September 2019
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Sep 16 2019
Long Spine Board – Is Less More?
After a national EMS statement deemphasized use of the long spine board for spinal motion restriction, there was no associated increased risk of spinal cord injury.
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Sep 13 2019
What’s the Right Pediatric ETT Size?
The pediatric trachea is elliptical at the infraglottic level, with the transverse diameter being narrowest. The endotracheal tube size formula, (age/4) + 3.5, with a cuffed tube makes more sense anatomically.
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Sep 12 2019
Height of Fever and SBI Risk – PECARN Data
Height of fever in febrile infants was associated with serious bacterial illness (SBI). For every 0.5 degree C increase in temperature, odds of SBI increased 48%.
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Sep 11 2019
Are PALS Ventilation Rates Too Slow?
For pediatric in-hospital arrest, ventilation exceeding guideline recommendations was common and was associated with improved survival to discharge.
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Sep 10 2019
Is There a Better Way to Image Renal Colic?
Ultrasound appears to be best in most renal colic clinical scenarios. CT is best in older patients (especially with no stone history), those with tenderness on abdominal exam, and those with uncontrolled pain.
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Sep 09 2019
Syncope in PE – More Evidence for a Lower Prevalence.
Pulmonary embolism is an uncommon cause of syncope among patients presenting to the ED.
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Sep 06 2019
Cricoid Pressure – First Do No Harm
The evidence does not support routine use of cricoid pressure to prevent pulmonary aspiration during intubation.
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Sep 05 2019
Why Not Ramp All Intubations? New RCT Suggests We Should
Bed-up-head-elevated (aka ramped) position improved glottic view with Mac direct laryngoscopy over sniffing position and was noninferior to the GlideScope laryngeal view.
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Sep 04 2019
Should We Use GlideScope In Neonates?
GlideScope may have some advantage to direct laryngoscopy in neonates, potentially reducing time to intubation in those with a more challenging glottic view.
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Sep 03 2019
Electrical or Chemical-First Cardioversion of A-fib?
For new onset atrial fibrillation (a-fib), an electrical-first approach reduced ED length of stay compared to a chemical-first approach.