2021
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Dec 31 2021
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Dec 30 2021
More Cardiac Testing ≠ Better (aka Verschlimmbessern)
Spoon Feed There is limited gain to repeating advanced cardiac testing for low to intermediate risk ED patients if the patient has had negative testing within the previous twelve months. It is reasonable to evaluate these patients with troponin and EKG and, if reassuring, avoid further testing.Read More -
Dec 29 2021
Canadian Syncope Calculator!
Spoon Feed The Canadian Syncope Risk Score (CSRS) can be used to help guide disposition for ED patients with syncope. Admit those in the high and very high-risk categories. Discharge those at very low and low risk. Use shared decision making in those at medium risk. The best part is the online “Team Venk” calculator and patient infographics.Read More -
Dec 28 2021
ED vs ICU: Who is Better at Intubating Kids?
Spoon Feed While characteristics of children requiring tracheal intubation were different between the ED and ICU, there was no difference in adverse intubation related events or first pass success rate between them.Read More -
Dec 27 2021
Is Calcium Effective During a Cardiac Arrest?
Spoon Feed Among adults with an out-of-hospital cardiac arrest, providing IV or IO calcium does not significantly improve sustained return of spontaneous circulation (ROSC) when compared to IV/IO saline.Read More -
Dec 24 2021
A Christmas Reflection – The Coach
Spoon Feed This year is a Christmas reflection tinged with sadness and hope.Read More -
Dec 23 2021
Rocket Science vs Brain Surgery – Who’s Really Smarter?
Spoon Feed I don’t know about you, but I am ready for the holidays and don’t want to write anything serious. So, we are devoting our time today to answering one of life’s great questions - are neurosurgeons or aerospace engineers smarter?Read More -
Dec 22 2021
A Pediatrician, Resident, and Med Student Walk Into a Bar…Humor in Medical Education
Spoon Feed When used appropriately, humor can foster learner engagement, calm anxieties, and improve rapport during teaching encounters. But use your best judgment, because it is very subjective.Read More -
Dec 21 2021
BOUGIE RCT – First Pass Success with Bougie vs Stylet
Spoon Feed In this large ED and ICU multicenter RCT there was no difference in first pass success rate in intubations done with bougie first or ETT + stylet attempt.Read More -
Dec 20 2021
Surviving Sepsis 2021 – Septic Shock Update
Spoon Feed Here are the important updates for 2021 since the 2016 Surviving Sepsis guidelines were released.Read More