The latest episode of the Journal Club with Dr J Morgenstern is now out. Lots of evidence to reassure you that it’s all a bit unclear! Some great philosophical articles and a super scary Tox plant I never knew to worry about.. Enjoy.
Links to article are clickable to access free PDFs and audio is available on the podcast feed, or at the bottom of this post..
Normal saline vs. Plasmalyte… meh!
Finfer S, Micallef S, Hammond N, Navarra L, Bellomo R, Billot L, Delaney A, Gallagher M, Gattas D, Li Q, Mackle D, Mysore J, Saxena M, Taylor C, Young P, Myburgh J; PLUS Study Investigators and the Australian and New Zealand Intensive Care Society Clinical Trials Group.Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults. N Engl J Med. 2022 Jan 18. doi: 10.1056/NEJMoa2114464. Epub ahead of print. PMID: 35041780
Davis S, Ju C, Marchandise P, Diagne M, Grant L. Impact of Pain Assessment on Canadian Triage and Acuity Scale Prediction of Patient Outcomes. Ann Emerg Med. 2022 Feb 17:S0196-0644(22)00014-2. doi: 10.1016/j.annemergmed.2022.01.014. Epub ahead of print. PMID: 35184870
Bottom line: The pain score does not seem to add any predictive value to the Canadian triage score.
A non-fatal MI is not gonna kill you…
O’Fee K, Deych E, Ciani O, Brown DL. Assessment of Nonfatal Myocardial Infarction as a Surrogate for All-Cause and Cardiovascular Mortality in Treatment or Prevention of Coronary Artery Disease: A Meta-analysis of Randomized Clinical Trials. JAMA Intern Med. 2021 Dec 1;181(12):1575-1587. doi: 10.1001/jamainternmed.2021.5726. PMID: 34694318
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