April 2021
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Apr 30 2021
Occlusion vs Nonocclusion MI – Rethinking NSTEMI
Spoon Feed A novel paradigm to classify acute MI based on the presence or absence of coronary occlusion—rather than on EKG evidence of ST-segment elevation alone—may identify NSTEMI patients who would benefit from emergent percutaneous coronary intervention.Read More -
Apr 29 2021
Ketamine-Only Intubation – Good or Bad Idea?
Spoon Feed When forgoing paralytics for perceived difficult airways, there are several options. Intubation with ketamine alone is uncommon, and when compared to topical anesthesia is associated with decreased first pass success and an increased number of adverse events.Read More -
Apr 28 2021
SAFER RCT – 5 or 10 Days for Pediatric CAP?
Spoon Feed In outpatient children with community acquired pneumonia, 5 days of amoxicillin was non-inferior to 10 days.Read More -
Apr 27 2021
Epistaxis – Spoon Feed Version
Spoon Feed Here’s a simplified approach to managing epistaxis.Read More -
Apr 26 2021
Leadership 104 – Great Teams
Spoon Feed Teams make excellent health care possible. We are better and more effective as a part of a team. Here are four ways to build great teams.Read More -
Apr 23 2021
Can You Diagnose GHB Intoxication Clinically?
Spoon Feed Emergency physicians were not accurate in clinically diagnosing gamma-hydroxybutyrate (GHB) intoxication. A rapid test is needed.Read More -
Apr 22 2021
VICTAS RCT – Sepsis Cocktail Doesn’t Work…Again
Spoon Feed A combination of hydrocortisone, ascorbic acid, and thiamine did not appear to reduce ventilator or vasopressor-free days or reduce mortality compared with placebo in sepsis patients.Read More -
Apr 21 2021
Is Infant Hypothermia a Good Predictor of Serious Infection?
Spoon Feed Serious infection was rare among infants ≤60 days with hypothermia (2.6% prevalence). The three infants with serious infection all had hypothermia plus some other red flag, but be very careful how you use this in practice.Read More -
Apr 20 2021
Are We Underdosing Intranasal Midazolam in Pediatric Seizures?
Spoon Feed The use of intranasal midazolam at a dose of 0.1 mg/kg for treatment of pediatric seizures was not as effective as the same dose of midazolam when given by other routes including IM, IV and IO.Read More -
Apr 19 2021
Leadership 103 – Change
Spoon Feed Change is hard but essential. Change is what leads to breakthrough medical interventions and innovations. Here is how to lead through change.Read More