Trauma team activation (TTA) for age ≥70 with traumatic mechanism (vs standard TTA criteria) resulted in overtriage in 39.6% of these patients. Omitting the TTA for age only would have resulted in significant undertriage.
Want to see how many patients per hour you should be seeing, according to resident data from this single center? Plug in your number of months as a resident. Patients/hour = (0.018 × month of training) + 1.113.
This study suggests that we may be able to admit fewer patients ≥60 years old with unexplained syncope than we do currently. Incidence of serious adverse events was still alarmingly common in patients who were hospitalized; so, this won’t change my practice.
There is some concern for financial conflict of interest among guideline authors for the AHA stroke guidelines. However, just 6% (2/34) of the authors for the 2013 or 2018 AHA guidelines had industry ties related to alteplase in the year of publication. Be sure to read the more nuanced discussion.
Once insured, undocumented immigrants with end-stage renal disease (ESRD) who were then able to get scheduled vs emergency-only hemodialysis (HD) has a drop in 1-year mortality (NNT = 7) and saved almost $6,000/person/month in healthcare costs.
Nearly 90,000 patients were enrolled in randomized trials that were never published. These patients were enrolled in good faith that their participation would benefit future patients. The key issue: “Large unreported trials threaten the credibility of the available, published evidence.”
There was no difference in first pass success with a non-supine (ramped) vs supine intubating position in this retrospective study, and composite adverse events were more common when ramped. But patients most likely to be ramped were also obese or had predicted difficult airway.