Blog
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Jul 14 2016
No LP after CT for SAH – Are we there yet?
Read MoreThis outstanding meta-analysis gets us closer than ever to the answer of LP after negative CT for SAH.
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Jul 13 2016
Wells score or gestalt before PERC?
Read MoreShould you use low gestalt prior to ticking off the 8 PERC criteria or a more objective measure, like the Wells score?
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Jul 12 2016
Video equals direct laryngoscope?
Read MoreFirst-pass success was the same with VL and DL in this study by the FELLOW investigators in the ICU. Why so low for both? Read more.
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Jul 11 2016
No mass shootings after Aussie gun ban
Read MoreNo mass shootings have occurred in Australia since the gun ban in 1996.
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Jul 08 2016
Coronary CTA begets more testing
Short Attention Span Summary Coronary CTA use has increased in frequency and is associated with increased subsequent “PCI, CABG, repeat non-invasive testing, hospitalization, and return ED visits.” This test for CAD seems to beget more testing and invasive procedures without improving the outcome, which begs the question – is CCTA the wisest non-invasive way to […]Read More -
Jul 07 2016
ROC ALPS – Drugs no help in cardiac arrest
Short Attention Span Summary Neither amiodarone nor lidocaine made an impact on survival or neurological outcome for out-of-hospital arrest due to shock-refractory v-fib or pulseless v-tach. In witnessed arrest, patients who received active drug had improved survival. My take is that I don’t plan to stop using antiarrhythmic agents for patients with v-fib or v-tach […]Read More -
Jul 06 2016
REBOA comparable to open occlusion
Short Attention Span Summary Using a trauma registry, REBOA was comparable (trending toward more favorable) to open aortic occlusion. We have not started using REBOA at our facility yet. I’m curious how many are using it at their institutions. Take the poll, immediately see the results, and find out what your colleagues are doing. FOAM Report Heft […]Read More -
Jul 05 2016
Does this teen have mono?
Short Attention Span Summary Is this adolescent/young adult’s sore throat mono? This rational clinical exam feature found that, “posterior cervical, inguinal or axillary adenopathy, palatine petechiae, splenomegaly, or atypical lymphocytosis is associated with an increased likelihood of mononucleosis.” Why does it matter if it’s mono? Because when we inadvertently treat mono with ampicillin or amoxicillin, […]Read More -
Jul 04 2016
New shoulder reduction technique
Short Attention Span Summary A new shoulder reduction technique was highly successful, allowed patients to sit up, and required no sedation. It is called the Sool’s method. See the video on You Tube. FOAM Report YouTube Abstract Am J Emerg Med. 2016 Apr 9. pii: S0735-6757(16)30036-5. doi: 10.1016/j.ajem.2016.04.012. [Epub ahead of print] The effectiveness of […]Read More -
Jul 01 2016
Manger? Yes – Swaddling Clothes? No
Short Attention Span Summary You may lay your child in a manger (but only on his or her back), but do not wrap them in swaddling clothes. Swaddling babies is associated with increased risk of SIDS, according to this meta-analysis. This is especially true as they become better able to roll into a prone position. Why […]Read More