Blog
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Aug 15 2016
LP after CT for SAH takes another hit
Unless your patient population has a much higher prevalence of disease that the Perry study and the meta-analysis last month, a negative head CT rules out SAH.
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Aug 12 2016
Swallowed plastic pill blister packs are dangerous
Swallowed press-through package sheets can pose a serious risk for kids.
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Aug 11 2016
Pyuria alone misses UTI in pediatric patients
Reliance on pyuria alone will miss 13% of UTIs in kids.
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Aug 10 2016
DOACs vs. warfarin for afib
Of the DOACs, some are slightly better than warfarin for afib outcomes. Apixaban and dabigatran also edged out rivaroxaban as far as the bleeding risk.
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Aug 09 2016
Lactate correlates with mortality in trauma
Elevated lactate correlated with increased mortality even in the absence of obvious injuries.
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Aug 08 2016
How long until death after palliative extubation?
Median time to death after palliative extubation was 8.9 hours but up to a week. This is probably not best to do in the ED.
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Aug 05 2016
C-section is a greater PE risk than normal delivery
C-section increases risk for VTE more than vaginal delivery.
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Aug 04 2016
Pleural effusion in pneumonia means worse prognosis
Parapneumonic effusion means a worse prognosis not accounted for in standard risk calculators, such as CURB-65.
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Aug 03 2016
Harm from fluid restriction in burn patients
Sub-Parkland restrictive fluid strategies in burn patient led to increased kidney injury.
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Aug 02 2016
Discharge glucose level is not associated with return to ED
Discharge glucose level did not correlate with 7-day return to the ED. It looks like there isn't a specific target glucose we need to attain prior to discharge.