December 2017
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Dec 18 2017
Big Person? Big Dose of Succinylcholine
Not surprisingly, heavier patients had lower first-pass endotracheal tube success. They also had succinylcholine under-dosed more often. Give yourself the best chance for success and optimize muscle relaxation in obese patients.
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Dec 16 2017
Bedside IVC Ultrasound to Guide Resuscitation
In this small study, IVC collapse of >/= 50% on bedside ultrasound correlated with a CVP </= 8 cm H2O and was 91% sensitive, 94% specific. But be sure to read the discussion.
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Dec 15 2017
Avoiding a Chest Tube for Traumatic PTX
In this prospective cohort of 602 patients with fairly small traumatic pneumothoraces, 277 of 602 (46%) were managed without tube thoracostomy; 90% of these did well, including those receiving positive pressure ventilation.
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Dec 14 2017
Isolated Skull Fracture – What to Do
Children with isolated, non-depressed skull fracture did extremely well. Of 6646 children in this systematic review, none died and only one progressed to need neurosurgical intervention.
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Dec 13 2017
Muscle Relaxers Add Nothing to Naproxen for Back Pain
Naproxen + placebo was as good as (possibly better than) naproxen plus orphenadrine or naproxen plus methocarbamol for acute low back pain.
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Dec 12 2017
AHA Ventricular Arrhythmia Guidelines – What You Need to Know
The AHA has released new guidelines for management of ventricular arrhythmias. Here is what you need to know.
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Dec 11 2017
TXA for Epistaxis
For patients on antiplatelet agents with epistaxis, tranexamic acid (TXA)-soaked pledgets were far more effective than lidocaine with epinephrine-soaked pledgets at stopping bleeding within 10 minutes and were better tolerated by patients.
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Dec 09 2017
ED Ultrasound in Trauma Reduces Time to OR
Point of care limited ultrasound for trauma, aka FAST exam, reduced time to the OR and several other important secondary outcomes.
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Dec 08 2017
Stroke Oxygen Study
Administering prophylactic low-dose oxygen (2-3L/min) to non-hypoxemic patients with acute stroke did not reduce death or disability at 3 months.
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Dec 07 2017
ADviSED – Aortic Dissection Detection Risk Score Plus D-Dimer for Aortic Syndromes
The combination of a negative D-Dimer (<500 ng/ml) and an Aortic Dissection Detection (ADD) risk score of ≤1 missed 0.3% of patients with acute aortic syndrome.