August 2016

With posterior MI reperfusion, the T-wave in V2 get bigger than non-posterior MI and V2 and V3 increase in size from baseline.  Why?  It's like Wellen's warning in reverse!

GCS-motor only predicted as well as the full GCS score.

Procainamide beat amiodarone for stable VT in this RCT.

Acetaminophen IV may cause a drop in blood pressure when given to critically ill patients.

Chlorhexidine baths reduced iatrogenic infection in this surgical ICU study.

Decreased antibiotic use for respiratory tract infection does not cause an increase in infectious complications.

You can apply the Bacterial Meningitis Score to adults as well as kids, but also use common sense and err on the side of admission and treatment is there is any doubt.

Ondansetron is safe in hyperemesis gravidarum and does not increase risk for birth defects.

Sniffing an alcohol pad significantly reduced nausea short term.  Aromatherapy in the ED.

If you change your disposition decision and discharge an elderly patient after initially deciding to admit them, this is associated with bad outcomes.