March 2019
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Mar 15 2019
In-Flight Medical Emergencies
In-flight medical emergencies are common, most often presenting with syncope. As emergency physicians, we are trained to handle most scenarios.
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Mar 14 2019
Is Pharyngitis in the Eye of the Beholder?
Interrater agreement on whether a child’s throat was red or not was “fair” (aka…pretty bad), although agreement was significantly better when grading tonsillar hypertrophy.
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Mar 13 2019
ANDROMEDA-SHOCK – Capillary Refill vs. Lactate
Peripheral perfusion guided resuscitation was better than lactate clearance in patients with septic shock in regard to improving organ dysfunction at 72 hours (SOFA score) and barely missed statistical significance in reducing 28-day mortality.
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Mar 12 2019
RCT – Scribes Increase Productivity and Profit
Scribes were a benefit to physician productivity and profit in this multicenter Australian RCT. The only question is, why are you not utilizing them yet?
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Mar 11 2019
Does IV Fluid Help Migraine Pain?
A bolus of IV normal saline did not improve pain control in patients with migraine headache beyond usual treatment with IV prochlorperazine + diphenhydramine.
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Mar 08 2019
Prevalence of PE in Syncope (Spoiler Alert: It’s lower than PESIT)
The prevalence of PE in this large prospective cohort of all-comers to the ED with syncope was 0.6%, much lower than PESIT seemed to indicate.
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Mar 07 2019
CENSER RCT – Early Norepinephrine for Shock
This small single-center RCT showed that early administration of norepinephrine resulted in improvement in shock control at 6 hours compared with standard therapy.
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Mar 06 2019
Multiplex PCR in Critically Ill Hematology Patients
Presence of any virus on multiplex PCR (particularly influenza, parainfluenza, and RSV) in critically ill hematology patients was associated with an increased risk for respiratory failure and ICU mortality.
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Mar 05 2019
Rhythm vs Rate Control for Atrial Fibrillation – How It’s Done In Spain
In this multicenter observational study in Spain, most hemodynamically stable patients with atrial fibrillation < 48 hours were managed with pharmacologic rhythm control rather than rate control.
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Mar 04 2019
Cardiac Biomarkers for Syncope Risk Stratification?
Two cardiac biomarkers, high sensitivity troponin T (hsTnT) and natriuretic peptide (NT-pro-BNP), were independently associated with increased 30-day mortality and serious cardiac outcome in patients ≥ age 60 with syncope.