September 2018

Administration of plasma first for traumatic hemorrhagic shock when brought by ground did not change 28-day mortality.

The incidence of suicide nearly doubled in patients who had traumatic brain injury (TBI) compared to baseline.  Risk increased with severity of injury, number of visits, and was highest in the first 6 months post-injury.

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Unless there is compelling alternative reason to do so (i.e. asthma), giving a glucocorticoid to treat influenza pneumonia was associated with increased risk of mortality.

Suturing of facial lacerations by novice physicians resulted in less cosmetically favorable repair in follow up than experienced physicians.

Use of a rapid rule-out MI protocol with hs-cTnT was safe, accurate, and would have reduced time to discharge and increased the proportion of patients ruled out in this U.S.-based implementation study.

Self-referral for elevated blood pressure after using a home or pharmacy cuff had a very low admission rate at 3%.

CURB-65 was a poor predictor of the need for critical care intervention in adult patients with community acquired pneumonia.

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Lumbar elevation resulted in the greatest increase in subclavian vein and internal jugular vein diameter on ultrasound in healthy volunteers.