April 2018
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Apr 18 2018
Self-Reduction of Shoulder Dislocation – Like a Boss
The Boss-Holzach-Matter (aka Davos, self-reduction) technique was less painful than the physician-driven Spaso technique and just as successful and efficient.
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Apr 17 2018
SMART Trial – Balanced Crystalloids vs NS in Critically Ill Adults
In patients admitted to the ICU, use of balanced fluids resulted in a lower rate of major acute kidney events (MAKE) at 30 days compared to normal saline (14.3% vs 15.4%). This is a NNT of 94 to avoid one MAKE.
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Apr 16 2018
SALT-ED Trial – Balanced Crystalloid vs NS
In non-critically ill patients that received IV fluids in the ED, there was a lower incidence of major adverse kidney events in the balanced crystalloid group compared to saline (4.7% vs 5.6%) with a NNT of 111. There was no difference in terms of hospital-free days between the groups.
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Apr 14 2018
Ego is the Enemy
How do we know when our ego as academics and clinicians has become a problem? In other words, how can we get off Mt. Stupid of the Dunning-Kruger Curve and onto the Slope of Enlightenment?
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Apr 13 2018
Emerging Tech – Dr. Animoji Will See You Now
This is an interesting glimpse at how technology is and will be changing emergency medicine.
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Apr 12 2018
Fluoroquinolones – Risk of Aortic Aneurysm and Dissection
Fluoroquinolone use was associated with increased risk of developing newly diagnosed aortic aneurysm or dissection.
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Apr 11 2018
Just Drunk or Critically Ill?
One percent of patients presenting with acute alcohol intoxication eventually needed critical care admission. Be wary of abnormal vital signs, hypoglycemia, or the need for additional chemical sedation, as these were associated with an increased odds of needing the ICU in such people.
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Apr 10 2018
Does Acetaminophen Help for Sprains?
Acetaminophen (APAP) was not inferior to diclofenac or APAP+diclofenac for acute extremity pain at 90 minutes.
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Apr 09 2018
MRSA – I&D Only or Add Antibiotics?
Infectious Disease, Medicine/Geriatrics, Pediatrics, Pharmacy/Pharmacology, Retail/Urgent Care, SurgeryThis meta-analysis of 4 RCTs found anti-MRSA antibiotics in addition to I&D led to a far better cure rate than I&D alone.
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Apr 07 2018