May 2019
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May 17 2019
Hands-On Defibrillation – A Safer Way?
Polyethylene drapes used as a physical barrier to cover patients during defibrillation reduced electrical current to acceptable levels for medical personnel to continue compressions throughout defibrillation during cardiac arrest.
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May 16 2019
Shock Index Predicts Admission and Mortality
Shock Index (SI) >1.3 was predictive of both hospital admission and inpatient mortality. This could act as an early warning to flag patients likely to need increased resources in the ED and a bed in the hospital.
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May 15 2019
RIFTS RCT – Restrictive Fluid in Septic Shock
A restrictive fluid approach (<60mL/kg/72h) vs standard care had no impact on 30-day mortality or other adverse secondary outcomes in this pilot study of patients with severe sepsis or septic shock.
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May 14 2019
Do Muscle Relaxers Help Back Pain?
There was no benefit in functional outcome or pain at one week by using ibuprofen + either baclofen, metaxolone, or tizanidine over ibuprofen + placebo.
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May 13 2019
EXTEND – Alteplase Up to 9 Hours Out?
Use of alteplase from 4.5 to 9 hours in patients with ischemic stroke but with salvageable brain on perfusion imaging was superior to placebo (aRR 1.44, 95%CI 1.01-2.06; NNT = 17). Symptomatic hemorrhage was more common in the alteplase group.
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May 10 2019
Counterpoint: Pelvic Exam Is Necessary
This letter to the editor presents compelling reasons why a pelvic exam is needed to diagnose cervicitis or pelvic inflammatory disease.
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May 09 2019
Early or Delayed Cardioversion for Atrial Fibrillation
In patients who presented with recent onset atrial fibrillation < 36h, delayed cardioversion at 48h compared to early cardioversion was non-inferior (91% vs 94%; -2.9 percentage points, 95%CI -8.2 to 2.2).
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May 08 2019
Does 72h Outpatient Stress for ACS Matter?
Stress testing within 72 hours of ED discharge in patients deemed low risk for ACS was completed in just 31.3% and was not associated with reduction in major adverse cardiac events at 30 days.
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May 07 2019
Measles Spoon Feed – What You Need to Know
The U.S. is currently in a measles outbreak. So, don’t miss this quick spoon-feed refresher. You will learn something new.
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May 06 2019
Black Widow Antivenin – Does It Work?
Purified black widow spider antivenin was more effective for pain control than placebo and not associated with any adverse drug effects.