April 2021
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Apr 16 2021
Bilateral Clamshell or Left Anterolateral Thoracotomy?
Spoon Feed The bilateral anterior clamshell thoracotomy technique was as fast (faster for some) as the left anterolateral thoracotomy, resulted in fewer iatrogenic injuries, and was favored by emergency physicians.Read More -
Apr 15 2021
Return Rates After Opioids for Back Pain in the Emergency Department
Spoon Feed Patients who received opioids in the ED for low back pain were significantly more likely to return to the ED within 30 days for the same complaint when compared to those who received only NSAIDs, acetaminophen, or a combination of the two.Read More -
Apr 14 2021
Run ‘Em Low – SpO2 Targets for COPD
Spoon Feed In COPD patients, a SpO2 target of 88-92% was associated with lower inpatient mortality than SpO2 targets ≥93%.Read More -
Apr 13 2021
Best Antibiotic for Diverticulitis
Spoon Feed Amoxicillin-clavulanate (AC) compared to fluoroquinolone + metronidazole (FM) was not associated with worsened outcomes for outpatient treatment of diverticulitis and may reduce known harm related to the fluoroquinolone class of antibiotic.Read More -
Apr 12 2021
Leadership 102 – Emotional Intelligence
Spoon Feed Emotional intelligence (EI) is important for healthcare leaders and is a skillset we can learn. The four domains of EI include: self-awareness, Self-awareness, self-management, social awareness, and relationship management.Read More -
Apr 09 2021
SALSA RCT – Hypertonic Saline Bolus vs Infusion for Hyponatremia
Spoon Feed Intermittent boluses of hypertonic saline for treatment of moderate-to-severe hyponatremia has similar efficacy to a continuous infusion and may be easier to administer with less risk of overcorrection.Read More -
Apr 08 2021
Cardiac Transplant Emergencies – Spoon-Feed Version
Spoon Feed Cardiac transplant patients commonly present to the emergency department for acute care. Graft failure, rejection, and infection are common in the first year post-transplant, and patients are at high risk for dysrhythmias, ACS including “silent MI”, cardiac allograft vasculopathy, and medication adverse effects.Read More -
Apr 07 2021
Crotalid Envenomation – Spoon-Feed Version
Spoon Feed This literature review of crotalid envenomation answers 8 clinical questions for ED docs.Read More -
Apr 06 2021
New “Reverse” Valsalva for SVT
Spoon Feed The reverse Valsalva maneuver is a novel technique to terminate supraventricular tachycardia (SVT). Based on a small case series, this simple maneuver appears to be safe, effective, and can be performed by patients alone at home. However, additional studies are needed to establish the actual efficacy of this technique.Read More -
Apr 05 2021
Leadership 101 – Commitments, Character, Competencies
Spoon Feed A healthcare leader keeps certain commitments, shows character, and learns defined competencies that enable their teams to flourish and succeed.Read More