Aug 17 2022
How to Diagnose and Manage Adult Epiglottitis
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This review article offers pearls for adult epiglottitis, a disease with increasing prevalence and high morbidity.
Jun 03 2022
Should We Reconsider How We Treat Acute Otitis Media?
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We are writing too many prescriptions for antibiotics for acute otitis media. Here is how we can improve.
Source
Rethinking Our Approach to Management of Acute Otitis Media. JAMA Pediatr. 2022 May 1;176(5):439-440. doi: 10.1001/jamapediatrics.2021.6575.
Feb 18 2022
Winning EEM 2022 Post! | TXA for Epistaxis – Clinical Controversy
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Given the negligible downsides of TXA and the known harms of packing, it’s worth a try in our patients with epistaxis.
Feb 17 2022
Noses Say Yay for TXA!
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TXA is a safe and effective topical treatment for epistaxis, with 3.5 times greater odds of bleeding cessation at first reassessment compared to placebo, lidocaine plus vasoconstrictors, or local anesthetics.
Dec 08 2021
Steroids for Pediatric Retropharyngeal and Parapharyngeal Abscesses
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Corticosteroid use for pediatric patients with retropharyngeal abscesses (RPAs) or parapharyngeal abscesses (PPAs) was associated with lower rate of surgical drainage, less frequent opioid use, and reduced hospital costs.
Aug 17 2021
How to Use Silver Nitrate for Recurrent Epistaxis
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This video and summary article describes how to perform silver nitrate cauterization for recurrent epistaxis at the bedside.
Aug 16 2021
Can We Detect Central Vertigo on Exam?
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HINTS and STANDING exams performed by emergency physicians formally trained in both techniques demonstrated very high sensitivity for detecting central causes of vertigo in the ED.
Jul 06 2021
NoPAC RCT – TXA for Epistaxis – Helpful or Useless?
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In this double-blinded RCT, topical TXA was no more effective than placebo in reducing the need for nasal packing in patients with persistent epistaxis.
May 14 2021
POCUS for Peritonsillar Abscess
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Point of care ultrasound provides safer, more accurate, and more efficient patient care for the diagnosis and management of peritonsillar abscess.
May 05 2021
Should Otitis Media with Effusion Get Antibiotics?
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The authors determined that the harms from antibiotics outweighed the benefit of speedier resolution of otitis media with effusion in children.