Low Dose Ketamine vs Morphine for Acute Pain
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Low-dose ketamine IV was the same as morphine IV for pain control <60 minutes, while morphine may be superior > 60 minutes. Both had similar rates of nausea and hypoxia.
November 2020
POCUS for Emergency Airway Management
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Improve the safety of your next emergency airway with point-of-care ultrasound (POCUS).
How to Reduce the Risk of Pediatric Critical Care Transport
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Transporting critically ill children poses numerous risks. Clinicians must be aware of potential adverse events involved with intra-hospital transport and take steps to mitigate these risks.
Hypertonic Saline or Mannitol for Pediatric Increased ICP?
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In children with CNS infections leading to increased ICP, treatment with hypertonic saline (3%) had better outcomes than 20% mannitol.
Does PT for Sciatica Make a Difference?
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In outpatients with acute sciatica, physical therapy had a statistically but not clinically significant effect on patient disability compared with usual care.
Seat Belt Sign – How Good Is CT for Intra-abdominal Injury?
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CT scan of the abdomen/pelvis had 100% sensitivity (95%CI 92.5-100) for detecting intra-abdominal injury in trauma patients with abdominal seat belt sign. Both abrasions or ecchymoses over the seat belt area were associated with increased risk of intra-abdominal injury.
Neurons or Nephrons – Creatinine Screening for Stroke Imaging
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Elimination of creatinine pre-screening before IV contrast in patients with suspected stroke did not change rates of contrast induced nephropathy, hemodialysis, or mortality.
Better Learning from Podcasts
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When interpolated questions were added to a podcast created for this RCT, knowledge retention scores modestly improved.
Steroids for Sore Throat – The Evidence
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Corticosteroids are associated with significant pain relief for sore throat with a NNT of 5 for complete resolution of pain at 24 and 48 hours.
CODA RCT – Antibiotics or Surgery for Appendicitis?
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Antibiotic treatment vs appendectomy for appendicitis had non-inferior 30-day quality of life scores, but need for subsequent surgery and complications were greater in the antibiotic group, especially in patients with an appendicolith.