Gosh, It’s Quiet – Does Saying the Q-Word Bring Disaster?
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Mean overall workload in a medical microbiology team was not significantly different when the word “quiet” was uttered compared to when it was not.
January 2020
Is It Time to Adjust D-dimer Thresholds to Our Clinical Pretest Probability?
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style=”white-space:pre-wrap;”>Using the Wells Score to categorize patients as low, moderate or high clinical pretest probability in conjunction with adjusted positive D-dimer thresholds at >1000 ng/mL for a low or >500 ng/mL for a moderate Wells Score, the authors reduced diagnostic chest imaging in the ED with no incidence of missed venous thromboembolism at 90 days.
Rocuronium vs Succinylcholine – Prehospital RSI
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style=”white-space:pre-wrap;”>In this randomized control trial studying out-of-hospital RSI, rocuronium was a little worse than succinylcholine in first-pass success rate. In journal club speak…rocuronium failed to show it was non-inferior to succinylcholine.
Lever Sign – A Better ACL Exam Technique
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Compared to other clinical tests of anterior cruciate ligament disruption, the lever sign is more accurate and sensitive in an ED setting.
Prehospital Patella Dislocation Reduction Protocol
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style=”white-space:pre-wrap;”>Prehospital patellar reduction by EMS providers appears to be safe, effective, and reduces pain.
A New Way to Do Lumbar Puncture?
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style=”white-space:pre-wrap;”>The SAIL technique* was superior to the usual landmark using the intercristal line to find the L4-L5 interspace in pregnant patients.
Rock Star Review of Critical Care Literature – 2018
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style=”white-space:pre-wrap;”>This is a great reference list of critical care articles with EM relevance from the year 2018.
Is MRI Needed for Pediatric C-Spine Clearance?
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style=”white-space:pre-wrap;”>If the CT c-spine shows no abnormality in children, MRI does not appear to add value in detecting occult unstable injuries or need for intervention.
Night Shift Scheduling That Works
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Scheduling shifts based on the evidence may help us with quality of life and career longevity.
History and Physical for ACS Rule-Out?
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Chest pain lasting either seconds or over 24 hours decreased risk for 30-day major adverse coronary events.