April 2020
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Apr 16 2020
Ondansetron and Bouncebacks – Part Deux
Spoon Feed In this study there was no difference in 3-day or 7-day return to the pediatric emergency department (PED) in patients who received an ondansetron prescription versus those who did not for a variety of diagnoses.Read More -
Apr 15 2020
Does Ondansetron Work in Children?
Spoon Feed Ondanestron appears to be the most effective antiemetic for cessation of vomiting, reducing risk of hospitalization, and decreasing need for IV hydration for children with acute gastroenteritis.Read More -
Apr 14 2020
Heroes in Crisis – Emergency Responders Need A Hand
Spoon Feed A hospital-based trauma center may be the ideal safe place for community emergency responders to get the mental health assistance they need related to the emotional trauma associated with their work.Read More -
Apr 13 2020
MDCalc Tools for Telehealth
Use of Telehealth is increasing dramatically. Here is a list of some of the best clinical decision tools that may be applied to Telehealth.
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Apr 10 2020
A Better Way to Spot Long QT
The “half-R-R-rule” to screen for long QT actually works well if the heart rate (HR) is normal or elevated. Also, using a maximum of 485 msec in bradycardic patients optimized sensitivity in this group.
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Apr 09 2020
Point | Counterpoint – POCUS Does Not Need Credentialing
Spoon Feed These authors think point-of-care ultrasound should not require special institutional credentialing or privileging, as it is non-invasive, easy to learn, and nearly ubiquitous in residency and critical care medicine training.Read More -
Apr 08 2020
Point | Counterpoint – POCUS Needs Credentialing
Spoon Feed Since critical care medicine programs do not have explicit training requirements or standards for point-of-care ultrasound, these authors think that an institution should prove competence through credentialing and privileging.Read More -
Apr 07 2020
Cefepime-Associated Neurotoxicity – Who’s at Risk?
Spoon Feed Patients with severe renal dysfunction receiving high dose cefepime may have higher risk of cefepime-associated neurotoxicity.Read More -
Apr 06 2020
LOCO2 – Was Target SpO2 Too Low?
Spoon Feed A strategy targeting PaO2 55-70 mm Hg (SpO2 88-92%) vs PaO2 90-105 mm Hg (SpO2 ≥96%) appeared to increase mortality in patients with ARDS. From other sources, a reasonable target is SpO2 94-98%.Read More -
Apr 03 2020
Does HINTS Miss Stroke?
The HINTS exam alone, when assessed by emergency physicians in patients with acute vestibular syndromes (AVS), was not sufficient to rule out a central cause for vertigo. Have a low threshold to obtain MRI in patients with AVS and stroke risk factors.