RCT – Ibuprofen + Acetaminophen for Low Back Pain
Does Oseltamivir Really Work? ALIC4E RCT- Non-Industry Funded Trial
Best Articles of 2019
Is 5 Days of Penicillin For Strep Pharyngitis Enough?
A 5-day course of penicillin was non-inferior to a 10-day course for group A streptococcal pharyngitis.
How to Reduce Strep Tests for Kids Under 3
Rapid streptococcal testing among children under age 3 was reduced by 52% following a quality improvement initiative.
N95 vs Plain Mask for Flu Prevention
This study found no difference in effectiveness between an N95 respiratory and common medical mask in preventing transmission of influenza or other viral respiratory illnesses in a healthcare workplace.
Does Urgent Care Decrease Low-Acuity Emergency Department Visits?
Opening urgent care locations may have a small impact on reducing low-acuity ED volume for patients living near the UC.
RCT – APAP Only vs APAP-Ibuprofen-Codeine Combo
For acute musculoskeletal injuries, the combination of oral paracetamol (aka acetaminophen), ibuprofen, and codeine was not superior to paracetamol alone in regards to pain reduction at 60 minutes or need for rescue analgesia. The combo group had more adverse effects.
Ibuprofen – 400mg, 600mg, or 800mg?
For short term relief of acute pain in the ED, 400 mg of oral ibuprofen offers a similar decrease in pain score compared to both 600 mg and 800 mg of ibuprofen.
New Opiate Prescriptions and Downstream Risk of Misuse
In patients given a new opiate prescription in the ED, 13.7% had persistent or high risk use over the next year. Higher doses led to greater risk, but even appropriate lower doses were associated with up to a 10% risk.