June 2021
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Jun 16 2021
TREAT-CAD RCT – Aspirin or Warfarin for Cervical Arterial Dissection?
Spoon Feed Aspirin was not non-inferior to vitamin K antagonists in reducing bad clinical and MRI outcomes at 14 days in adult patients with cervical arterial dissection.Read More -
Jun 15 2021
Fluoroquinolone Risk in Known Aortic Dissection-Aortic Aneurysm Patients
Spoon Feed Fluoroquinolone use in patients with known aortic dissection or aortic aneurysm was associated with an increased risk of all-cause mortality, aortic death, and need for aortic surgery.Read More -
Jun 14 2021
New Guideline – POCUS for Acute Dyspnea
Spoon Feed Adding point-of-care ultrasonography to standard diagnostic pathways for acute dyspnea led to statistically significantly more correct diagnoses, shorter time-to-correct diagnosis, and, in some studies, shorter time-to-correct treatment than standard diagnostic pathways alone.Read More -
Jun 11 2021
Managing the Difficult Airway
Spoon Feed The difficult airway is rare, and adverse events from difficult airways are higher in the ED than other settings. With the cornerstone of expert clinical technique and skills, the main areas of focus in the difficult airway are airway assessment, planning, and appropriate response to difficulty, in combination with human factors.Read More -
Jun 10 2021
Is Thoracentesis Safe in Coagulopathic Patients?
Spoon Feed There is a very low, perhaps 0% bleeding and mortality risk, in performing thoracentesis or tube thoracostomy on patients taking antiplatelet or anticoagulant agents or those with thrombocytopenia or coagulopathy from a disease process, like cirrhosis.Read More -
Jun 09 2021
Beware of Paralysis Awareness
Spoon Feed The prevalence of post-intubation awareness of paralysis is estimated to be 2.6%.Read More -
Jun 08 2021
HEART or EDACS-ADP Combined with 0 and 1-hour High Sensitivity Troponin
Spoon Feed A 0-hour/1-hour high sensitivity cardiac troponin protocol used in conjunction with the HEART Pathway or EDACS-ADP score had NPV > 99% for 30-day MACE and allowed for safe and rapid rule out for approximately half of patients who presented to the ED with chest pain.Read More -
Jun 07 2021
Unnecessary Antibiotics for Presumed Sepsis – Are We Overtreating?
Spoon Feed One-third of patients that were empirically treated with broad-spectrum antibiotics for suspected sepsis in the ED were eventually found to have viral or noninfectious etiologies. This potential overuse of antibiotics may contribute to antibiotic resistance and has important implications for guidelines and quality measures supporting immediate empiric antibiotics for suspected sepsis.Read More -
Jun 04 2021
Podcasting on the Way to Work – Does It Work?
Spoon Feed Emergency medicine residents had no change in performance on both initial and delayed recall tests based on podcast material listened to undistracted versus driving.Read More -
Jun 03 2021
Esophageal Injury in Penetrating Neck Trauma – Is CTA Enough?
Spoon Feed CTA alone was not sufficient to rule out esophageal injury in patients with penetrating neck trauma.Read More