February 2021
-
Feb 26 2021
Ludwig’s Angina – Spoon Feed Version
Spoon Feed Ludwig’s angina is a life-threatening infection of the floor of the mouth and requires prompt clinical recognition, airway evaluation, and treatment with broad-spectrum antibiotics and surgical source control.Read More -
Feb 25 2021
Prevalence of PE in COPD Patients
Spoon Feed Prevalence of pulmonary embolism (PE) was about 6% in this prospective trial looking at patients admitted to the hospital with worsening respiratory symptoms in the setting of known COPD.Read More -
Feb 24 2021
FOCUS for PE
Spoon Feed In patients with abnormal vitals and suspicion for pulmonary embolism (PE), focused cardiac ultrasound (FOCUS) is highly sensitive (92%), especially for those with a heart rate >110BPM (approaching 100%).Read More -
Feb 23 2021
Pain Dose Ketamine – What Dose is Best?
Spoon Feed In patients given pain dose IV sub-dissociative ketamine, a lower dose (0.15mg/kg) was non-inferior to a higher dose (0.30mg/kg) for pain relief at 30 minutes and had fewer adverse effects.Read More -
Feb 22 2021
RELAx RCT – Low vs High PEEP Without ARDS
Spoon Feed Low PEEP in mechanically ventilated patients without ARDS was noninferior to high PEEP for number of ventilator-free days.Read More -
Feb 19 2021
ECG Abnormalities in COVID-19
Spoon Feed ECG abnormalities seen in patients with COVID-19 are likely due to a combination of factors. Abnormalities most commonly include supraventricular tachycardias, specifically sinus tachycardia.Read More -
Feb 18 2021
ULTRA RCT – TXA for SAH?
Spoon Feed ULTRA-early, short term IV TXA in patients with SAH with suspected aneurysm rupture did not improve clinical outcomes of patients as described by “good” (0-3) versus “poor” (4-6) modified Rankin Scale at 6 months.Read More -
Feb 17 2021
TXA for TBI – Meta-analysis of Nine RCTs
Spoon Feed In patients with acute traumatic brain injury, tranexamic acid did not improve mortality or neurological outcome among survivors.Read More -
Feb 16 2021
Esmolol for Septic Shock?
Spoon Feed When septic patients with persistent tachycardia after initial resuscitation received ultra-short acting β-blockers, 28-day mortality was significantly lower, NNT 5.5.Read More -
Feb 15 2021
Epinephrine – 100 Years of Controversy
Spoon Feed Epinephrine for cardiac arrest improves ROSC and survival but may only benefit long-term neurologically intact outcomes when given early in patients with non-shockable rhythms.Read More