NSAIDs increase risk of CHF admission
NSAIDs increase the risk of hospitalization for heart failure and should be avoided in at-risk patients.
Tamsulosin helps pass larger stones
Tamsulosin helps pass larger stones but is of no benefit for smaller (<5 mm) stones, according this this meta-analysis of 8 RCTs.
Workplace Violence – Emergency Dept. Hit Hardest
Workplace violence in healthcare is all too common, and the ED is hardest hit.
Febrile kids – workup and management review
This is a helpful review article on the workup and management of febrile kids. Infants <90 days are still a challenge, but vaccinated kids >90 days have UTI as the main serious bacterial infection.
Take kids with concussion out of the game
Recovery time was doubled and symptoms worsened when kids were not removed from play after concussion.
Can you really multitask in the ED
We can only multitask fully automatic behaviors. Everything else is task-switching, which may lead to errors.
Empathy may reduce malpractice suits
Empathetic doctors may get sued less often.
Obtain clean catch UA in infants quickly
How do you make an infant urinate on demand? Try the Quick-Wee method.
Hypertension and Pokemon
ED visits solely for hypertension have very low adverse events rates shortly after ED discharge.
Antibiotics within 48h prevent renal scarring
You have 48 hours to start antibiotics to prevent renal scarring in pediatric patients. Antibiotics >72 hours was associated with scarring.