January 2018
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Jan 17 2018
Ultrasound in PEA
Patients in PEA arrest with organized cardiac activity on bedside ultrasound appear to have better survival than those with disorganized, agonal cardiac activity and may respond to treatments not usually performed in standard ACLS, like continuous vasoactive drips during arrest.
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Jan 16 2018
OUCH Trial – Pain Management in Children
Neither morphine+ibuprofen nor either drug alone+placebo improved pain to a minimal score at 1 hour in children with acute extremity pain.
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Jan 15 2018
Delayed Endovascular Stroke Treatment – Beyond the 6-hour Window
Patients with acute stroke from occluded intracranial internal carotid artery (ICA) or proximal middle cerebral artery (MCA) presenting from 6-24 hours from onset benefitted from endovascular thrombectomy when clinical deficits of stroke were greater than expected based on infarct volume on diffusion-weighted MRI or perfusion CT.
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Jan 12 2018
Acetaminophen + Ibuprofen = Opiate
A dose of ibuprofen 400mg + acetaminophen 1000mg was as good as an oral opiate for extremity pain.
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Jan 11 2018
A Skeptical Look at a VL vs. DL Meta-analysis
This meta-analysis of direct vs video laryngoscopy showed no improvement in first-pass success with VL over DL, but it excluded patients at risk for a difficult airway. So view this with a healthy skepticism.
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Jan 10 2018
Hidden Dangers of Your Smartphone
This article is a sobering reminder that mistakes with online activity can cost one's career. We know the obvious blunders, but this editorial explores 3 more subtle ways our smartphones could damage our reputations.
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Jan 09 2018
Are We Still Prescribing Codeine for Kids?
Codeine prescriptions for children after tonsillectomy and adenoidectomy substantially dropped after the FDA issued a black box warning over safety concerns. Still, 1 in 20 children continue to inappropriately receive codeine after T&A.
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Jan 08 2018
Antibiotic Infographic
One of the most challenging things to memorize is what antibiotics cover what organisms. This infographic can help. If you can't view it, click this to see it online. Please share with friends who may find it helpful.
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Jan 05 2018
Don’t BURP the Baby?
External laryngeal manipulation (ELM) was associated with reduced first-pass success in critically ill children requiring emergent intubation. But it could have simply been a marker of a more difficult airway, not the cause.
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Jan 04 2018
Capsaicin for Cannabis Hyperemesis
Capsaicin cream for cannabis hyperemesis has been described in adults; this is the first reported use in adolescent patients. It appeared to help, N = 2.