How the Opioid Epidemic Began and One Way to End It
ED opioid policies can make a big impact on prescribing patterns in a group of providers and help curb the current epidemic of opiate abuse.
Ketofol for Kids
Ketamine/propofol had no advantage over ketamine alone for procedural sedation in pediatric patients.
Infant Clean Catch in Under 5 Minutes
If you need an infant urinalysis, and clean catch is acceptable, the Quick Wee method can help you get the sample in less than 5 minutes.
Opiate+Benzodiazepine Rx – OD Risk Skyrockets
Writing combined prescriptions for both opiates and benzodiazepines was associated with increased risk of opiate overdose.
Anesthesia Can’t Let NPO Go
Know what your anesthesia colleagues are thinking when you admit patients who are likely going to need a trip to the OR.
Does Freezy Spray Really Work?
Vapocoolant spray reduces pain from IV cannulation in the ED. If there is time, EMLA cream is even more effective.
How to Stop Throwing Pills at Lumbosacral Strain
There is a growing emphasis on non-pharmacologic treatments for low back pain, and a deemphasis on using opiates.
Meds for Back Pain – What Works and What Doesn’t
Pharmacologic treatments for acute low back pain were moderately helpful, at best, and included NSAIDs, possibly muscle relaxers, and steroids, but only for radicular pain.
Diazepam Doesn’t Help Back Pain
Diazepam doesn't help low back pain. Here is RCT data that proves it.
Ketamine Effective as Add-on to Opiates
Ketamine is a helpful adjunct in patients with severe pain that have already been treated with opiates.