Use of tPA within 3 hours for acute ischemic stroke improved functional outcome at 3 months but increased early risk for intracranial hemorrhage.

The Ottawa ankle rule may reduce x-ray utilization for foot/ankle injuries.

Patients with suspected bacterial meningitis who have no high-risk clinical features on exam may safely undergo LP without prior CT.

Rhythm control for chronic a-fib had no advantage over rate control.

Corticosteroids are definitely beneficial in Bell palsy.  Antiviral agents are not helpful if used alone but have a mild synergistic effect when added to steroids.

NG tube aspiration or lavage for UGI bleeding is unhelpful as a diagnostic tool.

The LRINEC score is a highly accurate way to distinguish ordinary skin infections from necrotizing fasciitis.  Just for fun, and since LRINEC is such a crummy mnemonic, I propose we change the name to NEC-FAST - NECrotizing Fasciitis Assessment of Serologic Tests.

Wound irrigation with tap water vs sterile saline was just as effective.

Femoral lines are as safe as IJ lines and almost as safe as SC lines, when placed with meticulous sterile technique.

Pretreatment with dexamethasone 10mg IV before or with antibiotics for adults with bacterial meningitis improved neurological outcome and decreased mortality.