Welcome back for another Journal Jam with Justin. Another month and another 10 or so papers to keep you pondering what we do in the ED…. or outer space…
This month we are covering another Dexamethasone trial, magnesium vs. morphine in the renal colic showdown and exactly how to do CPR in zero gravity… Justin even rants about stuff as banal as burn blisters!
Sit back, grab a cup and enjoy! PDFs linked below as always.
Bottom line: Probably not a decision for me in the ED, and at least for the next little while all these patients will be getting steroids because of COVID, but I think this remains an open question with the needle leaning somewhat towards treatment.
Hinkelbein J, Kerkhoff S, Adler C, et al. Cardiopulmonary resuscitation (CPR) during spaceflight – a guideline for CPR in microgravity from the German Society of Aerospace Medicine (DGLRM) and the European Society of Aerospace Medicine Space Medicine Group (ESAM-SMG). Scand J Trauma Resusc Emerg Med. 2020 Nov 2;28(1):108. doi: 10.1186/s13049-020-00793-y. PMID: 33138865
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