September 2022
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Sep 16 2022
Do We Need Sterile Gloves for Laceration Repair?
Spoon Feed
This trial suggests that there is unlikely to be a large difference in wound infection rates between non-sterile gloves and dressings and sterile gloves, dressings, and drapes for suturing of traumatic wounds in the ED.Source
Non-sterile gloves and dressing versus sterile gloves, dressings and drapes for suturing of traumatic wounds in the emergency department: a non-inferiority multicentre randomised controlled trial. Emerg Med J. 2022 Jul 26;emermed-2021-211540. doi: 10.1136/emermed-2021-211540. Online ahead of print. -
Sep 15 2022
More Acute Kidney Injury With Vancomycin Plus… Pip/Tazo Or Ceftolozane/Tazo?
Spoon Feed
Patients receiving vancomycin + piperacillin/tazobactam had greater adjusted odds of acute kidney injury than those receiving vancomycin + ceftolozane/tazobactam.Source
Nephrotoxicity of Vancomycin in Combination with Beta-lactam Agents: Ceftolozane-tazobactam vs. Piperacillin-tazobactam. Clin Infect Dis. 2022 Aug 19;ciac670. doi: 10.1093/cid/ciac670. Online ahead of print. -
Sep 14 2022
How Should You Work Up Hypothermic Infants? Welcome to the Wild West!
Spoon Feed
There is significant practice pattern variation in the ED management of infants ≤90 days of age with hypothermia. -
Sep 13 2022
Should We Use Plain Old Doxycycline for Pneumonia?
Spoon Feed
Doxycycline is an accessible and effective option to treat both typical and atypical bacteria that may cause community acquired pneumonia (CAP).Source
Efficacy of Doxycycline for Mild-to-moderate Community-acquired Pneumonia in Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Clin Infect Dis. 2022 Jul 29;ciac615. doi: 10.1093/cid/ciac615. Online ahead of print. -
Sep 12 2022
How to Manage Bronchiolitis – Stick to the Basics
Spoon Feed
Despite decades of research on adjunctive interventions, the core of bronchiolitis therapy remains supportive care for work of breathing, hypoxemia, and hydration.Source
Bronchiolitis. Lancet. 2022 Jul 30;400(10349):392-406. doi: 10.1016/S0140-6736(22)01016-9. Epub 2022 Jul 1. -
Sep 09 2022
Pericardial Tamponade for Emergency Medicine | Spoon Feed Version
Spoon Feed
This is an EM-focused review of pericardial tamponade, including the bedside echo.Source
Pericardial tamponade: A comprehensive emergency medicine and echocardiography review. Am J Emerg Med. 2022 Aug;58:159-174. doi: 10.1016/j.ajem.2022.05.001. Epub 2022 May 6. -
Sep 08 2022
Mac 3 or Mac 4 for Intubation? | MacSize-ICU Results Surprising
Spoon Feed
There was an association with increased first attempt intubation success during direct laryngoscopy when using a Macintosh 3 laryngoscope blade compared to a Macintosh 4 blade.Source
Impact of Macintosh blade size on endotracheal intubation success in intensive care units: a retrospective multicenter observational MacSize-ICU study. Intensive Care Medicine. August 16, 2022. Doi: 10.1007/s00134-022-06832-9 -
Sep 07 2022
Is There a Better Way to Use the Fastrach LMA?
Spoon Feed
The traditional process of using an intubating LMA leaves the patient without ventilation for a significant amount of time and can lead to tube dislodgement - both not good. This new technique, using readily available equipment, addresses both problems. -
Sep 06 2022
What Are the Racial Differences in Pulse Oximetry?
Spoon Feed
Occult hypoxemia occurred more often in Black than White inpatients. Is 92% SpO2 actually 87% SaO2?Source
Racial bias and reproducibility in pulse oximetry among medical and surgical inpatients in general care in the Veterans Health Administration 2013-19: multicenter, retrospective cohort study. BMJ. 2022 Jul 6;378:e069775. doi: 10.1136/bmj-2021-069775. -
Sep 05 2022
Let’s Talk About Long COVID – What Is It?
Spoon Feed
Patients with long COVID had a host of symptoms, poorer quality of life, and more anxiety and depression, but they did not have a specific cause identified for symptoms despite a comprehensive exam and battery of tests.Source
A Longitudinal Study of COVID-19 Sequelae and Immunity: Baseline Findings. Ann Intern Med. 2022 Jul;175(7):969-979. doi: 10.7326/M21-4905. Epub 2022 May 24.