October 2021
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Oct 29 2021
More ROSC with Vasopressin and Steroids? – The VAM-IHCA Trial
Spoon Feed 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.Read More -
Oct 28 2021
TOMAHAWK RCT – Immediate vs Delayed Angiography for Out-of-Hospital Cardiac Arrest
Spoon Feed 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.Read More -
Oct 27 2021
Are You ‘Appy Now? POCUS for Appendicitis
Spoon Feed 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.Read More -
Oct 26 2021
Is PECARN Safe to Use Under 3 Months?
Spoon Feed 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.Read More -
Oct 25 2021
What CPR Strategy is Best? Continuous Compressions or 30:2?
Spoon Feed 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.Read More -
Oct 22 2021
ECG Diagnosis of Wide Complex Tachycardia
Spoon Feed 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.Read More -
Oct 21 2021
Is a Part-Time Physician Competent?
Spoon Feed Reduction in time spent working clinically was associated with greater mortality among inpatient hospitalists.Read More -
Oct 20 2021
Non-Operative Management for Acute Appendicitis
Spoon Feed 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.Read More -
Oct 19 2021
Outpatient COVID Treatment – PRINCIPLE RCT Inhaled Steroids
Spoon Feed 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.Read More -
Oct 18 2021
Intubating Angioedema – What Works?
Spoon Feed 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.Read More