July 2017
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Jul 19 2017
T-MACS – One and Done MI Rule-Out
T-MACS is a viable rule-out (or rule-in) option to aid clinical decision making in patients with chest pain using hs-TnT (now available in the US).
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Jul 18 2017
Weird Sepsis Cocktail – Vitamin C, Thiamine, Hydrocortisone
A cocktail of IV vitamin C, hydrocortisone, and thiamine appeared to dramatically reduce mortality in this small, exploratory, before/after study.
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Jul 17 2017
LVAD = Tight Sphincter
LVADs and other mechanical circulatory support devices are increasing used. We need to know the basics of how they work and how to troubleshoot them.
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Jul 15 2017
How to Predict Death from Community-Acquired Pneumonia
Use a score like CURB-65 (or CRB-65 if you don't have labs) when making clinical decisions about the disposition of patients with community acquired pneumonia.
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Jul 14 2017
POCUS Rocks for Quick Dyspnea Diagnosis
ED POCUS was very accurate for the diagnosis of dyspnea and led to an answer much faster than standard ED workup.
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Jul 13 2017
Is My Aneurysm Going to Explode?
As CTA use increases, so does detection of small UIAs. Most are unlikely to grow, and rupture rates are low but may be up to 1% per year in larger, 7mm aneurysms.
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Jul 12 2017
Our Job IS Interruptions – How to Manage Them
Managing interruptions by delaying or rejecting the interruption may improve safety when they occur during critical tasks.
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Jul 11 2017
Sending Fever and Neutropenia Home – One Step Closer
The CISNE score beat the MASCC score for determining which patients with fever and neutropenia may be safe for outpatient management.
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Jul 10 2017
Bougie Improves ETT First-Pass Success
Bougie use was associated with improved first-pass success in this single-center study. But 80% in this group used it primarily and not as an adjunct, which doesn't represent common practice.
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Jul 08 2017
PECARN – Selectively CT Pediatric Head Injury
You need to know this decision rule cold. Before doing a head CT on any child, think through this decision aid first