POCUS – NPO Doesn’t Mean Empty Stomach
Being NPO is not synonymous with having an empty stomach. Even with a median NPO time of almost 6 hours, 69% still had a full stomach on bedside ultrasound.
November 2018
Drip Lidocaine On Skin Before Injection to Reduce Pain
When performing common bedside procedures, drip 1-2 mL of the lidocaine that you are getting ready to inject onto the skin prior to injection. This study suggests that it decreases the patient’s report of pain associated with the procedure.
Drinking More Water Prevents Cystitis
In premenopausal women with recurrent cystitis, drinking more water on a daily basis can reduce episodes of cystitis.
Chest CT Risk vs. Aortic Injury Risk In Children
Obtaining a screening chest CT for thoracic aortic injury poses a higher risk of cancer than the likelihood of identifying an aortic injury in injured children.
Scheduled Acetaminophen and Febrile Seizure
Patients given scheduled acetaminophen after a febrile seizure had a lower rate of seizure recurrence during the same febrile illness as compared to the no-acetaminophen group (9.1% vs 23.5% respectively).
Acute Flaccid Myelitis – Could You Make the Diagnosis?
There has been a surge of acute flaccid myelitis (AFM) cases this year, similar to poliomyelitis. The etiology is unknown. Here is how to recognize and treat it based on what we know at this point.
β-blockers Appear Safe in Pregnant Patients with HTN
β-blockers appear safe to use in hypertensive pregnant patients in the first trimester.
Do Probiotics Plus Antibiotics Prevent C. difficile?
Probiotics decrease the risk of C. difficile infection in adults and children taking antibiotics and may reduce overall adverse events like cramping, nausea, or diarrhea.
POCUS for LP – Watch Videos
With the combined weight of twelve RCTs, ultrasound-guided LP was shown to be superior to landmark-guided LP in multiple ways.
Steroids in Sepsis – ADRENAL and APROCCHSS Included in New Review
This rapid review by BMJ included ADRENAL and APROCCHSS along with 40 other RCTs and made a weak recommendation to use corticosteroids (CCS) for patients with sepsis. You’ll want to pull up the free full text with some great infographics.