Alkaline Urine = Nitrofurantoin Resistance?
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When urine pH is ≥8, culprit bacteria are more often caused by Proteeae group bacteria, which are associated with resistance to nitrofurantoin.
February 2022
HEART Battles Back
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HEART Pathway authors defend the HEART score and its offspring. Let’s see how their arguments hold up.
The Pediatric Difficult Airway Toolkit
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Extraglottic airways, pediatric bougies, and Microcuff endotracheal tubes are potentially underutilized for difficult pediatric airways.
Droperidol Prolongs QT 30 msec – Does This Matter?
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Low-dose droperidol prolonged the QTc in non-agitated ED patients who were prospectively monitored, but effects were transient and not associated with dysrhythmias.
TBI + DOACs = Delayed Head CT?
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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.
JVP Estimation – Better with POCUS?
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Ultrasonographic estimation of JVP (jugular venous pressure) height in heart failure has been shown to enhance visual estimation of JVP on physical exam.
Are Computer ECG Reads Better Than Emergency Physicians?
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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…
An Overview of Snake Envenomation
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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.
Videolaryngoscopy 2.0
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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.
EM Program Directors “Pass” on Binary Step 1 Scoring System
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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.