Ketamine Works First-Line for Agitation
Ketamine appears to be a very effective and safe first-line drug for agitated patients in the ED.
Ketamine Effective as Add-on to Opiates
Ketamine is a helpful adjunct in patients with severe pain that have already been treated with opiates.
Etomidate or Ketamine Safe for Trauma Airway
Etomidate and ketamine were equally safe when used as trauma airway induction agents.
Why We Use Dexamethasone in Bacterial Meningitis
Pretreatment with dexamethasone 10mg IV before or with antibiotics for adults with bacterial meningitis improved neurological outcome and decreased mortality.
Bolus Nitroglycerin for CHF
This study suggests that in hypertensive patients with acute decompensated heart failure and shortness of breath, bolus IV NTG 1 or 2 mg was safe and reduced ICU admission and length of stay.
Pharmacists Improve Safety in the Emergency Department
Having a pharmacist in the ED helped catch multiple medication errors, the majority of them potentially severe and clinically relevant.
Alpha-blockers Help Kidney Stones – Larger Meta-analysis
Pooling lots of studies, it looks like alpha blockers for larger kidney stones provide significant benefit with a low risk profile.
Ketorolac – A Little Dab’ll Do Ya
For analgesia, there was no difference in 10mg, 15mg, and 30mg of IV ketorolac.
Epinephrine in Arrest – Sooner Is Better
If you're going to use epi in arrest, sooner is better. But not too soon.
No Shortcut for Acute Otitis Media
For kids 6 - 23 months with acute otitis media, 10 days of antibiotic therapy is better than 5 days.