Blog
-
Dec 11 2017
TXA for Epistaxis
For patients on antiplatelet agents with epistaxis, tranexamic acid (TXA)-soaked pledgets were far more effective than lidocaine with epinephrine-soaked pledgets at stopping bleeding within 10 minutes and were better tolerated by patients.
-
Dec 09 2017
ED Ultrasound in Trauma Reduces Time to OR
Point of care limited ultrasound for trauma, aka FAST exam, reduced time to the OR and several other important secondary outcomes.
-
Dec 08 2017
Stroke Oxygen Study
Administering prophylactic low-dose oxygen (2-3L/min) to non-hypoxemic patients with acute stroke did not reduce death or disability at 3 months.
-
Dec 07 2017
ADviSED – Aortic Dissection Detection Risk Score Plus D-Dimer for Aortic Syndromes
The combination of a negative D-Dimer (<500 ng/ml) and an Aortic Dissection Detection (ADD) risk score of ≤1 missed 0.3% of patients with acute aortic syndrome.
-
Dec 06 2017
Force Protection for Ultra-Potent Opioids
Inadvertent poisoning with an opiate in the prehospital setting is unlikely, especially with routine personal protective equipment (gloves).
-
Dec 05 2017
No Teeth? No Problem. Use a Smaller Blade
When intubating edentulous patients, using a smaller Macintosh curved blade (Mac 3 for men and Mac 2 for women) led to an improved glottic view.
-
Dec 04 2017
Is There Such Thing as a Black Cloud?
There is no such thing as a "black cloud." Those who self-identified as a black-cloud were also identified as such by their peers, but a look at the actual PED metrics showed no statistical difference except higher admission rate. I'm not sure I believe this, but there you go...
-
Dec 02 2017
Canadian CT Head Rule to Reduce CT Use
The Canadian CT Head Rule was 100% sensitive for ruling out clinically important brain injury. It had higher specificity than the New Orleans Criteria, which meant fewer people would need a CT scan by using the Canadian rule.
-
Dec 01 2017
No Cruising? No Bruising – Outcome of Bruising in Premobile Infants
Bruising in premobile children means trouble. The most important take home is: "More than half of premobile infants with initially unexplained bruises were found to be abused." Bruising before they're cruising needs a workup and DCS referral.
-
Nov 30 2017
Testicular Torsion Salvage at 24 Hours?
Consider testicular torsion a surgical emergency even if it is past the usual 6-8 hour mark, which is traditionally taught as the outer limit of testicular viability. This study found that the testicle could still be salvaged over half the time from 13-24 hours from onset.