You've been spoon-fed some great stuff this week. But do you remember anything about what you read? Test yourself to see what you remember from the 5 articles we covered this week.
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After the quiz, click the Answers button below to see the correct answers, a brief explanation, and link back to the original posts.
Monday - Patients with a penicillin allergy were 69% more likely to develop MRSA infection and 26% more likely to contract C. difficile. Most reported PCN allergy is not actual. Go to post
Tuesday - With ED boarding, the burden of sign-out patients is greater than ever. Sign-out patients negatively affect how many new cases each resident is able to see on each shift. Sign-out did not impact RVUs generated by interns. Sign-out had a bigger impact for PGY-2 than PGY-1 on new patients seen. Go to post
Wednesday - Sepsis bundles like the CMS SEP-1 guidelines are too restrictive, requiring an all-or-nothing approach to achieve compliance. These bundles fail to prioritize the most important bundle components while penalizing providers for meaningless omissions that have no impact on mortality. The majority of patients did not meet SEP-1 standards. Of the 3 parts to the severe sepsis bundle, only time to antibiotic > 3 hours was associated with increased mortality. Go to post
Thursday - For adults with severe pain in the ED, IV hydromorphone provided significantly better pain control than IV acetaminophen (APAP) but resulted in more nausea and vomiting. Go to post
Friday - Patients over age 65 did not have superior pain control with hydromorphone 0.5mg IV + acetaminophen (APAP) 1000mg IV vs. hydromorphone + placebo. Both groups asked for additional pain medication about 29% of the time at 60 minutes. Go to post.