RCT – Droperidol, Ziprasidone, and Lorazepam Walk Into a Bar…
Spoon Feed
Droperidol 5mg IM was a safe, rapid way to sedate agitated patients and was more effective than IM ziprasidone 10 or 20mg and lorazepam 2mg.
October 2020
What Fracture at What Age Means Abuse?
Spoon Feed
Children <3 years with a rib fracture or <18 months with a humerus or femur fracture need further workup for abuse.
Early Rhythm Control for A-fib | EAST-AFNET 4 Trial
Spoon Feed
Early rhythm control of atrial fibrillation was associated with a lower risk of cardiovascular outcomes, including cardiovascular-related death as well as stroke and hospitalization for worsening heart failure or acute coronary syndrome.
Best Tests for Septic Arthritis
Spoon Feed
The best predictors of septic arthritis in the knee were synovial WBC and Gram stain. Synovial lactate and PCR performed poorly, and no features of the history or exam were helpful.
Flu + COVID-19 = Badness | or Why I Need My Flu Shot
Spoon Feed
Influenza and COVID-19 co-infection is a dangerous combination, with high mortality. Get your flu shot.
How to Spot Elder Abuse
Spoon Feed
Elder abuse victims are more likely to have facial injuries, particularly on their left side, and injuries of the head and neck in the absence of upper and lower extremity injuries.
EMS Benzodiazepines for Status Epilepticus – Go Big
Spoon Feed
In this single EMS agency study, most patients with status epilepticus did not receive evidence-based treatment with appropriate midazolam administration. A higher initial dose of midazolam was associated with decreased need for rescue therapy as well as decreased need for respiratory support.
Intussusception – How Accurate Is History, Exam, X-ray, Ultrasound?
Spoon Feed
History, exam, and x-ray were not accurate predictors of intussusception, but POCUS was very accurate. If you suspect it, get an ultrasound.
Maybe Fluoroquinolone, Dissection Risk Isn’t True
Spoon Feed
This study calls into question the association of fluoroquinolone antibiotics with aortic aneurysm/aortic dissection.
Is Hands-On Defibrillation Safe?
Spoon Feed
Hands-on defibrillation during CPR appears to be safe if appropriate electrical insulating barriers such as polyethylene gloves or drapes are used.