May 2018
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May 08 2018
Alcohol Pad Aromatherapy vs. Ondansetron
Sniffing an isopropyl alcohol pad was more effective at reducing nausea than oral ondansetron at 30 minutes.
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May 07 2018
Pediatric Head CT – Does Vomiting Matter?
In pediatric patients with blunt traumatic head injury, none had clinically important traumatic brain injury or significant injury on CT if the only symptom was vomiting <3 times. It was still extremely low if isolated vomiting 3 or more times: 3/1000 for ciTBI and 6/1000 for TBI-CT.
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May 05 2018
Top Ten Trauma Articles – St. Emlyns Blog
Simon Carley, with the St. Emlyns blog wrote a very helpful post, fully referenced, that you will want to read in detail. Good stuff.
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May 04 2018
Lactate Lower When Run in the Emergency Department
Lactate values run in a satellite lab elsewhere in the hospital vs in an ED-based lab were artefactually elevated by 0.22mmol/L (2.21 vs. 1.99).
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May 03 2018
The Next PECARN Rule? – NEXUS II CT Rule for Kids
The NEXUS II Pediatric Head CT Decision Instrument was 100% sensitive for ruling out children with a neurosurgical outcome, but it was relatively small and had wide confidence intervals. I don't think this will supplant PECARN.
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May 02 2018
Coagulopathy From Contaminated Synthetic Cannabinoids
Think of synthetic cannabinoid use in patients with unexplained serious coagulopathy due to possible contamination with long acting vitamin K antagonists. They will need prolonged oral vitamin K treatment, which can challenging due to the cost.
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May 01 2018
Opioids Not Better Than Non-Opioids for Back, Hip, Knee Pain
Opioids were no better than non-opioid medicines for chronic back, hip, or knee pain. However, undesirable medication-related symptoms occurred more commonly among those taking opioids.