Clay Smith
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Sep 28 2016
Predicting kids at risk for sudden cardiac death
Concerning family history, exercise chest pain, exercise syncope, or unexplained syncope in a child warrants pediatric cardiology evaluation with no exertion until cleared by them.
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Sep 27 2016
Hypotensive GSW- door to OR under 10 minutes
Hypotensive patients with gunshot wounds are almost half as likely to die if in the OR in under 10 minutes.
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Sep 26 2016
Kids with no insurance transferred more often
Kids with no insurance had almost 4 times the odds of being transferred, instead of admitted at the initial facility. I smell a rat.
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Sep 23 2016
HCAP is out – New IDSA Guidelines for HAP and VAP
New IDSA guidelines for HAP and VAP. HCAP is no more.
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Sep 22 2016
PERC rule for kids
The PERC rule performed well in this small retrospective study of pediatric patients.
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Sep 21 2016
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Sep 20 2016
Infant LP – Supine or Sitting Up
This RCT showed infant LP success was the same whether supine or sitting up.
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Sep 19 2016
Frown to prevent PE
A smiling face affected physician estimate of the Wells score, making it less reliable, but it didn't affect physician gestalt for PE. A patient can smile while having a PE.
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Sep 16 2016
Obtain clean catch UA in infants quickly
How do you make an infant urinate on demand? Try the Quick-Wee method.
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Sep 15 2016
Antibiotic choice has minimal impact on appendicitis complications
Narrow or broad spectrum antibiotic choice has little impact on pediatric appendicitis outcome. Broader coverage may, in fact, be worse.