December 2020

Spoon Feed The prevalence of extended-spectrum β-lactamases (ESBL) among patients admitted from the ED with UTI caused by Enterobacteriaceae was 17.2%.

Spoon Feed Improve the survival of your next ultrasound guided peripheral IV by selecting the longer catheter.

Spoon Feed The ARDS “L phenotype” of low elastance (high compliance) existed before COVID-19 hit the planet. Evidence-based low tidal volume ARDSnet ventilation strategies are best.

Spoon Feed There was no evidence of benefit from prophylactic antibiotics for ED patients with epistaxis and nasal packing.

Spoon Feed These are the top ten reasons I am getting the COVID-19 vaccine.

Spoon Feed Intra-articular lidocaine (IAL) compared to IV sedation for shoulder dislocation reduction had similar reduction of pain, fewer complications, lower cost, and decreased ED length of stay. However, some patients prefer sedation over IAL, and first time success may be higher with sedation.

Spoon Feed Survivors of cardiac arrest (alive ≥ 24h post CPR) found to have pulmonary embolism (PE) did not demonstrate a significant difference in mortality compared to those without PE. There was no difference in mortality between PE patients who received thrombolytics and those who did not.

Spoon Feed A personalized approach to vasopressor management may improve kidney outcomes. Read on to see how this works.

Spoon Feed In this systematic review and meta-analysis, there was a very low prevalence of complications related to vasopressor infusion through a peripheral IV, and using at least a 20-gauge catheter seems to make it safer for patients.

Spoon Feed Short-term use of topical tetracaine for uncomplicated corneal abrasions was associated with significant pain reduction and decreased need for opioid medications, with no difference in wound healing or serious complications. However, larger studies are needed to definitively demonstrate safety and rule out rare adverse events.