Dexmedetomidine intranasal works in kids
Intranasal dexmedetomidine was more effective at relieving procedural anxiety than intranasal midazolam in pediatric patients.
September 2016
Antiarrhythmic drugs – no survival difference
Similar to the recent NEJM study, neither amiodarone nor lidocaine improved survival to hospital discharge in out of hospital cardiac arrest with shockable rhythm in this systematic review.
Predicting kids at risk for sudden cardiac death
Concerning family history, exercise chest pain, exercise syncope, or unexplained syncope in a child warrants pediatric cardiology evaluation with no exertion until cleared by them.
Hypotensive GSW- door to OR under 10 minutes
Hypotensive patients with gunshot wounds are almost half as likely to die if in the OR in under 10 minutes.
Kids with no insurance transferred more often
Kids with no insurance had almost 4 times the odds of being transferred, instead of admitted at the initial facility. I smell a rat.
HCAP is out – New IDSA Guidelines for HAP and VAP
New IDSA guidelines for HAP and VAP. HCAP is no more.
PERC rule for kids
The PERC rule performed well in this small retrospective study of pediatric patients.
Empathy may reduce malpractice suits
Empathetic doctors may get sued less often.
Infant LP – Supine or Sitting Up
This RCT showed infant LP success was the same whether supine or sitting up.
Frown to prevent PE
A smiling face affected physician estimate of the Wells score, making it less reliable, but it didn’t affect physician gestalt for PE. A patient can smile while having a PE.