Hot off the press. My favourite 2021 Articles

Even for 2021 we had to chose (in many fields) between science/evidences and non science/non evident way to perform our clinical activity. I chosen science and this is just a little extract of what I read in those 12 months. I hope you’ll enjoy it and fell free to send me more suggestions about interesting articles in 2021 emergency medicine literature.

A good 2022 to everyone.

Mario Rugna

Trauma

• Prehospital shock index outperforms hypotension alone in predicting significant injury in trauma patients

• Mortality and Pf8f6f6rehospital Blood Pressure in Major Traumatic Brain Injury: The Absence of a Hypotension Threshold

• Back to the Future: Whole Blood Resuscitation of the Severely Injured Trauma Patient

Airway management

• Prehospital Airway Management: A Systematic Review

• Efficacy of Apneic Oxygenation During Pediatric Endotracheal Intubation

• Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing Emergency Intubation A Randomized Clinical Trial

• Effect of the use of an endotracheal tube and stylet versus an endotracheal tube alone on first-attempt intubation success: a multicentre, randomised clinical trial in 999 patients

• Fewer tracheal intubation attempts are associated with improved neurologically intact survival following out-of-hospital cardiac arrest

• Push-Dose Pressors During Peri-intubation Hypotension in the Emergency Department: A Case Series

Cardiac Arrest

• Advanced reperfusion strategies for patients with out-of- hospital cardiac arrest and refractory ventricular fibrillation (ARREST): a phase 2, single centre, open-label, randomised controlled trial

• Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest A Randomized Clinical Trial

• Electrical storm: A focused review for the emergency physician

• Temperature management and its role in cardiac arrest patients—a review

• The Role of Cardiac Arrest Sonographic Exam (CASE) in Predicting the Outcome of Cardiopulmonary Resuscitation; a Cross-sectional Study

• Point‐of‐care ultrasound in cardiorespiratory arrest (POCUS‐CA): narrative review article

• Faster time to automated elevation of the head and thorax during cardiopulmonary resuscitation increases the probability of return of spontaneous circulation

Pain management

• Intravenous Subdissociative-Dose Ketamine Versus Morphine for Analgesia in the Emergency Department: A Randomized Controlled Trial

• Prehospital Ketamine Administration for Excited Delirium with Illicit Substance Co-Ingestion and Subsequent Intubation in the Emergency Department

• Hot off the press: the RAMPED trial—methoxyflurane for analgesia in the emergency department

Guidelines/Recommendations

• Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021

• Basic ultrasound head-to-toe skills for intensivists in the general and neuro intensive care unit population: consensus and expert recommendations of the European Society of Intensive Care Medicine

Tags: emergency medicine