December 2021
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Dec 17 2021
COVID-19, Stress, and You
Spoon Feed Emergency physicians reported that the COVID-19 pandemic made them feel more stressed, lonely, anxious, irritable, and sad. Overall, EM providers had an uptick in alcohol use and a decrease in daily exercise. Laughter (humor and positive reframing) was the best medicine during this time.Read More -
Dec 16 2021
Pediatric CAP Severity Prediction Tool is (Almost) Here
Spoon Feed Seven variables accurately predicted community acquired pneumonia severity in children. This now needs external validation.Read More -
Dec 15 2021
CAP-IT RCT | Low vs High and 3 vs 7 Days for Pediatric Pneumonia
Spoon Feed Outpatient treatment of community-acquired pneumonia in children with a lower dose of amoxicillin was noninferior to traditional high-dose amoxicillin, and 3-days of antibiotics was noninferior to 7-days with regard to need for antibiotic retreatment within a month.Read More -
Dec 14 2021
ORIF or Cast Following Acceptable Distal Radius Fracture Reduction?
Spoon Feed Following an acceptable closed reduction of a displaced intra-articular distal radius fracture, adults treated with volar plate fixation had better patient-reported functional outcomes through 6 months, but not at 1-year follow-up, compared to those treated nonoperatively. 28% of those initially treated non-operatively ultimately received surgery.Read More -
Dec 13 2021
Is ETCO2 the Crystal Ball for Predicting Outcomes in Trauma?
Spoon Feed End tidal CO2 (ETCO2) measurements in the pre-hospital setting on intubated trauma patients were more predictive of mortality and need for massive transfusion than systolic blood pressure (SBP) and shock index (SI). However, while performing better, ETCO2 still only performed at the level of ‘fair.’Read More -
Dec 10 2021
AHA Guideline – Chest Pain Workup
Spoon Feed Using the acrostic CHEST PAINS, the AHA has issued outstanding new guidelines on the chest pain workup.Read More -
Dec 09 2021
LP for Febrile Seizure – Less Is More?
Spoon Feed From 2005 to 2019 there was a statistically significant decline in the rate of LPs, head CTs, CBCs, hospital admissions, and mean costs of care for pediatric patients (6mo to 60mo) presenting to the ED for a first time simple febrile seizure. This occurred WITHOUT a concomitant rise in delayed diagnosis of bacterial meningitis.Read More -
Dec 08 2021
Steroids for Pediatric Retropharyngeal and Parapharyngeal Abscesses
Spoon Feed Corticosteroid use for pediatric patients with retropharyngeal abscesses (RPAs) or parapharyngeal abscesses (PPAs) was associated with lower rate of surgical drainage, less frequent opioid use, and reduced hospital costs.Read More -
Dec 07 2021
Should We Give Alteplase before Endovascular Treatment for Stroke?
Spoon Feed Probably. Endovascular treatment (EVT) alone was neither superior nor noninferior to intravenous (IV) alteplase followed by EVT with regards to disability outcome at 90 days after a stroke.Read More -
Dec 06 2021
Mind the Gap – Patient-Centered Diagnostic Excellence
Spoon Feed A recent opinion piece published in JAMA reminds us all that patient-centeredness is not just a term to be quoted in a hospital’s mission statement.Read More