PEPTIC RCT – PPI or H2-blocker for Ulcer Prophylaxis?
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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.
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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.
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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.
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Deploying a team of healthcare professionals to assist patients with complex medical and social needs at hospital discharge did not reduce readmission rate.
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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).
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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.
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This study identifies specific practices for clinicians that can enrich the patient-physician encounter, promote presence, and foster meaningful connection.
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There was no difference in any clinical outcome in pediatric patients with shockable rhythm with lidocaine vs amiodarone.
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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.
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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.
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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.