October 2017
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Oct 07 2017
Why Norepinephrine is Better than Dopamine for Shock
Norepinephrine and dopamine were equal with regard to mortality in shock, except for the subgroup with cardiogenic shock, in which the dopamine group fared worse. There were twice as many dysrhythmias in the dopamine group, largely atrial fibrillation.
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Oct 06 2017
Hey, Press Ganey – You Can’t Improve What You Can’t Control
Patient satisfaction is important. But the most commonly used metric in the US, the Press Ganey survey, may not be a good measure of individual emergency physician and clinician performance. Giving emergency clinicians feedback on their Press Ganey scores, ostensibly so they could take steps to improve, did not lead to appreciable score improvements.
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Oct 05 2017
AHA Cardiogenic Shock Spoon Feed
This 50 page AHA guideline is very concisely but completely summarized right here. Save some time and get the pearls. Table 5 is fantastic, and this article is available in free full text (see Source below), so take advantage and look at this.
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Oct 04 2017
Is AKI after IV Contrast Administration Really Happening?
In this meta-analysis, contrast-enhanced CT scan vs non-contrast CT did not show significant differences in rates of acute kidney injury, need for renal replacement therapy, or mortality.
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Oct 03 2017
New AHA Syncope Guidelines – Spoon Feed
The new AHA syncope guidelines have useful information for us clinically, but slogging through this 232 page tome wasn't easy. Thomas Davis highlights what's most important. This is a huge time saver - take advantage of this.
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Oct 02 2017
Are We Giving Epinephrine Too Frequently?
Current PALS (and ACLS) algorithms recommend repeat epinephrine doses q3-5 minutes. This study suggested that this is too frequent. If doses were spaced 8-10 minutes, pediatric patients had significantly better survival.