Prescribe responsibly. Don’t use combination pills. Avoid euphorics like percocet and stick to plain oral morphine. Prescribe only short courses for acute pain. But ignore this paper – it doesn’t tell you anything.
Riskin A, Erez A, Foulk TA. Rudeness and Medical Team Performance.Pediatrics. 139(2):. 2017. PMID: 28073958
Bottom Line: Our performance is not directly influenced by outside stimuli – it is our interpretation of those stimuli that matters. That is good news, because you can train yourself to alter your interpretations and therefore maintain the excellent performance you are accustom to. (JM: You can read more about this in my recent post Performance Under Pressure.)
I am a GP working in Broome, NW of Western Australia. I work as a hospital DMO (District Med Officer) doing Emergency, Anaesthestics, some Obstetrics and a lot of miscellaneous primary care. Also on the web as @broomedocs | + Casey Parker | Contact