July 2018

Use of cricoid pressure did not decrease the risk of regurgitation during pediatric tracheal intubation.

For patients with high pretest probability for pulmonary embolism, a negative CT pulmonary angiography alone does not appear to adequately rule out venous thromboembolism.

JAMA recently covered infective endocarditis (IE).  I thought the JF readers would be well served by a Spoon Feed version.  This thing is 12 pages long with 117 references.  Let's miniaturize it, shall we?

Prehospital administration of 2 units of thawed plasma in adult trauma patients at risk for hemorrhagic shock reduced mortality compared to standard care, NNT = 10.

Acetaminophen use during late pregnancy was associated with premature ductus arteriosus closure in these two cases.

Greater operator stress while performing a lumbar puncture was associated with lower patient confidence and greater odds of post dural puncture headache.

Patients with cardiovascular disease and concomitant COPD can be safely treated with a combination long-acting beta-agonist and a long-acting muscarinic antagonist when on a baseline beta-blocker.

Epinephrine for out-of-hospital cardiac arrest improved overall 30-day survival (3.2%, epi vs 2.4%, placebo) but did not improve survival to discharge with a good neurological outcome.  In fact, more patients who received epinephrine and survived had severe neurological impairment than in the placebo group.

I recently read a helpful article in Harvard Business Review via Doximity.  It was a feature on servant leadership.  I'll briefly recap the highlights and make application to the ED.

Neither the fluid rate (fast or slow) or type (NS vs 1/2NS) altered the risk of brain injury with decline in GCS <14 in children with DKA.