September 2016
-
Sep 16 2016
Obtain clean catch UA in infants quickly
How do you make an infant urinate on demand? Try the Quick-Wee method.
-
Sep 15 2016
Antibiotic choice has minimal impact on appendicitis complications
Narrow or broad spectrum antibiotic choice has little impact on pediatric appendicitis outcome. Broader coverage may, in fact, be worse.
-
Sep 14 2016
Moving low risk chest pain patients out
The EDACS accelerated diagnostic protocol for low risk chest pain performed well in this retrospective look. But EDACS classifies some patients as "low-risk" that I wouldn't consider low, such as a patient > 65 years with known CAD.
-
Sep 13 2016
New pediatric sedation guidelines made simple
The new pediatric sedation guidelines made ridiculously simple.
-
Sep 12 2016
Hypertension and Pokemon
ED visits solely for hypertension have very low adverse events rates shortly after ED discharge.
-
Sep 09 2016
A step-by-step approach to infant fever
A stepwise approach to febrile infant <90 days had high sensitivity and NPV and was superior to the Rochester Criteria and Lab-score.
-
Sep 08 2016
QTc prolonged with ondansetron in the PICU
QTc is not affected in non-critical pediatric patients getting ondansetron, but in this critically ill population, about one third had significant QTc prolongation.
-
Sep 07 2016
Antibiotics within 48h prevent renal scarring
You have 48 hours to start antibiotics to prevent renal scarring in pediatric patients. Antibiotics >72 hours was associated with scarring.
-
Sep 06 2016
CT c-spine detects injuries – no MRI needed
Unless the neurological exam was abnormal, CT c-spine detected all clinically significant cervical spine injuries.
-
Sep 05 2016
Posterior fat pad dogma bust
Isolated posterior fat pad on x-ray for adults heals great even if you do nothing.