Best Articles of 2021
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This is a list of the most important articles of 2021.
December 2021
More Cardiac Testing ≠ Better (aka Verschlimmbessern)
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There is limited gain to repeating advanced cardiac testing for low to intermediate risk ED patients if the patient has had negative testing within the previous twelve months. It is reasonable to evaluate these patients with troponin and EKG and, if reassuring, avoid further testing.
Canadian Syncope Calculator!
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The Canadian Syncope Risk Score (CSRS) can be used to help guide disposition for ED patients with syncope. Admit those in the high and very high-risk categories. Discharge those at very low and low risk. Use shared decision making in those at medium risk. The best part is the online “Team Venk” calculator and patient infographics.
ED vs ICU: Who is Better at Intubating Kids?
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While characteristics of children requiring tracheal intubation were different between the ED and ICU, there was no difference in adverse intubation related events or first pass success rate between them.
Is Calcium Effective During a Cardiac Arrest?
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Among adults with an out-of-hospital cardiac arrest, providing IV or IO calcium does not significantly improve sustained return of spontaneous circulation (ROSC) when compared to IV/IO saline.
A Christmas Reflection – The Coach
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This year is a Christmas reflection tinged with sadness and hope.
Rocket Science vs Brain Surgery – Who’s Really Smarter?
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I don’t know about you, but I am ready for the holidays and don’t want to write anything serious. So, we are devoting our time today to answering one of life’s great questions – are neurosurgeons or aerospace engineers smarter?
A Pediatrician, Resident, and Med Student Walk Into a Bar…Humor in Medical Education
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When used appropriately, humor can foster learner engagement, calm anxieties, and improve rapport during teaching encounters. But use your best judgment, because it is very subjective.
BOUGIE RCT – First Pass Success with Bougie vs Stylet
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In this large ED and ICU multicenter RCT there was no difference in first pass success rate in intubations done with bougie first or ETT + stylet attempt.
Surviving Sepsis 2021 – Septic Shock Update
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Here are the important updates for 2021 since the 2016 Surviving Sepsis guidelines were released.