April 2018
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Apr 06 2018
How to Get Better Recall From Simulation
A five minute break before the debrief for a simulation session helped residents with long-term memory of the teaching points vs a group in which there was no break before the debrief.
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Apr 05 2018
Local Anesthesia for Infant LP – Which Is Best?
The J-tip needle-free injection of lidocaine was no better than topical anesthetic (EMLA) in reducing infant LP pain scores, but it improved LP procedural success.
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Apr 04 2018
Should We Anticoagulate Subsegmental PE?
This systematic review suggested that we don't know if treating subsegmental PE harms or helps. But this may inform decision making in patients in whom it would be very dangerous to anticoagulate. It suggests a state of equipoise.
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Apr 03 2018
Hydrocortisone + Fludrocortisone in Septic Shock – APROCCHSS Trial
In patients with septic shock, those treated with hydrocortisone + fludrocortisone had a lower 90-day mortality compared to placebo (43% vs 49.1%, NNT 17). They also had significantly more vasopressor-free and organ-failure free days, in addition to having a shorter time to weaning from vasopressors and mechanical ventilation.
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Apr 02 2018
How to Change Opiate Prescribing Habits
Emergency clinicians who underestimated their own opiate prescribing were impacted more profoundly to reduce prescriptions by being shown their opiate prescribing data compared to their peers.
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Apr 02 2018
Saturday Email – Share Your Discoveries
Use the comments at the bottom of this post on JournalFeed to tell us what content you want to see in the Saturday emails.