Low Dose Ketamine for Analgesia
When I saw this article in Annals , I was sure that I have seen it before, but could not believe that 2 studies with almost same methods, same number of patients, and same dose of medication.
Continue ReadingMonth: March 2015
Importance of Vital Signs during Handoff
Well, I just sent an article that how important is the role of vital signs during pre-hospital or in ED assessment. Annals of EM published an article: Communication of Vital Signs at Emergency Department Handoff: Opportunities for Improvement. In a prospective observational study, authors observed 1,163
Continue ReadingPredictors of progress to septic shock among ED Patients
We were always told that Don’t underestimate triage or field vital signs! Now, we have a study that shows 25 % of patients presenting to ED with sepsis will progress to septic shock within 3 days.
Continue ReadingClindamycin Vs Bactrim foruncomplicated skin infections
NEJM published this article for antibiotic choice in uncomplicated skin infection. Patients were categorized as having cellulitis, abscess or both (if lesions of both cellulitis and abscess were present).
Continue ReadingClearance of suspected c-spine injuries in obtunded patient
Clearance of suspected c-spine injuries specifically in AMS is one of the challenging topics in trauma. How do you clear C-spine in obtunded patient? well, as you know there are 2 methods: MRI or/and Flex-ex xray.There is a new study published in Annals of Internal Medicine in March: Cervical Spine Clearance in Obtunded Patients After […]
Continue ReadingSyncope Vs Near Syncope
This is my post in 2012, Annals of Emergency Medicine published a study this month regarding same topics.
Continue ReadingEvidence Base Medicine is a challenge in clinical practice!
I highly recommend you to take a look at this article published in American Heart Journal last week(Feb, 2015). The authors identified 11 class 1A(means the best evidence) in STEMI or UA/NSTEMI and they followed them form clinical trial publication til meaningful application into clinical practice. It took 16 years for clinician to apply those evidence into practice.
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