Alpha-blockers Help Kidney Stones – Larger Meta-analysis
Pooling lots of studies, it looks like alpha blockers for larger kidney stones provide significant benefit with a low risk profile.
January 2017
EHR – Excessive Heinous Record-keeping
If you feel like most of your shift is spent on documentation, that’s because it is.
Continuous or Interrupted Chest Compressions RCT
A pause in compressions to give rescue breaths made no impact on survival to hospital discharge.
When to Expect Zero Survival in Arrest
No one survives if they have out-of-hospital arrest not witnessed by EMS, non-shockable initial rhythm, and no ROSC before the third epinephrine dose.
Warning Symptoms Precede Sudden Cardiac Arrest
Patients with sudden cardiac arrest often had symptoms of chest pain or dyspnea in the 24 hours prior to arrest.
Ketorolac – A Little Dab’ll Do Ya
For analgesia, there was no difference in 10mg, 15mg, and 30mg of IV ketorolac.
Effect of Multiple Concussions in High School
ultiple concussions in high school caused increased symptoms but did not lead to poorer cognitive outcome.
Concussion Paradigm Change – Rest Is Bad
Physical rest after concussion appears to be unhelpful, even harmful, in children and young people after concussion.
Why We Use BNP Plus Clinical Judgment
Acutely dyspneic patients in the ED can be more accurately diagnosed by adding BNP to clinical judgment.
Decompress that Cadaver – STAT
Based on this cadaver study, a 5cm catheter should be highly successful for needle decompression at either the 2nd intercostal space (ICS) mid-clavicular line or 5th ICS mid-axillary line.