Blog
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Sep 12 2017
Low-Dose Perfusion or CTPA for PE in Pregnancy?
Low dose perfusion-only (LDQ) nuclear scan (the "Q" of the V/Q scan) or CTPA are the imaging studies of choice to diagnose PE in pregnant women. LDQ (using one-third the normal technetium) had high accuracy and lower radiation dose and may be preferred over CTPA, assuming the CXR is normal.
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Sep 11 2017
CroFab for Copperheads RCT
Crotalidae polyvalent immune antivenom (CroFab) improved limb disability in patients bitten by copperhead snakes.
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Sep 09 2017
Lactate Clearance Challenges Goal-Directed Therapy
A non-invasive approach to monitoring sepsis patients by using lactate clearance rather than central venous O2 saturation was just as effective once central venous pressure and mean arterial pressure were optimized.
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Sep 08 2017
Infusion vs IV Push Ketamine for Pain
A slow infusion of ketamine for pain control was as effective as IV push, with less sedation and far fewer patients having a feeling of unreality.
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Sep 07 2017
PE in Syncope Much Lower Than PESIT
The prevalence of PE in patients with syncope may be far less that the PESIT trial indicated: 1.4% vs. 17%.
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Sep 06 2017
Is Racism Affecting Our Clinical Decisions?
Implicit racial bias is likely influencing us in the ED, but whether that translates into impacting clinical decision making remains to be seen.
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Sep 05 2017
Another Nail in the Coffin for Apneic Oxygenation?
Patients intubated in the Emergency Department with usual care (no apneic oxygenation) vs apneic oxygenation (≥15L/min via nasal cannula) did not have significant differences in lowest mean oxygen saturation.
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Sep 04 2017
When to Terminate Resuscitation for Rural EMS
The universal basic life support termination of resuscitation (BLS-TOR) rule was effective in reducing futile transports in a rural EMS system.
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Sep 02 2017
How Early Goal-Directed Therapy Changed Sepsis Care
Even though early goal-directed therapy has subsequently been shown to be no more effective than usual care, this landmark trial put a spotlight on sepsis care, especially starting aggressive measures as early as possible in the ED.
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Sep 01 2017
Reported PCN Allergy Doesn’t Mean Real PCN Allergy
All children in the PED who were low risk for penicillin allergy on this questionnaire were confirmed to have no true penicillin allergy with skin testing.