August 2021
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Aug 17 2021
How to Use Silver Nitrate for Recurrent Epistaxis
Spoon Feed This video and summary article describes how to perform silver nitrate cauterization for recurrent epistaxis at the bedside.Read More -
Aug 16 2021
Can We Detect Central Vertigo on Exam?
Spoon Feed HINTS and STANDING exams performed by emergency physicians formally trained in both techniques demonstrated very high sensitivity for detecting central causes of vertigo in the ED.Read More -
Aug 13 2021
Emergency Front-of-Neck Airway – Getting the Angles Right
Spoon Feed The average angle of the trachea with a patient lying horizontally was 25° in men and 14° in women. A good cannula angle would be between 45-60°. The cricothyroid membrane (CTM) was lower than the midpoint of the neck in all men and half of women.Read More -
Aug 12 2021
Why PEM Physicians Get Sued
Spoon Feed In the pediatric ED setting, respect cardiac issues, abdominal pain (missed appendicitis), and testicular pain (torsion). Generally, to err on the side of admission is safer from a malpractice standpoint.Read More -
Aug 11 2021
CAM Boot or Cast for Toddler’s Fracture?
Spoon Feed Children with a toddler’s fracture who were randomized to a CAM boot were easier to care for, walked sooner, and had no difference in fracture healing compared to those in a cast.Read More -
Aug 10 2021
Is There a Role for Pressors in Hypotensive Trauma Patients?
Spoon Feed These authors argue for a nuanced approach to using vasopressors in hypotensive trauma patients.Read More -
Aug 09 2021
Ultra-Frequent Pediatric Epinephrine Arrest Dosing
Spoon Feed More frequent (≤2 minutes) epinephrine dosing in pediatric in-hospital cardiac arrest was associated with better neurologically intact survival.Read More -
Aug 06 2021
Modified Sgarbossa Criteria for Ventricular Paced Rhythms
Spoon Feed The modified Sgarbossa criteria were significantly more sensitive (81% vs 56%) and just as specific (96% vs 97%) compared to the original Sgarbossa criteria for diagnosis of occlusion myocardial infarction in the presence of ventricular paced rhythms.Read More -
Aug 05 2021
POCUS for Intussusception
Spoon Feed Ultrasound is a valuable tool to evaluate for intussusception by trained emergency physicians.Read More -
Aug 04 2021
Seizure Management After the Initial Resuscitation
Spoon Feed It is beneficial for emergency providers to have an algorithm for abortive therapy for epileptic seizures in the Emergency Department. However, diagnosing epilepsy and starting anti-epileptic drugs can be life-altering with potential long-term effects, so this decision needs to be made after further testing and possible neurology consultation or referral.Read More