Inhaled Tranexamic Acid for Hemoptysis?
For patients with hemoptysis, inhaled tranexamic acid was associated with significantly reduced expectorated blood volume, hospital length of stay, need for invasive interventions, and hemoptysis recurrence rate at one year.
Does This Patient Have Pertussis? Bedside Clues to Diagnosis
Adults with cough <3weeks or 3-8 weeks with post-tussive vomiting or whooping should be treated for pertussis; those with fever or without paroxysmal cough should be considered to have an alternate diagnosis. Children with <4 weeks of cough and post-tussive vomiting may have pertussis, but it was much less clear than in adults.
Really Scary? Predicting Bad Outcomes in Bronchiolitis
Specific emergency department variables are strongly predictive of infants with bronchiolitis requiring escalated care.
Outpatient PE – sPESI or Hestia?
Simplified PESI (sPESI) and Hestia scores identified similar numbers of patients with pulmonary embolism as low risk. Both groups had similar 30-day all-cause mortality. However, interobserver reliability was better with sPESI.
Can CURB-65 Predict ICU-Level Care for Pneumonia?
CURB-65 was a poor predictor of the need for critical care intervention in adult patients with community acquired pneumonia.
Does Negative CTPA Rule Out High Pretest Probability PE?
For patients with high pretest probability for pulmonary embolism, a negative CT pulmonary angiography alone does not appear to adequately rule out venous thromboembolism.
Can We Use Beta-Blockers With COPD?
Patients with cardiovascular disease and concomitant COPD can be safely treated with a combination long-acting beta-agonist and a long-acting muscarinic antagonist when on a baseline beta-blocker.
IOTA – Oxygen, Less Is More
For adults with varied acute illnesses, use of supplemental oxygen in patients with room air SpO2 of 94% or greater was associated with increased short and longterm mortality.
New PE Guidelines From ACEP
ACEP has taken a stand on some of the most contemporary issues within the diagnosis and management of venous thromboembolic disease in the emergency department.
Finally, a Bronchiolitis Treatment That Works
High-flow nasal cannula (HFNC) helped reduce treatment failure compared to standard nasal cannula in infants under 12 months with bronchiolitis requiring supplemental oxygen, NNT = 9.