Why We Used Therapeutic Hypothermia Post-arrest
Therapeutic hypothermia appeared to be a very promising therapy for patients resuscitated after VF. It turns out, strict normothermia and avoidance of hyperthermia was actually what mattered most.
Infant Clean Catch in Under 5 Minutes
If you need an infant urinalysis, and clean catch is acceptable, the Quick Wee method can help you get the sample in less than 5 minutes.
More on hs-cTnT Plus Important Reader Comment
In this collection of studies, a non-ischemic ECG and single hs-cTnT performed well. Use caution with hs-cTnT in patients presenting with symptoms < 3 hours.
Retail Clinics Will Save Us Right?
Retail clinics have a role as a convenient place to obtain needed healthcare but so far have not made a meaningful impact on low acuity ED patient volume.
qSOFA Comfortably Predicts Mortality
qSOFA was associated with mortality, ICU admission, and length of stay in this single-center retrospective study.
Clinical Judgment in Major Trauma
Clinical judgment alone was not very accurate in predicting serious injury compared with whole-body CT. But patients with a completely normal exam may be an exception.
TIA Turned Stroke – Avoid It With ABCD2
The ABCD2 score is a good predictor of stroke risk after TIA.
One Hour Antibiotic Delay in Sepsis – 1% Mortality
Once sepsis is detected, start broad spectrum antibiotics as soon as possible. Delays were associated with mortality: 1 hour = ~1%.
Video Laryngoscopy for EMS
VL is a good way to improve first-pass success in the prehospital setting, especially for care providers who don’t intubate frequently.
D-dimer Cutoffs Are So 2016
It looks like we can start thinking of the D-dimer test based on interval likelihood ratios rather than a dichotomous positive or negative, with 500 ng/mL as the cutoff.