February 2022
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Feb 14 2022
Alkaline Urine = Nitrofurantoin Resistance?
Spoon Feed When urine pH is ≥8, culprit bacteria are more often caused by Proteeae group bacteria, which are associated with resistance to nitrofurantoin.Read More -
Feb 11 2022
HEART Battles Back
Spoon Feed HEART Pathway authors defend the HEART score and its offspring. Let’s see how their arguments hold up.Read More -
Feb 10 2022
The Pediatric Difficult Airway Toolkit
Spoon Feed Extraglottic airways, pediatric bougies, and Microcuff endotracheal tubes are potentially underutilized for difficult pediatric airways.Read More -
Feb 09 2022
Droperidol Prolongs QT 30 msec – Does This Matter?
Spoon Feed Low-dose droperidol prolonged the QTc in non-agitated ED patients who were prospectively monitored, but effects were transient and not associated with dysrhythmias.Read More -
Feb 08 2022
TBI + DOACs = Delayed Head CT?
Spoon Feed Delayed intracranial hemorrhage for patients on direct oral anticoagulant therapy with minor traumatic brain injury is rare (~1.5%) after a negative initial head CT.Read More -
Feb 07 2022
JVP Estimation – Better with POCUS?
Spoon Feed Ultrasonographic estimation of JVP (jugular venous pressure) height in heart failure has been shown to enhance visual estimation of JVP on physical exam.Read More -
Feb 04 2022
Are Computer ECG Reads Better Than Emergency Physicians?
Spoon Feed This study suggests that a computer-generated “normal” ECG result obviates the need for immediate review of the tracing by the emergency physician. I’m not so sure about this...Read More -
Feb 03 2022
An Overview of Snake Envenomation
Spoon Feed Snake envenomation has a large global health burden with a variety of clinical presentations from benign to life threatening. Early use of antivenom (if available), good supportive care, and admission for further treatment and observation is the best management regardless of the snake species involved.Read More -
Feb 02 2022
Videolaryngoscopy 2.0
Spoon Feed Video laryngoscopy (VL) has been around for over 20 years and a lot has changed. When discussing VL, it’s important to get terminology right, but it’s even more important to know how to use it.Read More -
Feb 01 2022
EM Program Directors “Pass” on Binary Step 1 Scoring System
Spoon Feed Most emergency medicine residency program directors disapprove of the change in USMLE Step 1 scoring process to a binary system. Respondents will rely more heavily on Step 2 score and letters of evaluation, which may perpetuate disparities within the application process.Read More