September 2017
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Sep 19 2017
Avoid the ‘Roids – Steroids for Lower Respiratory Infection
Oral steroids were of no benefit for non-asthmatic patients with bronchitis.
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Sep 18 2017
Does Peds Damage Control Transfusion Help?
A high plasma to PRBC transfusion ratio (>/= 1:2) was not beneficial in pediatric massive trauma transfusion. But this study was different than adult studies of damage control resuscitation in that these children did not receive platelets
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Sep 16 2017
The ProCESS of Dismantling Early Goal-Directed Therapy
There was no mortality advantage to early goal-directed therapy (EGDT) over protocol-based care (using lactate clearance), or usual sepsis care.
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Sep 15 2017
Increased Mortality With Prehospital Intubation
Numerous observational studies have suggested that prehospital intubation (PHI) (in this case of trauma patients) was associated with greater mortality than when it was done in the ED, and this systematic review indicated the same thing.
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Sep 14 2017
Chest Pain Admits Drop – Are Dollars Talking?
From 2006 - 2012, admission rates for low-risk chest pain dropped 41%. This may have been due to decreased reimbursement for such hospital stays.
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Sep 13 2017
How to Diagnose Pertussis at the Bedside
I couldn't state it better than the author's conclusion: "In adult patients, the presence of whooping or posttussive vomiting should rule in a possible diagnosis of pertussis, whereas the lack of a paroxysmal cough or the presence of fever should rule it out. In children, posttussive vomiting is much less helpful as a clinical diagnostic test."
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Sep 12 2017
Low-Dose Perfusion or CTPA for PE in Pregnancy?
Low dose perfusion-only (LDQ) nuclear scan (the "Q" of the V/Q scan) or CTPA are the imaging studies of choice to diagnose PE in pregnant women. LDQ (using one-third the normal technetium) had high accuracy and lower radiation dose and may be preferred over CTPA, assuming the CXR is normal.
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Sep 11 2017
CroFab for Copperheads RCT
Crotalidae polyvalent immune antivenom (CroFab) improved limb disability in patients bitten by copperhead snakes.
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Sep 09 2017
Lactate Clearance Challenges Goal-Directed Therapy
A non-invasive approach to monitoring sepsis patients by using lactate clearance rather than central venous O2 saturation was just as effective once central venous pressure and mean arterial pressure were optimized.
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Sep 08 2017
Infusion vs IV Push Ketamine for Pain
A slow infusion of ketamine for pain control was as effective as IV push, with less sedation and far fewer patients having a feeling of unreality.