Apr 27 2021
Epistaxis – Spoon Feed Version
Spoon Feed
Here’s a simplified approach to managing epistaxis.
Feb 26 2021
Ludwig’s Angina – Spoon Feed Version
Spoon Feed
Ludwig’s angina is a life-threatening infection of the floor of the mouth and requires prompt clinical recognition, airway evaluation, and treatment with broad-spectrum antibiotics and surgical source control.
Jan 27 2021
Do Infants with Otitis Media Need Sepsis Workup?
Spoon Feed
The prevalence of invasive bacterial infection (IBI) was very low among afebrile infants ≤90 days with acute otitis media (AOM). Use caution if you plan to treat with antibiotics and not do a septic workup, especially in 0-28 day olds.
Dec 14 2020
Antibiotics for Nasal Packing?
Spoon Feed
There was no evidence of benefit from prophylactic antibiotics for ED patients with epistaxis and nasal packing.
Nov 18 2020
Steroids for Sore Throat – The Evidence
Spoon Feed
Corticosteroids are associated with significant pain relief for sore throat with a NNT of 5 for complete resolution of pain at 24 and 48 hours.
Sep 21 2020
New Treatment for BPPV – Vitamin D and Calcium?
Spoon Feed
Supplementation with vitamin D and calcium, in addition to standard canalith repositioning maneuvers, reduced the number of episodes of benign paroxysmal peripheral vertigo (BPPV) per year in adult patients.
Sep 09 2020
New Leukemia Presenting as Facial Palsy In Children
Spoon Feed
Facial nerve palsy in children may very rarely be caused by leukemia. If starting steroids, consider a CBC first.
Jun 15 2020
Caustics – Spoon Feed Version
Spoon Feed
Caustic injury is common and dangerous. This treatment algorithm can help us manage these patients safely.
Jun 05 2020
How Effective Is the Epley Maneuver?
Spoon Feed
The Epley maneuver increased the likelihood of symptom resolution in BPPV by 35% compared to control or sham maneuver (OR 4.4, 95% CI 2.6-7.4) for a NNT of 3. This is a safe and easy maneuver to perform that can improve symptoms in your patients.
May 08 2020
You Glued the Eye Shut – What Now?
Spoon Feed
If you accidentally glue someone’s eye shut, soaking the eye in dexamethasone, polymyxin B, neomycin antibiotic drops was most effective at loosening histoacryl tissue adhesive.