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Patients who suffered in-hospital-cardiac-arrest who received vasopressin and steroids were more likely to have return of spontaneous circulation than those who received placebo. However, there was no difference in thirty-day survival, favorable neurologic outcomes, or other health-related quality of life measures.
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There is no significant difference in 30-day mortality between immediate vs delayed cardiac catheterization strategies for hemodynamically stable patients who are post-arrest without STEMI on post-ROSC ECG.
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This study highlighted the operator dependence of POCUS for the evaluation of acute appendicitis in an undifferentiated emergency department population including both pediatric and adult patients.
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In pediatric patients with blunt head injury, PECARN traumatic brain injury (TBI) low-risk criteria accurately identified infants <3 months of age at low-risk for clinically important TBIs (ciTBI), BUT these low-risk infants had a higher rate of findings on CT (TBI-CT). Use caution in these young ones.
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During cardiopulmonary resuscitation, when correctly done, a chest compression strategy of 30 compressions followed by 2 breaths (30:2) was associated with higher survival than continuous chest compressions (CCC). However, there was significantly less adherence to the 30:2 strategy when compared to CCC.
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Several ECG features can help differentiate ventricular tachycardia (VT) from supraventricular tachycardia with aberrancy. When in doubt, assume wide complex tachycardia is VT, especially for patients with history of coronary artery disease or structural heart disease.
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Reduction in time spent working clinically was associated with greater mortality among inpatient hospitalists.
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In shared decision making between patient and provider, it is reasonable to consider non-operative treatment of acute uncomplicated appendicitis (lack of appendicolith, abscess, tumor, perforation, sepsis, hemodynamic instability, age <45) as a safe first-line alternative to appendectomy.
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Inhaled budesonide improves time to recovery with a chance of also decreasing hospital admissions and/or deaths in high-risk patients with COVID-19 who are treated in the outpatient setting.
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Emergency intubation in patients with angioedema is managed with an array of advanced airway techniques and has an overall first-pass success rate of 81% in this descriptive analysis of airway registry data.
