November 2018

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.

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.

In premenopausal women with recurrent cystitis, drinking more water on a daily basis can reduce episodes of cystitis.

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.

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).

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 to use in hypertensive pregnant patients in the first trimester.

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.

With the combined weight of twelve RCTs, ultrasound-guided LP was shown to be superior to landmark-guided LP in multiple ways.

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.