Simply presenting patients to another physician reduced serious adverse events (NNT = 24) and near-misses. Now we just need to overcome our hubris and ask our colleagues for advice and input.
In this cohort of thousands of pediatric ED sedation patients who didn't meet the American Society of Anesthesiologists (ASA) fasting guideline, none had aspiration nor was there any correlation of fasting time with any adverse events or vomiting. It is time to change hospital NPO policies for the ED.
This week on one of my favorite podcasts, Hidden Brain, the host, Shankar Vedantam presented something I had never considered in education. I highly recommend you listen to this podcast for yourself, but I will briefly summarize, because this could have a profound impact on those we teach in Emergency Medicine.