Blog
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Aug 10 2016
DOACs vs. warfarin for afib
Read MoreOf 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
Read MoreElevated 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?
Read MoreMedian 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
Read MoreC-section increases risk for VTE more than vaginal delivery.
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Aug 04 2016
Pleural effusion in pneumonia means worse prognosis
Read MoreParapneumonic 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
Read MoreSub-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
Read MoreDischarge 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.
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Aug 01 2016
Don’t try to predict outcome in the ED after ROSC
Read MorePrognostication of neurological outcome is not possible in the ED. Don't try it.
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Jul 29 2016
Glucagon no help for food impaction
Read MoreGlucagon did not resolve esophageal food impaction but was effective in making people miserable by inducing vomiting.
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Jul 28 2016
Drug that killed Prince – street drug not as labeled
Read MoreHydrocodone/acetaminophen street drugs actually contained huge doses of fentanyl and caused numerous deaths. This type of overdose required unusually large doses and prolonged drips of naloxone for reversal.
