• Admission and Repeat Head CT for Patients...

    Added On : 8th February 2012

    Admission and Repeat Head CT for Patients on Warfarin with Minor Head Injury?

    This approach identifies most delayed intracranial bleeds, but whether it changes patient outcomes and justifies the increased resources is not clear.

  • Intramuscular vs. Intravenous Prehospital Treatment...

    Added On : 22nd February 2012

    Intramuscular vs. Intravenous Prehospital Treatment of Status Epilepticus

    IM midazolam was superior to IV lorazepam for terminating seizures before arrival at the emergency department.

  • Septic Shock? Reach for Norepinephrine...

    Added On : 6th March 2012

    Septic Shock? Reach for Norepinephrine After Fluid Resuscitation

    A meta-analysis shows that dopamine is associated with increased risk for death and arrhythmic events compared with norepinephrine.

  • Rocuronium and Succinylcholine Are Equally Effective...

    Added On : 20th March 2012

    Rocuronium and Succinylcholine Are Equally Effective at Doses ?1 mg/kg

    No significant differences in intubation time, conditions, or success rates were noted.

  • Can Lower-Risk Patients with Negative CCTA...

    Added On : 2nd April 2012

    Can Lower-Risk Patients with Negative CCTA Be Safely Discharged from the Emergency Department?

    No patients with <50% stenosis experienced cardiac death or myocardial infarction within 30 days.

  • First Complex Febrile Seizure Portends...

    Added On : 16th April 2012

    First Complex Febrile Seizure Portends Low Risk for Intracranial Pathology

    Fewer than 1% of children with first complex febrile seizure and a normal neurological examination have clinically important intracranial pathology.

  • Ground vs. Air Transport for Severely Injured Patients

    Added On : 29th April 2012

    Helicopter transport is associated with a small but real benefit, but it comes at a high cost.

    To compare outcomes between air and ground transport for adult trauma patients with Injury Severity Scores >15, researchers reviewed the American College of Surgeons National Trauma Data Bank from 2007 to 2009. Only patients who arrived at level I and level II trauma centers alive and had complete data on transport and disposition were included in the analysis. The final study population comprised 62,000 patients transported by air and 162,000 patients transported by ground. Neither the care rendered during transport nor the type of clinician who rendered it was considered.

  • Antibiotics Are Overprescribed...

    Added On : 14th May 2012

    Antibiotics Are Overprescribed for Acute Bronchitis

    Antibiotics were prescribed to too many patients and bronchodilators to too few at two emergency departments in San Diego.

  • Intubation of Critically Ill Patients in Scotland

    Added On : 28th May 2012

    Although nearly all intubations were successful, many patients experienced postintubation hypoxia and hypotension.

    To characterize intubation practice in Scotland, researchers conducted a 4-month prospective observational study of urgent and emergent intubations performed outside the operating room and in the absence of cardiopulmonary resuscitation. Critical care physicians at 22 of the nation's 24 adult intensive care units (ICUs) recorded data on a standardized form for 2260 ICU patients who were intubated during their hospital stay; complete data were available for 710 patients (mean age, 54).

  • CT Angiography Is More Likely to Be Negative...

    Added On : 9th June 2012

    CT Angiography Is More Likely to Be Negative for PE When Ordered for Defensive Reasons

    Fear of missing pulmonary embolism was cited as a reason for ordering computed tomography pulmonary angiography in 55% of cases in this single-center Swiss study.