Cricoid Pressure For Pediatric Intubation
Use of cricoid pressure did not decrease the risk of regurgitation during pediatric tracheal intubation.
July 2018
Does Negative CTPA Rule Out High Pretest Probability PE?
For patients with high pretest probability for pulmonary embolism, a negative CT pulmonary angiography alone does not appear to adequately rule out venous thromboembolism.
Infective Endocarditis – Spoon Feed
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?
PAMPer – Prehospital Plasma for Hemorrhagic Shock Saves Lives
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 3rd Trimester and Ductal Closure
Acetaminophen use during late pregnancy was associated with premature ductus arteriosus closure in these two cases.
Stress During LP and Performance
Greater operator stress while performing a lumbar puncture was associated with lower patient confidence and greater odds of post dural puncture headache.
Can We Use Beta-Blockers With COPD?
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.
PARAMEDIC2 – Epinephrine in Arrest RCT
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.
Harvard Business Review – Servant Leadership
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.
Brain Injury in DKA | Fluid Rate or Type RCT by PECARN
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.