May 2020
-
May 29 2020
FRESH RCT – Fluid Responsiveness Evaluation in Sepsis-associated Hypotension
Spoon Feed Basing IV fluid administration on stroke volume increase with passive leg raise vs usual care resulted in a lower 72-hour fluid balance and improvement in other important outcomes as well.Read More -
May 28 2020
What ALiEM Can Teach Us About Remote Learning
Spoon Feed COVID-19 has suddenly forced entire organizations into remote e-work. A list of applications of remote e-work for academic physicians, including a consensus-based list of advantages and disadvantages are summarized to get the most of your new digital organization.Read More -
May 27 2020
Does NT-proBNP Improve the Canadian Syncope Risk Score?
Spoon Feed N-terminal pro-B-type natriuretic peptide (NT-proBNP) did not improve upon the Canadian Syncope Risk Score (CSRS) in risk stratifying adults in the ED with syncope.Read More -
May 26 2020
Anaphylaxis Guidelines for 2020
Spoon Feed Epinephrine is the key drug for anaphylaxis. Give it early in suspected cases. Antihistamines and glucocorticoids are permissible but not very helpful and certainly should not supersede epinephrine.Read More -
May 25 2020
Severe Kawasaki in Children After COVID-19
Spoon Feed An increased incidence of severe Kawasaki disease has been recognized in association with COVID-19 infection in children. It is now called multisystem inflammatory syndrome in children, MIS-C.Read More -
May 22 2020
Differentiating STEMI from Pericarditis
Spoon Feed While some overlap exists, ST elevation in lead III>II and convex upward or horizontal ST segment suggests STEMI, while PR depression and Spodick’s signs (downsloping T-P segment) are suggestive of pericarditis.Read More -
May 21 2020
Move Over San Francisco – Canadian Syncope Score Validated
Spoon Feed The Canadian Syncope Risk Score (CSRS) was successfully validated as a tool to risk stratify ED patients presenting with acute syncope. Patients at low risk for serious outcomes at 30 days can be safely discharged.Read More -
May 20 2020
Gestalt for Pediatric Appendicitis?
Spoon Feed ED physicians were found to be accurate, based on clinical gestalt alone, in predicting pediatric appendicitis, especially in patients they considered low risk.Read More -
May 19 2020
Does a Shoulder Roll Make Infant Intubation Easier?
Spoon Feed A 2-inch shoulder roll lowered the line of sight for direct laryngoscopy in infants but had no effect on view of the glottic opening.Read More -
May 18 2020
Is Bagging vs Intubation Saving Lives – and Brains – in OHCA?
Spoon Feed For out-of-hospital cardiac arrest, bag-valve-mask ventilation and BVM ventilation as a rescue after failed advanced airway placement were associated with improved survival to discharge and neurologically intact survival compared to advanced airway management (i.e. supraglottic airway or endotracheal intubation). However, given multiple possible confounders, these results should be viewed with caution.Read More