February 2020

Spoon Feed There was no difference in 90-day mortality when comparing proton pump inhibitors to H2-receptor blockers for stress ulcer prophylaxis in critically ill patients.

Spoon Feed Time to ED disposition ≥4 hours was associated with increased 30-day mortality. This was more likely in complex patients or those being admitted to psychiatric, surgical, or oncology services.

Spoon Feed Deploying a team of healthcare professionals to assist patients with complex medical and social needs at hospital discharge did not reduce readmission rate.

Spoon Feed Huang and colleagues have described the clinical presentation and course of illness for the 41 admitted patients who were identified as having lab-confirmed 2019-nCoV infection by January 2, 2020 to a designated hospital in Wuhan, China. At this point, be concerned in patients who have fever, cough, fatigue/myalgia, and pneumonia (particularly bilateral pneumonia).

Spoon Feed A novel coronavirus is spreading in China and beyond. It is more deadly than SARS. It presents as a flu-like illness. Ask about travel to China in patients with fever and cough.

Spoon Feed This study identifies specific practices for clinicians that can enrich the patient-physician encounter, promote presence, and foster meaningful connection.

Spoon Feed There was no difference in any clinical outcome in pediatric patients with shockable rhythm with lidocaine vs amiodarone.

Spoon Feed Epinephrine for out-of-hospital cardiac arrest in children improved return of spontaneous circulation but not 1-month survival or survival with good neurological outcome.

Spoon Feed These are the top ten pearls to help us do the right thing for our patients in the ED. These are broader and complement Choosing Wisely for EM.

Spoon Feed In the diagnosis of deep venous thrombosis, both age-adjusted D-dimer and D-dimer adjusted by clinical pre-test probability were found to be similar (read: not statistically different) in sensitivity, specificity, negative predictive value, and utility in this meta-analysis.