June 2018
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Jun 07 2018
Time to Epi for Non-Shockable Rhythm Matters
Earlier epinephrine administration for non-shockable rhythm was associated with better overall survival to discharge and neurologically-intact survival. Reducing EMS time to the scene, time to IV (or IO) access, and time to drug may improve survival in this group of patients.
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Jun 06 2018
ESI – Every Score Inaccurate
Emergency severity index (ESI) scores were highly variable and inaccurate in this multicenter, international study. The most important thing to take away is to not be falsely reassured by low-acuity ESI scores. View them with healthy skepticism.
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Jun 05 2018
More Clarity on IVC POCUS for Fluid Responsiveness
In intubated patients, respiratory variation of IVC diameter by 16% had fairly high diagnostic accuracy for predicting fluid responsiveness, but only when the tidal volume (TV) was ≥8 mL/kg and positive end-expiratory pressure (PEEP) ≤5 cm H2O.
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Jun 04 2018
GlideScope Not Easy to Use in Kids
The GlideScope in pediatric patients was not easy to use. Experienced intubators had technical difficulty 58% of the time, most often just as the tube passed the cords. Clockwise rotation helped passage. You must practice with it before you use it on live patients.
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Jun 02 2018
The Real Cause of Burnout in the EHR Era?
This opinion piece suggests that it may not only be the clunky EHR that is to blame for physician burnout. Rather, meaningless government documentation requirements pack our notes with useless information that we must include nonetheless in order to get paid.
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Jun 01 2018
Should We LP Children With Complex Febrile Seizure?
Lumbar puncture (LP) is low yield in children with complex febrile seizure (CFS). Use caution if unvaccinated or pretreated with antibiotics.