September 2016
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Sep 30 2016
Dexmedetomidine intranasal works in kids
Intranasal dexmedetomidine was more effective at relieving procedural anxiety than intranasal midazolam in pediatric patients.
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Sep 29 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.
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Sep 28 2016
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.
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Sep 27 2016
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.
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Sep 26 2016
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.
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Sep 23 2016
HCAP is out – New IDSA Guidelines for HAP and VAP
New IDSA guidelines for HAP and VAP. HCAP is no more.
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Sep 22 2016
PERC rule for kids
The PERC rule performed well in this small retrospective study of pediatric patients.
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Sep 21 2016
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Sep 20 2016
Infant LP – Supine or Sitting Up
This RCT showed infant LP success was the same whether supine or sitting up.
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Sep 19 2016
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.