November 2019

In pre-hospital management of anaphylaxis, co-treatment with both epinephrine and antihistamines may reduce the risk of uncontrolled reactions, while use of prehospital corticosteroids may increase rates of admission.

I wanted to take this opportunity to say thank you. It is a pleasure for us to bring you EM literature reviews each day and package them into morsels you can digest…kind of like slices of pumpkin pie. Happy Thanksgiving!

If you’re a proponent of bystander CPR, you should probably also be a strong advocate for targeted temperated management (TTM) for non-shockable rhythm.

When ultrasound (US) is available and providers have training on US guided LP, the chance of first pass success increases versus standard landmark visualization in adult patients. US guided LPs also decrease the incidence of traumatic and multiple attempts and improve procedural time and success rates.

Neurosyphilis has a diversity of presentations, and clinical recognition is key, especially in an era where the disease has become rare.

This ACEP clinical policy presents evidence-based recommendations on the management of patients presenting to the ED with acute headache. 

Short infusion of peripheral IV norepinephrine was very safe, with estimated risk of 1-8 extravasation events per 10,000 patients and no serious complications requiring medical or surgical intervention.

There is a high probability that a protocol using a skin perfusion-based approach (capillary refill time) vs lactate clearance to manage patients with septic shock reduced 28-day mortality.

Parental weight estimation was the most accurate way to approximate a child’s true weight. The next best was the Broselow tape.

Febrile seizures happened in 3.6% of all Danish children, with about <25% having a second. Risk of long-term epilepsy was 16% after a third febrile seizure and risk of psychiatric disorder went up to 29%.