Robert Goulden
@emrobg.bsky.social
Emergency physician | Epidemiology PhD student | Medical Flashnotes app creator
New WTA resus thoracotomy (RT) algorithm. 2 new/key points:
-Now incorporates POCUS: if no organised cardiac rhythm and no tamponade on POCUS, no RT (regardless of time since arrest / mechanism).
-RT if pulse but refractory SBP <60 plus {blunt/penetrating thoracic injury OR tamponade on POCUS}
-Now incorporates POCUS: if no organised cardiac rhythm and no tamponade on POCUS, no RT (regardless of time since arrest / mechanism).
-RT if pulse but refractory SBP <60 plus {blunt/penetrating thoracic injury OR tamponade on POCUS}
November 20, 2024 at 8:27 PM
New WTA resus thoracotomy (RT) algorithm. 2 new/key points:
-Now incorporates POCUS: if no organised cardiac rhythm and no tamponade on POCUS, no RT (regardless of time since arrest / mechanism).
-RT if pulse but refractory SBP <60 plus {blunt/penetrating thoracic injury OR tamponade on POCUS}
-Now incorporates POCUS: if no organised cardiac rhythm and no tamponade on POCUS, no RT (regardless of time since arrest / mechanism).
-RT if pulse but refractory SBP <60 plus {blunt/penetrating thoracic injury OR tamponade on POCUS}
First, the error. Cochrane mortality OR is based on 3/111 deaths w/diuretics vs. 12/110 w/placebo. But looking at the 3 source RCTs, there are in fact *4* deaths in the diuretic arm. Adding this, the OR remains just about 'significant', 0.30 (0.10-0.98), but very fragile (2/4)
November 18, 2024 at 4:48 PM
First, the error. Cochrane mortality OR is based on 3/111 deaths w/diuretics vs. 12/110 w/placebo. But looking at the 3 source RCTs, there are in fact *4* deaths in the diuretic arm. Adding this, the OR remains just about 'significant', 0.30 (0.10-0.98), but very fragile (2/4)