Clay Smith

Short Attention Span Summary Have you ever heard of C. difficile associated reactive arthritis in pediatric patients?  Me neither!  So I thought we could learn something with this article.  After C. difficile infection, a reactive arthritis may occur that can mimic septic arthritis.  Make sure to ask about preceding antibiotics and diarrhea in your next pediatric patient with […]

Short Attention Span Summary Single dose dexamethasone 0.3mg/kg, up to 12mg, was not inferior to multiple dose prednisolone in pediatric asthma exacerbation.  Fewer dex kids vomited, and more dex kids had additional steroids prescribed.  I covered this article last year. FOAM Report Emergency Medicine Cases First10EM PEM Playbook emeddoc Abstract Ann Emerg Med. 2016 May;67(5):593-601.e3. doi: […]

Short Attention Span Summary Low dose (0.6mg/kg) tPA was found to be (barely) inferior to standard dose (0.9mg/kg) tPA in regard to the primary outcome of death or severe disability at 90 days, but there were fewer bleeds (1% vs 2.1%) in the low-dose group.  This was predominantly an Asian population, which limits generalizability. FOAM […]

Short Attention Span Summary I know this is a hot button issue, but in light of the recent mass shooting in Orlando this article from March in the Lancet is timely.  Authors concluded that universal background checks for firearm purchases would decrease firearm related mortality from the current 10.35 deaths/100,000 to 4.46 deaths/100,000.  Before we […]

Short Attention Span Summary Apparent Life Threatening Event (ALTE) has undergone a name change and redefinition.  The new name for this is BRUE – Brief Resolved Unexplained Events.  A BRUE consists of: “sudden, brief, and now resolved episode of ≥1 of the following: (1) cyanosis or pallor; (2) absent, decreased, or irregular breathing; (3) marked […]

Short Attention Span Summary Do you have the anecdotal sense that ultrasound guided IVs blow more often with IV contrast in CT?  Your hunch is now proven with this study.  Unadjusted RR for contrast extravasation compared with standard IV was 14. FOAM Report EM Topics No other FOAM lovin’ Abstract Acad Emerg Med. 2016 May […]

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