How to Get a Better View of the Cords on Laryngoscopy
Spoon Feed
When the midline epiglottic fold was engaged during laryngoscopy, intubators were more likely to obtain a Cormack-Lehane grade 1 or 2a view.
July 2021
Beware Pediatric Myocarditis
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The presentation of myocarditis in children is heterogenous, and arriving at the definitive diagnosis is complicated. If you suspect it, respect it – these kids are at high risk for arrhythmia and decompensation.
Myocarditis in the Emergency Dept – Review of Diagnosis and Management
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This is a review of the diagnosis and management of myocarditis, which is inflammation of the myocardium leading to cardiac dysfunction.
How to Treat and Prevent Delirium – Spoon-Feed Version
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Lighter sedation of intubated patients, use of validated screening tools, and use of non-pharmacologic interventions decrease the risk of delirium in our patients.
Pediatric DKA – Spoon-Feed Version
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Managing pediatric DKA requires fluid, insulin, intense monitoring, and being ever watchful for cerebral edema. This covers best practices.
More HEART Problems – Is the HEART Score Too Subjective?
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With fair to moderate interrater reliability and uncertain accuracy of the HEART score, we may want to consider alternative ways to risk stratify chest pain patients.
Canadian Syncope Risk Score in Northern Italy?
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This retrospective application of the Canadian Syncope Risk Score (CSRS) on a different syncope cohort, for which some of the key variables of the CSRS had to be estimated or extrapolated, showed it performed similarly to clinical judgment. But this wasn’t the best design to address external validation of the CSRS in a demographically different cohort.
Chest Ultrasound vs CXR for Pneumothorax in Trauma
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Chest ultrasound performed by trained emergency physicians appears to be more sensitive than supine chest x-ray in identifying pneumothorax in emergency department trauma patients.
Weird and Wobbly – Maybe Metronidazole?
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In a population of older adults, serious central and peripheral nervous system adverse events were associated with increased odds of metronidazole exposure relative to clindamycin.
Is No Treatment an Option for Blunt Cerebrovascular Injury?
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Treatment with antithrombotic therapy was associated with decreased risk of death and stroke in patients with blunt cerebrovascular injury regardless of vascular injury grade.