June 2016
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Jun 16 2016
Low dose tPA for stroke
Short Attention Span Summary Low dose (0.6mg/kg) tPA was found to be (barely) inferior to standard dose (0.9mg/kg) tPA in regard to the primary outcome of death or severe disability at 90 days, but there were fewer bleeds (1% vs 2.1%) in the low-dose group. This was predominantly an Asian population, which limits generalizability. FOAM […]Read More -
Jun 15 2016
Legislating mortality – firearm law impact
Short Attention Span Summary I know this is a hot button issue, but in light of the recent mass shooting in Orlando this article from March in the Lancet is timely. Authors concluded that universal background checks for firearm purchases would decrease firearm related mortality from the current 10.35 deaths/100,000 to 4.46 deaths/100,000. Before we […]Read More -
Jun 14 2016
ALTE changes to BRUE
Short Attention Span Summary Apparent Life Threatening Event (ALTE) has undergone a name change and redefinition. The new name for this is BRUE – Brief Resolved Unexplained Events. A BRUE consists of: “sudden, brief, and now resolved episode of ≥1 of the following: (1) cyanosis or pallor; (2) absent, decreased, or irregular breathing; (3) marked […]Read More -
Jun 13 2016
Ultrasound guided IV blows more in CT
Short Attention Span Summary Do you have the anecdotal sense that ultrasound guided IVs blow more often with IV contrast in CT? Your hunch is now proven with this study. Unadjusted RR for contrast extravasation compared with standard IV was 14. FOAM Report EM Topics No other FOAM lovin’ Abstract Acad Emerg Med. 2016 May […]Read More -
Jun 11 2016