July 2021

Spoon Feed Cooling comatose patients to 33°C after out-of-hospital cardiac arrest did not improve mortality or neurological outcomes compared to simply maintaining normothermia (<37.8°C).

Spoon Feed There is no need for 6 hours of pre-procedural NPO time when healthy term newborns are fed formula. At most, 2.5 hours would be enough.

Spoon Feed Atrial fibrillation is associated with significant morbidity and mortality and is best treated through longitudinal management of rate control, stroke prevention, risk factor modification, and cardioversion.

Spoon Feed Children <24 months may still have a UTI even with as few as 3 WBCs/hpf on urine microscopy if the urine is very dilute. Small leukocyte esterase on urinalysis was a powerful positive discriminator at all urine concentrations.

Spoon Feed High risk bruising is uncommon when mass screening a pediatric ED population, but when present is associated with a high prevalence of occult injury or subsequent confirmed abuse.

Spoon Feed First-pass intubation success rate in ICU patients was higher when a stylet was used versus endotracheal tube alone. Rates of complications were similar between the two groups.

Spoon Feed The prevalence of subarachnoid hemorrhage (SAH) for patients presenting with sudden onset headache after a negative head CT is less than 1%, and the time, resources, and risks associated with lumbar puncture (LP) are not insignificant. Therefore, LP may not routinely be needed to rule out SAH after a negative head CT, even if the scan is performed more than 6 hours from symptom onset.

Spoon Feed In patients who are deemed “High Risk” for a subarachnoid hemorrhage (SAH), and present > 6 hours after symptom onset, a negative head CT must be accompanied by a lumbar puncture to satisfactorily rule out SAH.

Spoon Feed In this double-blinded RCT, topical TXA was no more effective than placebo in reducing the need for nasal packing in patients with persistent epistaxis.

Spoon Feed Financial payments from the pharmaceutical industry to physicians influence prescribing behavior.