November 2018
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Nov 19 2018
Inhaled Tranexamic Acid for Hemoptysis?
For patients with hemoptysis, inhaled tranexamic acid was associated with significantly reduced expectorated blood volume, hospital length of stay, need for invasive interventions, and hemoptysis recurrence rate at one year.
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Nov 17 2018
#ThisIsOurLane – Physicians and Gun Violence
The physician response to an incendiary tweet by the NRA last week has been striking. It has led to the hashtag #ThisIsOurLane, as the NRA admonished physicians to “stay in their lane” regarding gun policy. This is a review of the position statement by the American College of Physicians on reducing firearm deaths and injuries that sparked it all.
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Nov 16 2018
N-95 or Plain Mask to Prevent Flu?
There was no difference between a regular medical mask and N-95 mask worn by healthcare workers in preventing influenza or any other respiratory infection.
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Nov 15 2018
Does This Patient Have Pertussis? Bedside Clues to Diagnosis
Adults with cough <3weeks or 3-8 weeks with post-tussive vomiting or whooping should be treated for pertussis; those with fever or without paroxysmal cough should be considered to have an alternate diagnosis. Children with <4 weeks of cough and post-tussive vomiting may have pertussis, but it was much less clear than in adults.
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Nov 14 2018
Do We Write Antibiotic Rx Because It’s Just Easier?
It took an extra 67 seconds when not prescribing an antibiotic to patients with acute respiratory infection compared to visits in which an antibiotic was prescribed.
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Nov 13 2018
Dealing With the ESBL Threat – Extended Spectrum β-lactamase Enterobacteriaceae
Highly resistant, extended spectrum β-lactamase (ESBL) producing Enterobacteriaceae in the urine are becoming increasingly common in unexpected patients in the ED.
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Nov 12 2018
Vancomycin/Piperacillin-Tazobactam and AKI
The combination of vancomycin plus piperacillin-tazobactam (VPT) was associated with increased risk of acute kidney injury (AKI) compared to either drug as monotherapy or other vancomycin - β-lactam combinations, NNH = 11.
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Nov 10 2018
VIPs in the ED – Practical and Ethical Issues
The authors argue that it is ethical to triage or place some VIP patients differently based on privacy concerns (assuming no harm to other patients), but it is unethical and usually harmful to actually provide different care based on VIP status.
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Nov 09 2018
A Great Way to Do Apneic Oxygenation – Buccal O2
Delivery of buccal oxygen as a form of apneic oxygenation was highly effective and safe.
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Nov 08 2018
Are You a Test/Admit or Treat/Street Doc?
There was a positive correlation with individual physician resource utilization and hospital admission. Testers are admitters.