EMDocs

JANUARY 27, 2024

Spoon Feed This systematic review and meta-analysis of almost 4,000 febrile infants ≤ 90 days old diagnosed with COVID-19 indicated that these patients have a low prevalence of invasive bacterial infection (IBI), especially the subgroup >28 days old. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1:

Hospitals 70

Hospitals 70

EMDocs

OCTOBER 28, 2023

Spoon Feed Don’t hang your hat on lactate clearance to assess therapeutic response to resuscitation in sepsis; there are too many confounders, and initial clearance does not necessarily project clinical course. The post Journal Feed Weekly Wrap-Up appeared first on emDOCs.net - Emergency Medicine Education. 2023 Sep;164(3):667-669.

Emergency Department 65

Emergency Department Pediatrics Sepsis Resuscitation 65

EMDocs

JANUARY 13, 2024

Spoon Feed High-dose nitroglycerin improves outcomes in patients with sympathetic crashing acute pulmonary edema (SCAPE) without significant side effects when compared to low-dose nitroglycerin. The post Journal Feed Weekly Wrap-Up appeared first on emDOCs.net - Emergency Medicine Education. Emerg Med J. Crit Care Med. PMID: 37837989.

Stroke 61

Stroke Shock Pediatrics Resuscitation 61

EMDocs

SEPTEMBER 2, 2023

Spoon Feed In minor acute ischemic stroke (AIS) patients presenting within 4.5 Here’s Why… Spoon Feed Proton pump inhibitor (PPI) use in young children is associated with risk of serious infection. The post Journal Feed Weekly Wrap-Up appeared first on emDOCs.net - Emergency Medicine Education. 2023 Jun 27;329(24):2135-2144.

Stroke 67

Stroke Pediatrics Outcomes 67

EMDocs

JULY 22, 2023

1: Macrolides and Long-Term Survival in ICU Patients with Community-Acquired Pneumonia Spoon Feed Empiric macrolide therapy was associated with improved six and twelve-month survival among ICU patients with community-acquired pneumonia (CAP). The post Journal Feed Weekly Wrap-Up appeared first on emDOCs.net - Emergency Medicine Education.

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EMDocs

DECEMBER 9, 2023

Spoon Feed Advanced statistics emulating clinical trial protocols from an ICU database did not identify consistent differences in 30-day mortality when ICU patients were intubated early (within 8 hours of admission) or late (after 48 hours). The post Journal Feed Weekly Wrap-Up appeared first on emDOCs.net - Emergency Medicine Education.

Pediatrics 66

Pediatrics 66

EMDocs

NOVEMBER 11, 2023

Spoon Feed In this randomized control trial of patients receiving cefepime or piperacillin-tazobactam, there was no difference in risk of acute kidney injury between the two groups. Spoon Feed Normal oral temperature is hard to define, but this large cross-sectional study suggests that the average is not 37 o C (98.6 doi: 10.1001/jama.2023.20583.

Hospitals 66

Hospitals 66

EMDocs

SEPTEMBER 30, 2023

1: BP Wildly Varies With Wrong Cuff Size Spoon Feed This randomized controlled trial demonstrated a clinically significant difference in blood pressure measurements when inappropriately sized BP cuffs were used on patients. The post Journal Feed Weekly Wrap-Up appeared first on emDOCs.net - Emergency Medicine Education.

Ultrasounds 58

Ultrasounds 58

EMDocs

JUNE 10, 2023

Prevalence of C-Spine Injuries from Ground Level Fall Over 65 Years Spoon Feed This systematic review found that the prevalence of cervical spine injuries in patients 65 years or older after a ground level or low-level fall was between 3.8-4.1%. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Am J Emerg Med.

Pediatrics 66

Pediatrics 66

EMDocs

JUNE 24, 2023

Spoon Feed Vaginal swabs are more accurate than urine samples in diagnosing Chlamydia trachomatis , Neisseria gonorrhoeae , and Trichomonas vaginalis. Spoon Feed In a meta-analysis of 1,685 patients with suspected scaphoid fracture after negative plain radiographs, no clinical feature adequately rules out occult fracture. Ann Fam Med.

Dehydration 76

Dehydration Fractures CDC Pediatrics 76

EMDocs

OCTOBER 14, 2023

Spoon Feed More aggressive systolic blood pressure (SBP) goals, beyond keeping it <180 mmHg, probably don’t make much of a difference in outcomes for patients who have undergone endovascular therapy for ischemic stroke. 2023.08.019 The post Journal Feed Weekly Wrap-Up appeared first on emDOCs.net - Emergency Medicine Education.

Stroke 62

Stroke Administration Outcomes 62

EMDocs

NOVEMBER 25, 2023

Spoon Feed In this multicenter, randomized controlled trial comparing suturing the fingernail back onto the nail bed versus simply covering the nail bed with a non-adherent dressing after repair of a nail bed injury, there was no statistically significant difference in infection rate or cosmetic outcome. Am J Hematol. 2023 Apr;98(4):620-627.

Sepsis 55

Sepsis Emergency Department Pediatrics Academics 55

EMDocs

SEPTEMBER 15, 2023

1: How to Spot Ischemia in RBBB Patients Spoon Feed In non-ischemic right bundle branch block (RBBB) ECGs, we expect discordant ST depression and T wave inversions in leads V1-V3. The post Journal Feed Weekly Wrap-Up appeared first on emDOCs.net - Emergency Medicine Education. Ann Emerg Med. 2023 Aug;82(2):219-221. 2022.12.006. #2:

Pediatrics 60

Pediatrics Emergency Department Resuscitation EMS 60

EMDocs

JULY 8, 2023

1: DEVICE RCT – VL vs DL for Critically Ill Adults Spoon Feed Video laryngoscopy (VL) was associated with higher rates of first attempt intubation success compared to direct laryngoscopy (DL) for critically ill patients in the ICU and ED. The post Journal Feed Weekly Wrap-Up appeared first on emDOCs.net - Emergency Medicine Education.

Pediatrics 65

Pediatrics 65

EMDocs

AUGUST 5, 2023

Spoon Feed A full-body CT protocol in resuscitated adults with out of hospital cardiac arrest (OHCA) more often – and more quickly – found the cause of arrest than standard of care CT but did not improve neurologically intact survival. Originally published at JournalFeed , a site that provides daily or weekly literature updates.

Resuscitation 62

Resuscitation Outcomes Hospitals 62

EMDocs

MAY 27, 2023

1: And the Best Shoulder Reduction Award Goes to… Spoon Feed This meta-analysis found Boss-Holzach-Matter/Davos and FARES had the most favorable value for success rates, while both FARES and modified external rotation were more favorable in reduction times. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1:

Dislocations 56

Dislocations Stroke Operations 56

EMDocs

AUGUST 19, 2023

Spoon Feed This multi-center, double-blinded, non-inferiority trial found that short-course antimicrobial therapy had relatively low treatment failure rates compared to standard-course in children diagnosed with UTI who showed clinical improvement after 5 days of antibiotics. 1: SCOUT RCT | 5 or 10-day Treatment for Pediatric UTI?

Pediatrics 59

Pediatrics Research 59

Science Based Medicine

SEPTEMBER 29, 2023

Last week I had the pleasure of sitting down with Ruth Harpur from the Infant Feeding Alliance for a nice chat about problems with aggressive breastfeeding promotion. The post A Nice Chat with The Infant Feeding Alliance on Breastfeeding Promotion Pitfalls first appeared on Science-Based Medicine.

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University of Maryland CC Project

JULY 4, 2022

search in the Department of anesthesiology and Perioperative Medicine at Tufts University School of Medicine, presents a lecture entitled "Feeding in the ICU: Macronutrients, Micronutrients, and Nutraceutical Immunomodlators" as part of the Critical Care Grand Rounds Dr. Sadeq Quaraisha, MD, MHA, MMSc, Associate Professor of Anesthesiology and Vice (..)

Research 40

Research 40

JournalFeed

MAY 18, 2024

Wednesday Spoon Feed: Serious bacterial infections were exceedingly rare in this study of recently immunized infants 6-12 weeks presenting to the emergency department with a fever. For access to more, please visit JournalFeed.org for details about becoming a member.

Emergency Department 52

Emergency Department 52

JournalFeed

MAY 11, 2024

Tuesday Spoon Feed : Utilizing oxygen, rather than room air, for patients with intermediate-risk acute PE may be helpful even if patients are not hypoxemic. For access to more, please visit JournalFeed.org for details about becoming a member. We’ll need a study (but not this one), for further information.

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Sensible Medicine

JANUARY 19, 2024

Recently on Twitter, I said something about breast feeding and my feed exploded. It's completely reasonable to *gently* encourage breast feeding, and teach (not guilt) new mothers to do it. Breast feeding is not all or nothing. There is a huge continuum from 100% breast to 100% bottle feeding.

OB/GYN 61

OB/GYN Outcomes Hospitals 61

Science Based Medicine

OCTOBER 11, 2023

The New York Times and Ted Kaptchuk feed into more confusion about placebo effects. The post Placebo Effect Revisited first appeared on Science-Based Medicine.

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127

JournalFeed

APRIL 27, 2024

Monday Spoon Feed: In a controlled hypoxemia study, pulse oximetry was falsely elevated in subjects with darker skin pigmentation and low perfusion. For access to more, please visit JournalFeed.org for details about becoming a member.

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JournalFeed

MAY 4, 2024

Monday Spoon Feed : The HOT-COVID RCT found that hypoxemic COVID-19 patients in the ICU benefitted from a lower oxygenation target (PaO2 60 mm Hg) by having more days without life support than those who had a higher oxygenation target (PaO2 goal 90 mm Hg). For access to more, please visit JournalFeed.org for details about becoming a member.

Documentation/Coding 52

Documentation/Coding EKG/ECG 52

Science Based Medicine

NOVEMBER 20, 2023

The BMJ, once a bastion of evidence-based medicine, has become disturbingly susceptible to publishing biased "investigations" that feed antivax narratives.

CDC 136

CDC 136

JournalFeed

APRIL 13, 2024

Wednesday Spoon Feed : This external validation compared the 2023 Duke-International Society for Cardiovascular Infectious Diseases Diagnostic (ISCVID) Criteria against various other criteria for diagnosing infective endocarditis (IE) and found the 2023 Duke-ISCVID Criteria had the best test characteristics.

Infectious Diseases 52

Infectious Diseases 52

JournalFeed

MARCH 21, 2020

We cover an authoritative COVID-19 Spoon-Feed, emergency cancer care, why unblinded studies may not be all bad, topical lidocaine for pediatric oral ulcers, and permissive hypotension in the elderly. Special thanks to Lara Fesdekjian for writing theme music.

Pediatrics 52

Pediatrics 52

JournalFeed

MARCH 30, 2024

Monday Spoon Feed: Using online telemedicine platforms, the authors found that it was appallingly easy to rapidly obtain inappropriate antibiotic prescriptions for symptoms of viral URIs by paying a nominal fee. The JournalFeed podcast: These are summaries from just 2 of the 5 articles we cover every week!

Telemedicine 52

Telemedicine 52

PulmCCM

JULY 31, 2023

Read in JAMA Should we feed critically ill patients less? Patients were receiving high-dose norepinephrine (median 0.5 μg/kg/min, or 35 mcg/min for a 70 kg person) and enteral feedings were started and advanced without regard to the vasopressor dose. Usual practice in the U.S.

Shock 98

Shock Documentation/Coding Outcomes Wellness 98

JournalFeed

MARCH 23, 2024

Tuesday Spoon Feed: This Bayesian network meta-analysis of RCTs indirectly compares hydrocortisone + fludrocortisone to hydrocortisone alone or placebo in septic shock and finds superiority with the combination regimen. For access to more, please visit JournalFeed.org for details about becoming a member.

Sepsis 52

Sepsis Shock Research 52

First 10 EM

APRIL 8, 2024

One of the downsides of subscribing to more than 50 journal feeds is the huge number of interesting papers that I flag for later, but never find time to fully appraise. Time for another edition of the ‘old article dump’.

Research 66

Research EMS 66

JournalFeed

MARCH 16, 2024

Friday Spoon Feed: A Bayesian meta-analysis found an 83.2% The JournalFeed podcast for the week of March 11-15, 2024. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. 2024 Feb 21;28(1):57. doi: 10.1186/s13054-024-04830-5.

CPR 52

CPR Resuscitation Hospitals Outcomes 52

JournalFeed

JANUARY 20, 2024

Monday Spoon Feed: This expert opinion piece recommends consideration of nonoperative antibiotic treatment for select cases of uncomplicated acute appendicitis. Friday Spoon Feed: Ever tried having your patient drink Coca-Cola to relieve an esophageal food bolus?

Wellness 52

Wellness 52

JournalFeed

FEBRUARY 17, 2024

Tuesday Spoon Feed: Trauma patients who were resuscitated with whole blood compared to component therapy had improved 24-hour mortality and a decrease in the total amount of blood products needed for resuscitation. The JournalFeed podcast for the week of Feb 12-16, 2024. These are summaries from just 2 of the 5 article we cover every week!

Blood Transfusions 52

Blood Transfusions Resuscitation Hospitals 52

JournalFeed

FEBRUARY 10, 2024

Tuesday Spoon Feed: A prospective study by the PERT Consortium found an in-hospital mortality rate of 20% in patients with high-risk PE. Wednesday Spoon Feed: Mortality in patients with high-risk pulmonary embolism (PE) in the United States increased over the last decade.

Hospitals 52

Hospitals 52

JournalFeed

JANUARY 27, 2024

Monday Spoon Feed: Chair placement near the bedside is a simple intervention that increased the likelihood of physician sitting during patient encounters and yielded higher patient scores in satisfaction and communication. For access to more, please visit JournalFeed.org for details about becoming a member.

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