March 2021
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Mar 17 2021
Risk of EMS Transport Refusal After Naloxone
Spoon Feed Patient refusal of EMS transport after opioid overdose is associated with increased risk of repeat pre-hospital encounter for non-fatal overdose.Read More -
Mar 16 2021
VA ECMO for Massive PE + Cardiac Arrest
Spoon Feed Patients with massive PE and cardiac arrest who received venoarterial ECMO had 61% survival to discharge.Read More -
Mar 15 2021
COVID-19 Silent Myocarditis – COMPETE CMR
Spoon Feed The prevalence of silent myocarditis among collegiate athletes, detected only on cardiac magnetic resonance imaging was 3%.Read More -
Mar 12 2021
Ten Commandments of Emergency Medicine Revisited
Spoon Feed The original Ten Commandments of Emergency Medicine were published 30 years ago by Wrenn and Slovis. Medicine, especially emergency medicine, has changed in the interim. Here is a modern update on the original classic article.Read More -
Mar 11 2021
Canadian TIA Score Beats ABCD2
Spoon Feed The Canadian TIA Score has now been validated and is ready for clinical use. Patients with a clinically-defined TIA (no MRI) may be accurately stratified as low, medium, or high risk for subsequent stroke (+/- carotid revascularization) within 7 days.Read More -
Mar 10 2021
Body Temperature and Heart Rate – Are They Related?
Spoon Feed There is a linear increase of heart rate associated with elevated temperatures in critically ill patients. For each 1°C increase in body temperature there was an associated heart rate increase by 9.46 beats/minute in females and 7.24 beats/minute in males.Read More -
Mar 09 2021
Which Videolaryngoscope is Best?
Spoon Feed When comparing four different single-use videolaryngoscopes, the McGrath Mac had better direct and indirect glottic visualization, led to fewer intubation attempts, and reduced the need to resort to a hyperangulated blade during endotracheal intubation.Read More -
Mar 08 2021
The Physiologically Difficult Airway
Spoon Feed The Society for Airway Management (SAM - Coincidence? I think not…) recently published consensus recommendations for the evaluation and management of the physiologically difficulty airway. You should read the entire article, but the key recommendations listed below focus on preoxygenation, apneic oxygenation, and peri-intubation hemodynamic optimization with fluid or vasopressor resuscitation.Read More -
Mar 05 2021
Yes, Your BP Is Up. No, It Doesn’t Matter.
Spoon Feed Almost half of adults had an elevated BP measurement when in the ED, but even when ≥160/100, this did not increase risk of adverse cardiovascular outcomes within 2 years.Read More -
Mar 04 2021
Should We X-ray Nursemaid’s Elbow?
Spoon Feed Missed fractures are rare in children who are diagnosed with a nursemaid’s elbow. We can probably use x-ray in these children less often. There are some tips for you below.Read More