Aug 19 2020
Are Steroid Bursts Harmful?
Spoon Feed
The incidence of GI bleeding, sepsis, and heart failure was increased even with a short steroid burst, defined as oral corticosteroids for 14 days or fewer.
Jul 23 2020
Geriatric Rib Fractures – Spirometry or Pain Control for Dispo?
Spoon Feed
Bedside spirometry measurements, specifically the FEV1, can help predict outcomes for geriatric patients with isolated rib fractures and may be used to make decisions about admission and discharge. Pain control did not correlate with pulmonary function or predict discharge home.
May 27 2020
Does NT-proBNP Improve the Canadian Syncope Risk Score?
Spoon Feed
N-terminal pro-B-type natriuretic peptide (NT-proBNP) did not improve upon the Canadian Syncope Risk Score (CSRS) in risk stratifying adults in the ED with syncope.
May 21 2020
Move Over San Francisco – Canadian Syncope Score Validated
Spoon Feed
The Canadian Syncope Risk Score (CSRS) was successfully validated as a tool to risk stratify ED patients presenting with acute syncope. Patients at low risk for serious outcomes at 30 days can be safely discharged.
Mar 20 2020
Permissive Hypotension in Elderly – Is a MAP 60-65 mm Hg Safe?
Spoon Feed
It was safe to allow older patients with vasodilatory shock to have a lower target MAP of 60-65 mm Hg but not clearly superior to usual care.
Jan 02 2020
FAINT Score – Who Needs Admission For Syncope?
Spoon Feed
style="white-space:pre-wrap;">For elderly patients presenting after syncope, the FAINT Score, a 5-variable risk score, predicted serious 30-day outcomes, although the rule has not had external validation.
Jan 01 2020
Insulin-Glucose for Hyperkalemia – How Bad Is Hypoglycemia?
Spoon Feed
style="white-space:pre-wrap;">Administering 10 units of IV regular insulin plus 25g of IV dextrose causes highly variable changes in blood sugar. Delayed hypoglycemia is common, requiring frequent glucose monitoring.
Dec 16 2019
Managing Acute Severe Hypertension
Spoon Feed
We need to know hypertension and be expert in not only management of emergency but urgency as well. Here is a quick review for you.
Dec 12 2019
Do Afebrile CAP Patients Need Blood Cultures?
Spoon Feed
style="white-space:pre-wrap;">Presence or absence of fever at the time of presentation should not determine whether or not blood cultures are obtained in patients with community acquired pneumonia.
Nov 12 2019
New 2019 IDSA-ATS Community Acquired Pneumonia Guidelines – Spoon Feed
Reduce blood cultures, ditch procalcitonin, reduce anaerobic coverage for aspiration, no more empiric corticosteroids, no more HCAP and knee jerk broad spectrum antibiotics - these are some of the updates since 2007. Read more.