January 2022

Spoon Feed Empiric antibiotics, without aspiration, is safe and effective for most cases of suspected septic olecranon bursitis.

Spoon Feed In PERC positive patients, use of YEARS with age-adjusted D-dimer was noninferior to an age-adjusted D-dimer strategy alone.

Spoon Feed In adult COVID-19 patients with high thrombosis risk, empiric therapeutic dose enoxaparin reduced a composite outcome incidence of thrombotic events or 30-day all-cause mortality relative to prophylactic regimens with no significant difference in major bleeding. The difference was driven by a reduction in venous thromboembolism (VTE) and was not observed in ICU patients.

Spoon Feed We dig into the new VTE update on antithrombotic therapy in this post.

Spoon Feed A new risk score (PE-SARD) stratifies patients with acute pulmonary embolism (PE) to predict early, major bleeding events.

Spoon Feed In this single-center RCT, 7-day survival was lower with etomidate than ketamine, 77.3% vs 85.1%.

Spoon Feed When using multislice CT (MSCT) scanners this study suggests it may be possible to extend the timeframe from headache onset within which aneurysmal subarachnoid hemorrhage (aSAH) can be effectively ruled out with imaging alone. They found that when MSCT was employed within 24 hours of symptom onset, the sensitivity of detecting aSAH remained 100%.

Spoon Feed The PE-SCORE has been derived and validated to determine which patients with PE are at risk of clinical deterioration or death. Patients with a score of 0 had an 8% chance of deterioration but no death; scores ≥6 all had deterioration or death.

Spoon Feed The CODA trial initially found antibiotic treatment was noninferior to surgery for acute appendicitis at 30 days. In this follow up letter on long-term outcomes (up to 4 years), the incidence of appendectomy in the antibiotic group was higher than pooled results from prior trials.

Spoon Feed Patients suffering from severe COVID-19 who are treated with high-flow oxygen nasal cannula, compared with those treated with conventional supplemental oxygen, have decreased need for mechanical ventilation and more rapid clinical recovery.