September 2020

Spoon Feed Starting balanced crystalloid fluid resuscitation vs normal saline early, while still in the ED as opposed to the ICU, appears to have mortality benefit among critically ill patients with sepsis.

Spoon Feed Pulmonary embolism response teams can be a big help is the diagnosis and treatment of acute PE in the COVID-19 era. Here is how.

Spoon Feed This is an ACEP Clinical Policy statement to address four key questions about opioid use in the ED.

Spoon Feed FoCUS (Focused Cardiac Ultrasound) enhanced diagnostic ability for multiple cardiac parameters when performed at the bedside.

Spoon Feed Most pediatric patients undergoing procedural sedation in this single-center ED study had “high risk” gastric content on ultrasound, even when meeting ASA fasting guidelines, with no clinically significant change occurring during serial sonographic evaluations.

Spoon Feed This study confirms that for children with ventricular fibrillation or pulseless ventricular tachycardia (VF/pVT), a defibrillation dose of 2 J/kg was associated with the highest survival to discharge. Doses outside this range had lower survival.

Spoon Feed Most 911 calls used lights and sirens to respond, but just a small percentage received a potential life-saving intervention, which suggests that a more selective approach may be better and possibly safer.

Spoon Feed Supplementation with vitamin D and calcium, in addition to standard canalith repositioning maneuvers, reduced the number of episodes of benign paroxysmal peripheral vertigo (BPPV) per year in adult patients.

Spoon Feed This manuscript provides a detailed review of the diagnosis, management, and treatment of pulmonary embolism.

Spoon Feed For ED patients, the probability of PE was the same in COVID-positive and COVID-negative patients. This does not apply to other hospitalized COVID-19 patient populations.