Without evidence of benefit, an intervention should not be presumed to be beneficial or safe.

- Rogue Medic

Blogs and Podcasts to Keep Up With Research

What are my favorite places for research information?

The site that has probably helped me find more of these than any other is Life in the Fast Lane. Every Friday, they have a literature review –

Each version of The LITFL Review begins with The Most Fair Dinkum Ripper Beaut Of The Week, which appears to be an expression of antipodean delight. They even have a page of their favorite podcasts.

Funtabulously Frivolous Friday Five 051 is a literature-themed example of their semi-medical punctuated education series. They ask a question, then you can click on the answer. The page does not need to reload, which is handy on a cell phone or a slow computer, it is just revealed.

A new feature is Friday Feynman Inspiration 001.

Mill Hill Ave Command is a newer blog (only been around since September), but one that provides a lot of useful information and discusses research. One post is Pain control – Recent controversies and research.

The Poison Review is what it says. A review of new toxicology research. A great way to learn about what we can do and what we should not do. One recent and very relevant example is Case report: seizures after smoking a synthetic cannabinoid product.

EMS Compare and the pages linked to it, provide an overview of the state of resuscitation in the US. Your organization can make claims about how good you are, but this the research on the topic. There is also an EMS Wiki for adding information. An excellent job of organizing information.

Capnography for Paramedics provides a lot of research and links on capnography – one of the more important EMS skills.

EMS Evidence Based Protocols – provides research on the many different treatments we provide in EMS and the quality of the research supporting these treatments.

Dr. Bryan Bledsoe provides some explanation of what is right, or what is not right, about things we do in EMS. For example – PDF of Searching for the Evidence Behind EMS.

Gary Schwitzer’s HealthNewsReview Blog is a review of the many ways the media misrepresent research. How the media provide bad information – one example two examples in one – Surrogate outcomes, progression-free survival: important issues for journalists & consumers to grasp. It is also important for anyone reading research to know the difference between a surrogate endpoint (only good for creating hypotheses and for evaluating treatments of rare diseases) and survival (as if there is any excuse for settling for anything other than being able to enjoy survival)

Resus.Me provides reviews of new emergency medicine research. A recent post is Listen over the neck when inflating ETT cuff.

A couple of news sites provide some research and both of these have regular articles on airway Dr. Darren Braude and Dr. Richard Levitan.

Emergency Medicine News

Emergency Physicians Monthly

Journal Watch provides weekly summaries of new research articles. They have one free summary in each category each week. You can register for free, or for a yearly charge, you can get access to all of them. They have over a dozen different specialty categories, including emergency medicine and airway articles by Dr. Ron Walls. Emergency Medicine Top Stories of 2011.

The NNT – The red/yellow/green light rating is probably the clearest presentation of what works, based on the best research available. Here are a couple of examples – ACLS Medications for Cardiac Arrest and Opiates During Abdominal Pain Evaluation

The daily concise research reviews from EM Literature of Note are my favorites. Each post is a few paragraphs of what we need to know about a new emergency medicine research paper. A recent example is Why Aren’t You Using Nitrous Yet?. A sample of the kind of common sense Dr. Radecki brings to analysis of research is –

they don’t specifically record whether they are able to successfully complete the intended procedure with this method – however, one would imagine, if it didn’t work the first 7,000 times, they wouldn’t have kept doing it…

The highlighting is mine.

Then there are the podcasts –

Annals of Emergency Medicine Podcast provides a nice review of the research papers in each month’s Annals of Emergency Medicine. From December – Relationship Between Pain Severity and Outcomes in Patients Presenting With Potential Acute Coronary Syndromes2 1/2 minute podcast segment on just this paperFree Full Text of Article with link to PDF Download.

Smart EM – This, the Annals podcast, and The NNT are all Dr. David Newman, who appears to be even busier than me. A great podcast (a couple of hours long, but definitely worth it) is SMART Cardiac Arrest: Pharmacotherapy.

EMCrit – With his first podcast on aggressively treating patients with high-dose nitrates (and ignoring furosemide), I was hooked. I have been trying to get people to understand this for over a decade. Dr. Weingart explains it in less than 10 minutes. EMCrit Podcast 1-Sympathetic Crashing Acute Pulmonary Edema.

ERCast Dr. Rob Orman’s podcast. Pediatric Fever.

Pedi-U is a great pediatric podcast. Kyle David Bates talks with Dr. Peter Antevy and Dr. Lou Romig and an occasional guest about things emergent in pediatrics. A great episode continuing on the topic of fever – Facts About Fever: Information You “Mythed”.

Keeping Up with Emergency Medicine is now a video with data from the research presented on slides in the video. video of Article of the Week – Droperidol for AgitationPDF Download of the article summary.

Standing Orders Podcast recently started up again after a hiatus with Episode 8: Surviving The Next Shift. What does it take to make it through a shift safely and go home every time? Dr. Chris Russi does a research review – Research Review Episode 2: “Fluid Administration in Traumatic Injury Patients” We are working on having me do a regular segment on the podcast.

EMS Research Podcast a podcast that is on hiatus. We hope to start it up again in 2012. In Fentanyl Study: EMS Research Episode 9 we review a well done study of fentanyl in trauma patients, including hypotensive trauma patients. The patients were just as likely to increase their blood pressure and no longer be hypotensive as they were to become hypotensive. Clearly, there is no good reason to prevent treatment of hypotensive trauma patients with fentanyl.

My favorite of the podcasts is Free Emergency Medicine Talks. These are collected by Dr. Joe Lex and include a lot of talks from recent emergency medicine conferences. Sometimes the audio is not great, but the information is excellent. One example is 2011 Literature Update Cardiology – Amal Mattu, an excellent update on the cardiology research that matters for EMS and emergency medicine.

If you know of other research sources, please let me know and I will add them.