CVA, TIA, SAH – Imaging Misses Nine Percent
Even in the era of modern neuroimaging we may miss up to 9% of cerebrovascular events.
May 2017
Tortoise or Hare – Which Resident Wins?
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.
Ketofol for Kids
Ketamine/propofol had no advantage over ketamine alone for procedural sedation in pediatric patients.
Why We Use Targeted Temperature Not Hypothermia
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.
Teen Cancer Increases Stroke Risk
Cancer as a young person increases subsequent risk for cerebrovascular events. Cancer is in itself a risk factor for stroke.
No Advantage to Early Invasive Strategy for NSTEMI
There was no long-term advantage at 10 years to an early invasive vs selective invasive strategy strategy for NSTEMI.
1 in 10 Lives Saved with Hyperbaric for CO Poisoning
Hyperbaric oxygen therapy for carbon monoxide poisoning decreased mortality, NNT = 10.
Dexamethasone for Sore Throat – What’s Your Bias?
This study says that more patients may feel better with a dose of dexamethasone for sore throat.
Short-Course Glucocorticoids May Not Be Harmless
There was an association with short-term steroid use and several adverse outcomes.
Why We Used Therapeutic Hypothermia Post-arrest
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.