October 2020
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Oct 30 2020
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.Read More -
Oct 29 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.Read More -
Oct 28 2020
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.Read More -
Oct 27 2020
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.Read More -
Oct 26 2020
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.Read More -
Oct 23 2020
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.Read More -
Oct 22 2020
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.Read More -
Oct 21 2020
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.Read More -
Oct 20 2020
Maybe Fluoroquinolone, Dissection Risk Isn’t True
Spoon Feed This study calls into question the association of fluoroquinolone antibiotics with aortic aneurysm/aortic dissection.Read More -
Oct 19 2020
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.Read More