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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.
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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.
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In outpatient children with community acquired pneumonia, 5 days of amoxicillin was non-inferior to 10 days.
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Here’s a simplified approach to managing epistaxis.
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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.
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Emergency physicians were not accurate in clinically diagnosing gamma-hydroxybutyrate (GHB) intoxication. A rapid test is needed.
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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.
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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.
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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.
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Change is hard but essential. Change is what leads to breakthrough medical interventions and innovations. Here is how to lead through change.
