Thanks to Prof Anne-Maree Kelly – we reviewed these articles this week:

Caputo_et_al-2017-Academic_Emergency_Medicine

Take home points:

1. critically unwell patients in whom desaturation was particularly critical were not included
2. not statistically powered to detected clinically significant desaturations
3. apnoeic oxygenation has minimal harm – and its introduction likely has had intangible effects on our practice in terms of adherence to checklists

 

shoulder dislocation

Take home points

1. a well designed study with patient centred outcomes
2. some methodology issues in that pain rating was surveyed after the intervention
3. your armamentarium for shoulder reduction should include at least one non sedation technique, and using a patient centred self-reduction technique allows the patient control over their medical experience