This podcast is taken from a talk I gave at Grand Rounds at The Bristol Royal Infirmary on the Top 10 Papers in EM over the last 12 months.
Many of these have been covered in previous podcasts, but running through them gives a good opportunity for further recap and reflection.
Papers Covered;
(more in February'sPapers of the month)
(more in July's Papers of the month)
(more in our Troponins podcast)
(more in September's Paper's of the month)
(more in our podcast PE The Controversy)
(more in March's Papers of the month)
(more in our Stroke Thrombolysis podcast)
(more in April's Papers podcast)
(more in August's Papers podcast)
(more coming up in May's Papers podcast!)
Enjoy and we'll be back with our papers of the month next week!
Simon
Acute cholecystitis is a diagnosis that we make frequently in the Emergency Department. But like all diagnostic work ups there is a lot to know about which parts of the history, examination and bedside tests we can do in the ED that really help either rule in or rule out the disease.
In this podcast we run through some of the key bits of information published in the Commissioning Guide Gallstone disease 2016, jointly published by the Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland & the Royal College of Surgeons.
We then concentrate on a recent systematic review of the diagnostic work up for Acute Cholecystitis. Yet again the evidence base brings up some issues to challenge our traditional teaching on the topic but should help polish our management of patients with a differential of Acute Cholecystitis.
Enjoy!
References & Further Reading
Commissioning Guide Gallstone disease 2016
Up to date; Acute Cholecystitis
NICE guidance; Acute Cholecystitis
History, Physical Examination, Laboratory Testing, and Emergency Department Ultrasonography for the Diagnosis of Acute Cholecystitis. Jain A. Acad Emerg Med
This month we look at a paper concentrating on the risk of contrast induced nephropathy in contrasted CT scans, looking specifically at the need to hydrate at-risk patients prior to and following CT scans.
The use of prehospital blood is also under the spotlight with the ongoing RePHILL trial. We look at a paper reviewing prehospital blood use with the Kent Surrey Sussex prehospital service and the described physiological changes seen in patients receiving blood. Make sure you also go over and check out the podcast episode from PHEMCAST on the RePHILL trial with Jim Hancox.
Finally I was lucky enough to catch up with Johannes von Vopelius-Feldt, the lead author of a paper in press on the impact of prehospital critical care teams on out of hospital cardiac arrests.
You can find the fantastic opportunity of a scholarship to be an Emergency Nurse Practitioner here from ADPRAC.
References & Further Reading
FOAMcast; Contrast-Induced Nephropathy and Genitourinary Trauma
RELEL.EM; The AMACING Trial: Prehydration to Prevent Contrast Induced Nephropathy (CIN)?