March 2022
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Mar 17 2022
How Accurate Are hs-cTn Accelerated Diagnostic Protocols?
Spoon Feed Accelerated diagnostic protocols using delta high-sensitivity cardiac troponin (hs-cTn) assays had high diagnostic accuracy.Read More -
Mar 16 2022
Should We Use Atropine to Prevent Bradycardia in Pediatric Airways?
Spoon Feed Atropine pretreatment was not associated with a reduction in the incidence of bradycardia in this tiny, single center study of pediatric intubations.Read More -
Mar 15 2022
What Can We Learn from Observing Pediatric Intubations? The VIPER Collaborative
Spoon Feed There was no difference in first pass success rate or hypoxemic events when children were intubated with videolaryngoscopy (VL) versus direct laryngoscopy (DL). Intubations in children that took longer than 45 seconds had a greater incidence of hypoxemia, and overall, there was very low utilization of apneic oxygenation during laryngoscopy.Read More -
Mar 14 2022
Who Needs a Chest Tube? 35-mm Rule for Pneumothorax
Spoon Feed Implementation of a guideline for chest tube placement with pneumothorax size cutoff of ≤35 mm in stable patients increased rates of observation for pneumothorax, with no apparent increase in rates of complication or observation failure.Read More -
Mar 11 2022
Heart Rate and Mortality in Acute PE
Spoon Feed Elevated heart rate is associated with increased risk of mortality for patients with acute symptomatic pulmonary embolism. Be wary of patients with acute pulmonary embolism who are tachycardic.Read More -
Mar 10 2022
Does Fentanyl Cause Hyperalgesia and Increase Post-ER Opioid Usage?
Spoon Feed Patients treated with fentanyl during their emergency department (ED) stay for acute pain did not consume more opioids after ED discharge compared to those treated with other opioids during their ED stay.Read More -
Mar 09 2022
Are Muscle Relaxants Useful for Back Pain?
Spoon Feed Skeletal muscle relaxants (SMRs) + nonsteroidal anti-inflammatory drug (NSAIDs) do not improve outcomes any more than placebo + NSAIDs in the treatment of low back pain (LBP). Even when stratified by age, sex, history of LBP, and initial severity, SMRs still did not win against placebo.Read More -
Mar 08 2022
Prehospital Cardiac Arrest – Is Advanced Airway or BVM Best?
Spoon Feed Endotracheal tube or supraglottic airway vs bag-valve mask airway management in prehospital cardiac arrest made no difference in neurologically favorable survival at 30-days when controlled for clinical differences.Read More -
Mar 07 2022
E-FAST for Pneumothorax – Not So FAST?
Spoon Feed This study suggested ultrasonographic evaluation of pneumothorax was not as sensitive as previously thought, but there are some issues we need to discuss.Read More -
Mar 04 2022
Anterior-Lateral or Anterior-Posterior Pads for A-fib Cardioversion?
Spoon Feed Anterior-lateral positioning is superior to anterior-posterior electrode positioning in biphasic cardioversion of atrial fibrillation.Read More