2019
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Jan 14 2019
Review – Endovascular Stroke Treatment
Endovascular therapy (EVT) for acute ischemic stroke can dramatically improve outcome. This review helps us makes sense of the trials on this topic.
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Jan 11 2019
Orthostatics – Helpful or Useless?
There’s much debate over the utility of orthostatic vital sign measurement (OVS) to detect orthostatic hypotension (OH) as a cause of syncope.
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Jan 10 2019
Top 10 Signs Your Cancer Patient May Become Critically Ill
This top 10 list may be life saving by helping us identify which cancer patients have a greater chance of becoming critically ill.
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Jan 09 2019
REACTION-US – Ultra-Rapid MI Rule-Out
In this single center, the Generation 5 high-sensitivity troponin T assay would have allowed acute MI rule out at baseline in 29% of patients and 41% at 30 minutes with 100% NPV and sensitivity. This needs multicenter prospective confirmation, but it shows the future feasibility and utility of high sensitivity troponin pathways.
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Jan 08 2019
Near Syncope = Syncope in Elderly
Near syncope had the same risk of death or serious adverse clinical event as syncope in patients ≥60 years old.
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Jan 07 2019
PECARN Abdominal Trauma Rule Performs Well
The PECARN rule for blunt abdominal trauma in children had high sensitivity, 99%, in this retrospective review. A prospective validation study would give us greater confidence to use this in clinical practice.
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Jan 04 2019
PReVENT RCT – Low or Intermediate Tidal Volume in Non-ARDS
In patients with acute respiratory distress, but not ARDS, a low tidal volume (VT) vs intermediate VT strategy did not reduce ventilator-free days or other outcomes, such as 28 or 90-day mortality.
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Jan 03 2019
HIGH RCT – HFNC in Immunocompromised Patients
High flow nasal cannula did not reduce 28-mortality in immunocompromised patients with acute hypoxemic respiratory failure compared to standard oxygen therapy.
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Jan 02 2019
Prehospital Tourniquets Reduce PRBCs and Save Limbs
Prehospital use of tourniquets (TQ) for extremity trauma markedly reduced transfusion requirement and likely also reduced the need for fasciotomy or amputation.
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Jan 01 2019
Migraine – A Better Steroid than Dexamethasone?
Methylprednisolone acetate 160mg IM was not better than dexamethasone 10mg IM (both given with metoclopramide 10mg IM) for reducing headache days in the week following the ED visit in migraine patients.