2020
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Jan 17 2020
Status Epilepticus – Three Anticonvulsants Head-to-Head – ESETT RCT
Spoon Feed style="white-space:pre-wrap;">For status epilepticus refractory to benzodiazepines, the anticonvulsant medications levetiracetam, fosphenytoin, and valproate had similar rates of seizure cessation (all roughly half of patients), with similar incidence of serious adverse events.Read More -
Jan 16 2020
Confessions of an Introvert in Emergency Medicine
Spoon Feed style="white-space:pre-wrap;">Many emergency physicians are extroverts. Understanding how introverted colleagues, students, and residents operate can help us better appreciate each other.Read More -
Jan 15 2020
Arrest from PE – Do Lytics Help?
Spoon Feed For patients with out-of-hospital cardiac arrest and PE, 30-day survival was greater in those who received thrombolytic therapy than those who did not, but there was no significant improvement in neurologically intact survival.Read More -
Jan 14 2020
Thrombolytics for PE – Systemic vs. Catheter-Directed
Spoon Feed style="white-space:pre-wrap;">In high-risk PE, systemic thrombolysis was more commonly used than catheter-directed thrombolysis (CDT). Systemic vs CDT had greater in-hospital mortality and readmission, but results were confounded. CDT may have lower bleeding risk. There was no difference in plain CDT vs ultrasound-facilitated CDT.Read More -
Jan 13 2020
ACS Championship Preview
Spoon Feed T-MACS and EDACS outperformed HEART and TIMI in a head-to-head comparison of decision aids used to rule out acute coronary syndrome.Read More -
Jan 10 2020
Droperidol – Is It Safe?
Spoon Feed style="white-space:pre-wrap;">This is yet another study with thousands of patients that found no increased risk of death using droperidol at usual, low doses.Read More -
Jan 09 2020
How Good Is CT Active Extravasation for Pelvic Fracture Arterial Injury?
Spoon Feed style="white-space:pre-wrap;">CT with contrast was 80% sensitive for detecting arterial injury with contrast extravasation. Subgroup analysis considering 64-slice scanners or better found sensitivity was 94%, specificity 89%.Read More -
Jan 08 2020
RCT – Ibuprofen + Acetaminophen for Low Back Pain
Spoon Feed style="white-space:pre-wrap;">There was no difference in disability or pain one week after discharge in patients with acute low back pain with ibuprofen + placebo vs. ibuprofen + acetaminophen.Read More -
Jan 07 2020
Blunt Aortic Injury – Does Pan-scan Help?
Spoon Feed Blunt traumatic aortic injury is extremely rare and often has associated chest injuries. High-energy mechanism+wide mediastinum had poor sensitivity. The NEXUS Chest CT rule was 100% sensitive.Read More -
Jan 06 2020
Does Oseltamivir Really Work? ALIC4E RCT- Non-Industry Funded Trial
Spoon Feed style="white-space:pre-wrap;">Oseltamivir shortens duration of influenza by 1 day. The effect on duration is muted in young, healthy patients (0.7 days shorter) and amplified in older patients with comorbidities (2-3 days shorter).Read More