Why 10,000 Die Within a Week of ER Discharge
When in doubt, err on the side of admission – even if you get push back from the hospitalist, administrator, or your own government.
When in doubt, err on the side of admission – even if you get push back from the hospitalist, administrator, or your own government.
There is a growing emphasis on non-pharmacologic treatments for low back pain, and a deemphasis on using opiates.
Pharmacologic treatments for acute low back pain were moderately helpful, at best, and included NSAIDs, possibly muscle relaxers, and steroids, but only for radicular pain.
If you have dilute urine with positive LE or microscopic pyuria, it is probably a real UTI. If the urine is concentrated, it’s harder to tell.
Your judgment at the bedside is still the final and best decision rule.
Corticosteroids are definitely beneficial in Bell palsy. Antiviral agents are not helpful if used alone but have a mild synergistic effect when added to steroids.
In patients with eGFR 30-59, there was no benefit to giving saline prior to IV contrast for CT.
There was no association with IV contrast for CT and short-term acute kidney injury or progression to dialysis at 6 months, regardless of initial GFR in patients with a creatinine < 4.
Diazepam doesn’t help low back pain. Here is RCT data that proves it.
Early treatment of anti-NMDA receptor encephalitis improved recovery. But first, you have to make the diagnosis.