Christopher Bodle

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Lit of the Week- 5/17/16

“NEXUS Chest – Validation of a Decision Instrument for Selective Chest Imaging in Blunt Trauma” Clinical question / background: Low yield radiology is costly and exposes patients to unnecessary radiation. Can the previously described NEXUS Chest Imaging rules be validated for clinical use in cases of blunt chest trauma? Very low risk for chest trauma …

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Lit of the Week – Necrotizing Fasciitis

“The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections” Clinical question / background: The goal of this study was to develop a diagnostic scoring system to distinguish necrotizing fasciitis from other soft tissue infections based on common laboratory evaluation. Design: Retrospective observational study. Chart …

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Lit of the Week: Prehospital hypoxia in TBI

Chi et al. “Prehospital Hypoxia Affects Outcome in Patients With Traumatic Brain Injury: A Prospective Multicenter Study.” J. Trauma. 2006;61:1134-1141 Clinical question / background: The goals of this study were to determine the incidence and duration of hypotension (SBP <90) and hypoxia (SpO2<92%) in the prehospital setting in patients with potentially survivable brain injuries, and …

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Lit of the Week- CT C-spine alone for obtunded, blunt trauma patient

Patel MB, Humble SS, Cullinane DC, et al. Cervical spine collar clearance in the obtunded adult blunt trauma patient: a systematic review and practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2015 Feb;78(2):430-41. Clinical question / background: In the obtunded blunt trauma patient, can cervical collar …

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Lit of the Week – Preoxygenation

Weingart S, et al. “Preoxygenation and prevention of desaturation during emergency airway management.” Ann Emerg Med. 2012;59:165-175. Clinical question / background: ·      Patients requiring emergency airway management are at great risk of hypoxemic hypoxia because of primary lung pathology, high metabolic demands, anemia, insufficient respiratory drive, and inability to protect their airway against aspiration. Tracheal …

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Lit of the Week – Therapeutic Hypothermia

Holzer M, et al. “Mild Therapeutic Hypothermia to Improve the Neurologic Outcome After Cardiac Arrest”. The New England Journal of Medicine. 2002. 346(8):549-556.   Clinical question / background: In patients with ROSC following cardiac arrest due to ventricular fibrillation, does mild systemic hypothermia increase the rate of neurologic recovery after resuscitation?   Design: Unblinded, parallel-group, …

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