Moderator EMEDPA Posted March 18, 2014 Moderator Share Posted March 18, 2014 recent NEJM article briefly dissected by Mel Herbert, one of the deities in EM education: http://blog.hippoem.com/?utm_source=EM%3ARAP+Newsletter&utm_campaign=978b1d849b-2014-03-18_weekly&utm_medium=email&utm_term=0_de71b4780c-978b1d849b-288759933 honestly, I kind of figured this as well. does it really matter if you get 3 liters of IV fluid through a central or peripheral line? apparently not. what really matters is early recognition, fluids, abx, and pressors if needed. fancy monitors are no better than common sense. score 1 for the rural ICUs with save to d/c rates similar to the academic tertiary care medical centers. Link to comment Share on other sites More sharing options...
GetMeOuttaThisMess Posted March 19, 2014 Share Posted March 19, 2014 Darn Mel. Aussies are just too together for the rest of us. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted March 19, 2014 Author Moderator Share Posted March 19, 2014 have you seen the aussie study showing no benefit for any acls drug? they actually did a double blind study a few years ago: cpr+defib+ acls drugs vs cpr+defib +placebo(saline). double blinded. well done study. no difference in outcomes. at my primary job we are part of an antiarrhythmic study: lido vs amiodarone vs saline in cardiac arrest. double blinded. still in progress but I imagine they will show no differences there either. Link to comment Share on other sites More sharing options...
Moderator True Anomaly Posted March 19, 2014 Moderator Share Posted March 19, 2014 That's awesome E- let us know what y'all find Link to comment Share on other sites More sharing options...
GetMeOuttaThisMess Posted March 19, 2014 Share Posted March 19, 2014 You know you're old when you've seen drugs disproven in the past and now they go back and do it again just to find the same thing. Another should've been a HOG rule: "It's hard to reverse death". I need to build me a Dr. Jung mirror and put it back on the market... BTW, if the end point is STD and neuro intact, I vote for saline. Another case of it looks good on paper but real world doesn't bear it out. Seriously, why do we keep asking the same RCT questions if we keep getting the same supposed answers? Link to comment Share on other sites More sharing options...
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