October 2018

Specific emergency department variables are strongly predictive of infants with bronchiolitis requiring escalated care.

In patients without a history of hypertension, use of intranasal vasoconstrictors did not significantly increase blood pressure compared to placebo.

When considering 14 RCTs on use of antiarrhythmic drugs for shockable cardiac arrest, there was no benefit for survival to discharge or survival with good neurological outcome. Lidocaine improved ROSC vs placebo.

By testing your knowledge of what we covered in October, you lock the information into long term memory effortlessly.

Neither IV magnesium nor intranasal desmopressin provided any additional pain relief when used as an adjunct to NSAIDs for renal colic.

Use of fluoroquinolones was associated with a 2.5-fold increase in risk of hospitalization for aortic aneurysm or aortic dissection.

There was no reduction in children 29 days - 2 months in 72-hour repeat ED visit with subsequent admission for those given a single parenteral dose of antibiotic in the ED and then outpatient oral treatment vs simply starting on oral therapy.

Taking care of children with mild traumatic brain injury is not easy. This guideline states clearly, based on compiled evidence, what you should and should not do.  It’s helpful.

From 2008 to 2015, low acuity care in commercially insured patients has dropped 36% in EDs and increased 140% in non-ED settings, dominated by an increase in urgent care but also, less so, by increases in retail clinic and telemedicine utilization.

In light of the important prehospital airway management articles that came out this week, I thought it might be helpful to go into more depth on the topic of prehospital airway management.