May 2017

Even in the era of modern neuroimaging we may miss up to 9% of cerebrovascular events.

The ED workflow has unavoidable peak hours in volume.  The key is improving off-peak hours by pushing ourselves to see new patients while managing existing ones.

Ketamine/propofol had no advantage over ketamine alone for procedural sedation in pediatric patients.

Targeted temperature management, with a goal of 36°C in unconscious post-arrest patients, appears to be as effective as the more aggressive target of 33°C.

Cancer as a young person increases subsequent risk for cerebrovascular events.  Cancer is in itself a risk factor for stroke.

There was no long-term advantage at 10 years to an early invasive vs selective invasive strategy strategy for NSTEMI.

Hyperbaric oxygen therapy for carbon monoxide poisoning decreased mortality, NNT = 10.

This study says that more patients may feel better with a dose of dexamethasone for sore throat.

There was an association with short-term steroid use and several adverse outcomes.

Therapeutic hypothermia appeared to be a very promising therapy for patients resuscitated after VF.  It turns out, strict normothermia and avoidance of hyperthermia was actually what mattered most.