May 2018
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May 19 2018
Cognitive Revolution – A.I. and Emergency Medicine
We are already undergoing a Cognitive Revolution. As I thought more about this, I started to wonder how much AI will change our practice in the near future and ran across this excellent article in the New Yorker, A.I. vs M.D., that got me thinking.
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May 18 2018
Trauma Forecast – A.I. Predicts With Day+Weather
An artificial neural network used temporal and weather data to accurately predict trauma volume and severity.
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May 17 2018
Artificial Intelligence Predicts AKI Two Days BEFORE It Happens
This machine learning system accurately predicted which patients would develop acute kidney injury or need dialysis. And they did so 41 hours before the patients actually developed it! Imagine the ramifications not just for AKI but for predicting rapid response, need for ICU care, and more.
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May 16 2018
Aminophylline for Post-LP Headache
Aminophylline 250mg IV helped patients with post-dural puncture headache significantly better than placebo.
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May 15 2018
Atraumatic Needles Drastically Reduce Post-LP Headache
In this large meta-analysis of 110 RCTs, the incidence of post-dural puncture headache (PDPH) was only 4.2% compared to conventional LP needles at 11%; NNT = 14. This is a game-changer.
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May 14 2018
Troponin with Underlying Myopathy
Adult patients with skeletal myopathy often have false positive high sensitivity troponin T (but not troponin i), because the assay cross reacts with skeletal muscle troponin T.
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May 12 2018
The Biggest Barrier to Empathy – Me?
Who else hears of a possible mass shooting and thinks, "I'd better text my wife and tell her I may have to stay late at work."? That happened to me this week. This is a weird job, friends.
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May 11 2018
How to Prevent Death by Intubation
Peri-intubation arrest is common. Here are several ways you can avoid it.
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May 10 2018
Preoxygenation – NC Flow Rate Needed to Benefit
If using nasal cannula for apneic oxygenation under a bag-valve mask seal, flow rates must be 15 L/min or more to overcome the small air leak and positively impact preoxygenation.
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May 09 2018
Is a Blood Culture Needed in Cellulitis?
Blood cultures were low yield in patients admitted with cellulitis, and should largely be avoided. Similarly, imaging was also low yield but changed management in a minority of cases.