Mortality Risk After Naloxone
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Patients who have out-of-hospital opioid overdose reversal with naloxone have a 13-fold increase in one-year mortality compared to the general population.
March 2020
Surviving Sepsis – Pediatric Version
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Recognize sepsis fast; have a protocol; tailor therapy to specific needs and available resources; be ready to resuscitate sick kids.
RAFF2 – Electrical vs Pharmacological Conversion of Atrial Fibrillation
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There was no significant difference in overall rate of conversion from atrial fibrillation to normal sinus rhythm with procainamide infusion followed by electrical cardioversion, if needed, compared to placebo infusion followed by electrical cardioversion.
WEST Algorithm – How to Clear a C-Spine
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Cervical spine injuries are uncommon but potentially devastating injuries among trauma patients presenting to the ED. The Western Trauma Association has recently published an algorithm to be used as a general framework in the approach to adult patients with potential cervical spine injury.
Digital Device Distraction and Pediatric Pain Relief
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Use of digital distraction, such as a mobile device, tablet, TV, or even virtual reality, was effective in reducing pain and distress in pediatric patients undergoing painful procedures.
Toddler’s Fracture – CAM Walker Boot, Cast, or Nothing?
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This study was inconclusive, but provides assurance that treating children with confirmed or suspected toddler’s fracture (TF) in a controlled ankle motion (CAM) walker boot is safe and equally effective compared to casting.
Cast or Walking Boot for Achilles Tendon Rupture?
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A walking boot vs rigid cast resulted in equal outcomes and adverse events, including tendon re-rupture rate at 9 months for patients with Achilles tendon rupture.
Permissive Hypotension in Elderly – Is a MAP 60-65 mm Hg Safe?
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It was safe to allow older patients with vasodilatory shock to have a lower target MAP of 60-65 mm Hg but not clearly superior to usual care.
Does Topical Lidocaine Help Children With Oral Ulcers?
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Topical lidocaine was not shown to improve oral intake but did relieve pain in children with oral ulcers.
Fool’s Gold – Why Blinded Trials Aren’t Always Best
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We need not be so quick to think “unblinded” means “lower quality.” There are some compelling reasons why blinding isn’t always best.