Emergency medicine journal : EMJ
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Destructive goal pursuit (DGP) is the situation in which goal setting becomes dysfunctional, leading to impaired performance. This paper considers the 4-h target against the model of DGP and finds many similarities. ⋯ Targets, in a way analogous to drugs or other 'therapeutic' interventions, have the potential to cause adverse effects as well as positive ones. A greater understanding will help ensure their overall impact is as beneficial as positive.
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A short-cut review was carried out to establish whether rocuronium is as effective as succinylcholine at facilitating laryngoscopy during rapid sequence intubation (RSI). A total of 94 papers was found using the reported search, of which seven represented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. The clinical bottom line is that rocuronium is as effective as succinylcholine at facilitating laryngoscopy during RSI.
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A short-cut review was carried out to establish whether intravenous adenosine is effective in the treatment of unstable paroxysmal supraventricular tachycardia. A total of 711 papers was found using the reported search, of which eight represented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. The clinical bottom line is there is strong evidence to support the efficacy of using adenosine as first-line treatment in patients who present to emergency departments with unstable paroxysmal supraventricular tachycardia.
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A short-cut review was carried out to establish whether early enteral feeding is indicated in acute pancreatitis. A total of 33 papers was found using the reported search, of which four represented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. The clinical bottom line is that patients with acute severe pancreatitis should receive enteral feeding.