Do We Need Cephalexin Plus TMP-SMX?
For uncomplicated cellulitis in otherwise healthy patients, cephalexin alone is probably adequate.
June 2017
New Anticoagulants and Blunt Trauma – How They Fare
NOACs were not associated with an increased risk of traumatic ICH compared to other anticoagulant or antiplatelet agents.
Loperamide Abuse – Watch for Conduction System Abnormalities
Loperamide abuse is increasingly seen. It can be rarely associated with cardiac conduction system disturbances. Talk to poison control, and put these patients on a monitor.
Electronic Sign-out to Medicine – No Waiting
Electronic, asynchronous sign-out to the admitting team was widely used, reduced time to admission order completion, and seemed to be safe in this single center retrospective study.
Are We Missing Septic Shock with Sepsis-3 Definition?
Learn the new Sepsis-3 definition of septic shock, but realize that the old definition still identifies a group of very ill individuals with high mortality.
High Risk Features for SAH
The Ottawa SAH Rule is helpful in deciding which patients need further workup in the ED, but make sure your patient is similar to those included in the validation study.
Clinician’s Guide to Early Rule-out with High Sensitivity Troponin
Consider these best practices when implementing a high sensitivity troponin strategy to rule out MI.
HEART Score in Practice – Randomized Trial
The HEART score is one safe way to help risk stratify chest pain patients.
Urticaria- Hold the Prednisone
Prednisone 40mg daily x 4 days was not helpful in reducing itching in patients with simple urticaria.
Tetracaine for Corneal Abrasion
This study found 1% tetracaine for 24 hours appeared to be safe for treating corneal abrasion pain.