Blog
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Mar 29 2017
Meds for Back Pain – What Works and What Doesn’t
Read MorePharmacologic treatments for acute low back pain were moderately helpful, at best, and included NSAIDs, possibly muscle relaxers, and steroids, but only for radicular pain.
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Mar 28 2017
Peds UA Accuracy Varies with Urine Concentration
Read MoreIf you have dilute urine with positive LE or microscopic pyuria, it is probably a real UTI. If the urine is concentrated, it's harder to tell.
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Mar 27 2017
Decision Aids Rarely Beat Clinical Judgment
Read MoreYour judgment at the bedside is still the final and best decision rule.
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Mar 25 2017
Why We Treat Bell Palsy With Steroids
Read MoreCorticosteroids are definitely beneficial in Bell palsy. Antiviral agents are not helpful if used alone but have a mild synergistic effect when added to steroids.
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Mar 24 2017
No Saline Before Contrast – No Problem
Read MoreIn patients with eGFR 30-59, there was no benefit to giving saline prior to IV contrast for CT.
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Mar 23 2017
IV Contrast and AKI – No Association
Read MoreThere was no association with IV contrast for CT and short-term acute kidney injury or progression to dialysis at 6 months, regardless of initial GFR in patients with a creatinine < 4.
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Mar 22 2017
Diazepam Doesn’t Help Back Pain
Read MoreDiazepam doesn't help low back pain. Here is RCT data that proves it.
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Mar 21 2017
Brain on Fire – Anti-NMDA Receptor Encephalitis
Read MoreEarly treatment of anti-NMDA receptor encephalitis improved recovery. But first, you have to make the diagnosis.
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Mar 20 2017
Ketamine Works First-Line for Agitation
Read MoreKetamine appears to be a very effective and safe first-line drug for agitated patients in the ED.
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Mar 18 2017
Why NG Aspiration for Upper GI Bleed Is Unnecessary
Read MoreNG tube aspiration or lavage for UGI bleeding is unhelpful as a diagnostic tool.
