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After withdrawal of life-sustaining treatment, the authors argue, based on this case and other case reports in children and adults, that a circulatory declaration of death be made after cessation of respiration and pulsatile arterial flow for 5 minutes, instead of just 2 minutes, prior to organ donation.
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Ondansetron reduced the odds of young children needing IV fluid during their index ED visit but didn’t seem to reduce hospitalization or other short term outcomes.
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An increasing number of intubation attempts by EMS was independently associated with worsened odds of survival to hospital discharge with favorable neurologic outcome among patients treated for out-of-hospital cardiac arrest.
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We thrive when we work in an organization with a culture that encourages us to do our best work and to do the right thing when no one is looking. Here is how we can encourage that kind of organizational culture.
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In patients who suffer non-traumatic out-of-hospital-cardiac arrest (OHCA) and are transferred to the ED, there is a wide range of survivability. Those taken to centers with 24/7 interventional cardiology and a higher number of OHCAs per year had a greater chance of ED survival.
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Presence of AAP high-risk BRUE criteria do not accurately predict the presence of a serious underlying diagnosis. Abnormal medical history, history of similar event, event duration >1 minute, and altered responsiveness increased the odds of a serious underlying diagnosis.
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For infants <12 months diagnosed with bronchiolitis, bronchodilators did not improve hospital or ICU admission numbers, ED return visits, noninvasive, or invasive ventilation requirement.
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D-dimer can be safely used to rule out venous thromboembolism in pregnant adults with non-high pre-test probability.
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This study identified high sensitivity of RV/LV ratio and high specificity of septal deviation in detecting right ventricular dysfunction via CT in acute PE; important as they serve as surrogate markers for poorer outcomes.
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Cerebral venous thromboses can occur in the dural (superior sagittal sinus & transverse sinuses) and cortical (surface of cortex) venous systems. Thrombi most commonly originate in the dural sinus. Depending on the location of the occlusion, clinical presentations will vary. CT or MRI with contrast-enhanced venography is the preferred method of diagnosis.
