January 2021
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Jan 15 2021
When to Intubate ACEi Angioedema
Spoon Feed Rapid progression of symptoms within the first 6 hours of angioedema onset, anterior tongue swelling, vocal changes, drooling, and dyspnea were all high-risk features associated with need for intubation in patients with ACE inhibitor (ACEi) associated angioedema. Patients with isolated lip swelling were significantly less likely to require intubation.Read More -
Jan 14 2021
How to Intubate Pediatrics Patients More Safely
Spoon Feed Implementing a pediatric intubation safety QI bundle is associated with sustained improvement in PICU intubations.Read More -
Jan 13 2021
Is Push Dose Phenylephrine Safe in Septic Shock?
Spoon Feed Push-dose phenylephrine improved early hemodynamic stability but was associated with increased ICU mortality in septic shock patients.Read More -
Jan 12 2021
Near-Hanging – Early Predictors of Outcome
Spoon Feed Patients with near hanging had 44% in-hospital mortality. Of those who survive, 96% had a good neurological outcome. Hanging-induced arrest, hyperglycemia, and hyperlactatemia were all associated with in-hospital mortality.Read More -
Jan 11 2021
Non-invasive Ventilation in Asthma – More Evidence
Spoon Feed Non-invasive ventilation may reduce the need for subsequent invasive mechanical ventilation and reduce mortality among critically ill asthmatic patients.Read More -
Jan 08 2021
Prednisone to Reduce Cluster Headaches
Spoon Feed Prednisone, given while up-titrating verapamil, was effective at reducing the frequency of cluster headache attacks.Read More -
Jan 07 2021
New Regimen for Gonorrhea and Chlamydia
Spoon Feed The new regimen for treating gonorrhea is ceftriaxone 500mg IM, and in patients with unknown chlamydia status, add doxycycline 100mg po bid x 7 days.Read More -
Jan 06 2021
Decision Fatigue – Is This Cognitive Bias Affecting You?
Spoon Feed Emergency physicians did not appear to be influenced by decision fatigue with regard to consults or CT scan ordering over an eight hour shift.Read More -
Jan 05 2021
Does Suicide Screening in Triage Even Work?
Spoon Feed Suicide screening in the ED had extremely poor diagnostic accuracy for predicting subsequent suicide within a month, with a sensitivity of just 18%.Read More -
Jan 04 2021
APPs and Department Flow – More to the Story
Spoon Feed A recent study found advanced practice providers see fewer patients per hour and see lower complexity patients than physicians, but there is more to this story.Read More