October 2018
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Oct 08 2018
Treating Low Risk PE at Home – The LoPE Study
A protocol in select ED patients with low PESI, no RV dysfunction on echo, and no proximal DVT was safe for treating PE as an outpatient.
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Oct 06 2018
Single-Payer – Good, Bad, and Ugly of the Canadian System
We can learn a lot from studying how other countries, such as our Canadian neighbors, do healthcare financing.
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Oct 05 2018
Which Head Injury Rule for Adults – CHIP, New Orleans, Canadian, NICE?
The CHIP rule performed better than other head injury rules in patients >16 years old in striking the balance between avoiding CT in 21% of patients while missing only 2 potential neurosurgical lesions on CT.
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Oct 04 2018
Forget the Blood Patch? A Medical Option That Works
Administration of neostigmine and atropine vs placebo, in addition to usual care for post-dural puncture headache (PDPH), was highly effective in this RCT involving healthy postpartum women.
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Oct 03 2018
LRINEC Score, Physical Exam, or Imaging for Necrotizing Infection?
In this systematic review and meta-analysis, no single aspect of the physical examination, imaging, or LRINEC score had high enough sensitivity to exclude necrotizing soft tissue infections. Contrast CT performed the best, but it was only 94.3% sensitive at best. If you have a high clinical suspicion, early surgical consultation is necessary for definitive diagnosis and management.
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Oct 02 2018
A New Way to Dimer?
In this retrospective review, age-adjusted, clinical probability-adjusted, and standard D-dimer approaches had similar NPVs (99.7%, 99.1%, 100% respectively). Clinical probability-adjusted D-dimer has potential to exclude PE in more patients without imaging, but use caution before applying this to practice until prospectively validated.
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Oct 01 2018
Does LR Raise Serum Lactate Compared to NS?
A rapid infusion of lactated Ringer’s increased serum lactate but did not raise the serum lactate more so than compared to normal saline.