2018
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Jan 15 2018
Delayed Endovascular Stroke Treatment – Beyond the 6-hour Window
Patients with acute stroke from occluded intracranial internal carotid artery (ICA) or proximal middle cerebral artery (MCA) presenting from 6-24 hours from onset benefitted from endovascular thrombectomy when clinical deficits of stroke were greater than expected based on infarct volume on diffusion-weighted MRI or perfusion CT.
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Jan 12 2018
Acetaminophen + Ibuprofen = Opiate
Emergency Medicine, Landmark, Pain/Sedation/Procedure, Pediatric Emergency, Pharmacy/Pharmacology, Retail/Urgent CareA dose of ibuprofen 400mg + acetaminophen 1000mg was as good as an oral opiate for extremity pain.
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Jan 11 2018
A Skeptical Look at a VL vs. DL Meta-analysis
This meta-analysis of direct vs video laryngoscopy showed no improvement in first-pass success with VL over DL, but it excluded patients at risk for a difficult airway. So view this with a healthy skepticism.
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Jan 10 2018
Hidden Dangers of Your Smartphone
Critical Care, Emergency Medicine, Pediatric Emergency, Practice of EM, Retail/Urgent Care, TechnologyThis article is a sobering reminder that mistakes with online activity can cost one's career. We know the obvious blunders, but this editorial explores 3 more subtle ways our smartphones could damage our reputations.
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Jan 09 2018
Are We Still Prescribing Codeine for Kids?
Emergency Medicine, ENT/Face, Pain/Sedation/Procedure, Pediatric Emergency, Pharmacy/Pharmacology, Retail/Urgent CareCodeine prescriptions for children after tonsillectomy and adenoidectomy substantially dropped after the FDA issued a black box warning over safety concerns. Still, 1 in 20 children continue to inappropriately receive codeine after T&A.
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Jan 08 2018
Antibiotic Infographic
One of the most challenging things to memorize is what antibiotics cover what organisms. This infographic can help. If you can't view it, click this to see it online. Please share with friends who may find it helpful.
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Jan 05 2018
Don’t BURP the Baby?
External laryngeal manipulation (ELM) was associated with reduced first-pass success in critically ill children requiring emergent intubation. But it could have simply been a marker of a more difficult airway, not the cause.
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Jan 04 2018
Capsaicin for Cannabis Hyperemesis
Capsaicin cream for cannabis hyperemesis has been described in adults; this is the first reported use in adolescent patients. It appeared to help, N = 2.
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Jan 03 2018
Failure on Peds First-Pass ETT and Risk of Arrest
In pediatric patients with respiratory distress, failure of intubation on the first attempt was associated with increased risk of arrest.
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Jan 02 2018
52 Articles in 52 Weeks – Landmark Article Summaries in One Place
It was a big job for ALiEM to come up with the list of 52 landmark articles you need to know as an Emergency Physician. But it's an even bigger job to sit down and read them. In fact, most of us just won't be able to find the time to do it. Because they are so important to know, I wanted to make it easier to get the gist of these articles. So each Saturday in 2017, I briefly summarized one of these key articles. For your convenience, here are the links and excerpts for each of the 52 in 52 article summaries in one place. Enjoy. And please share this with a friend. Special thanks to Dr. Michelle Lin for allowing me to partner with ALiEM and use the combined logos.