June 2017
-
Jun 19 2017
Supine Mallampati Beats Seated for Difficult Airway Prediction
Checking a Mallampati score while supine is more accurate for predicting a difficult airway than in the seated position.
-
Jun 17 2017
How to Tell a Septic Hip from Transient Synovitis
These 4 predictors are somewhat helpful in distinguishing transient synovitis of the hip from septic arthritis. Note the limitations of the Kocher Criteria when using it in practice, and err on the side of orthopedic consultation and/or admission.
-
Jun 16 2017
Nitrous Oxide and Intranasal Fentanyl for Sedation
Intranasal fentanyl and N2O was a rapid way to perform pediatric sedation with no IV, but more patients cried, grimaced, and kicked during the procedure; and 12% vomited.
-
Jun 15 2017
Normal Exam and ABI – No Arterial Injury
Arterial injury may be ruled out with a careful physical exam showing no hard or soft signs and ABI 0.9 or greater.
-
Jun 14 2017
You Can See RV Dilation As Well As Cardiology
Bedside echo that answers a specific question, in this case - is the RV dilated or not - may be reliably performed, even by novice sonographers in the ED.
-
Jun 13 2017
Ramped Position Doesn’t Work? Let’s Do a Check-UP On This Study
For less experienced intubators in the ICU, ramped position offered no benefit over the sniffing position. However, I'm concerned this article doesn't reflect the ramped position we should use in practice.
-
Jun 12 2017
Internal Medicine Just Threw Us Under the Bus
Get ready to face the backlash from this bash of ED billing practices. Internal Medicine just threw us under the bus.
-
Jun 10 2017
Why We Give Dexamethasone for Mild Croup
Dexamethasone is beneficial for mild croup, not just moderate to severe.
-
Jun 09 2017
How Not to Combat the Opioid Epidemic
Statewide, non-specific mandates may help a little. Local and departmental policy change, with provider buy in, is even better.
-
Jun 08 2017
Pros and Cons – Ultrasound or Rapid MRI for Appy
Both ultrasound and rapid MRI are viable initial imaging options in young patients with suspected appendicitis. But in this study, MRI led to increased length of stay and significantly increased ED charges.