October 2020
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Oct 16 2020
YEARS – D-Dimer Under 1000 But Over Age-Adjusted? Be Careful…
Spoon Feed YEARS was safe and would have reduced imaging in this retrospective external validation study, but it would have missed 17 PEs. All 17 patients had zero YEARS criteria and D-dimer <1000 but over their age-adjusted cutoff.Read More -
Oct 15 2020
Critical Care Boarding in the ER: Complicated Problem, Bad Outcomes
Spoon Feed ED boarding of critically ill patients is common and is associated with worse clinical outcomes: increased duration of mechanical ventilation, increased probability of poor neurologic outcome, longer ICU length of stay, and higher in-hospital mortality. This a systemic problem with no easy fix.Read More -
Oct 14 2020
Identifying the Risky Pediatric Airway
Spoon Feed In children who met high-risk criteria (hypotension, persistent hypoxemia, concern for cardiac dysfunction, severe metabolic acidosis, status asthmaticus, and post ROSC) there was significantly higher risk of peri-intubation cardiac arrest.Read More -
Oct 13 2020
Stay n’ Play or Scoop n’ Run for OHCA
Spoon Feed For adults with atraumatic out-of-hospital-cardiac-arrest, intra-arrest transport was associated with lower survival to discharge and less favorable neurological outcome compared to scene management.Read More -
Oct 12 2020
Prehospital TXA for TBI – New RCT
Spoon Feed Prehospital TXA did not benefit patients with moderate to severe traumatic brain injury.Read More -
Oct 09 2020
How to Get An Arterial Line on the First Stick
Spoon Feed In novice interns, ultrasound guidance for radial arterial line placement improved first-pass success in addition to accomplishing cannulation with fewer attempts and in less time over a landmark-based approach.Read More -
Oct 08 2020
Echo SVI for Intermediate-Risk PE
Spoon FeedRead MoreLow stroke volume index (SVI) in intermediate-risk pulmonary embolism (PE) was associated with increased morbidity and mortality as an inpatient but may be limited to those with advanced echo skills.
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Oct 07 2020
Steroids for COVID-19 – Meta-analysis
Spoon Feed Use of steroids for critically ill patients with COVID-19 significantly reduced 28-day mortality.Read More -
Oct 06 2020
ACTS RCT – Ascorbic Acid, Corticosteroids, Thiamine for Septic Shock
Spoon Feed There was no benefit of ascorbic acid, corticosteroids, and thiamine on improving 72-hour SOFA score in adults with septic shock.Read More -
Oct 05 2020
A Simple Way to Improve ETT First-Pass Success
Spoon Feed Airway education and a periprocedural checklist were associated with improved endotracheal intubation first-pass success.Read More