JAMA recently published a randomized controlled trial evaluating the treatment of peripheral vertigo using three arms: sodium bicarbonate, diphenhydramine, and their combination. The study concluded that combination therapy provided superior outcomes compared to either agent alone. Exclusion Criteria were: Refusal to participate, Pregnancy, Prior use of antivertigo medication, Symptom duration > 24 hours, Heart failure, […]
Continue ReadingThe threshold for D-dimer remains an important topic in emergency medicine, critical care, and pulmonology. Emerging evidence, particularly from the 4-Level Pulmonary Embolism Clinical Probability Score (4PEPS) introduced by Roy et al., suggests that we may need to adjust risk stratification and corresponding D-dimer thresholds. Recent data published in The Lancet Respiratory Medicine indicate that […]
Continue ReadingWhat is the diagnostic accuracy of ECGs in hyperkalemia? Ünlü et al. conducted a study evaluating how well electrocardiogram findings detect hyperkalemia and predict clinical outcomes in the emergency department. Their results showed that ECGs perform poorly as a diagnostic tool for identifying or excluding hyperkalemia. Link to article Link to another article
Continue ReadingAnd the question is: Metoprolol vs. Diltiazem for atrial fibrillation? The more you explore this topic, the more fascinating and nuanced it becomes. When I wrote a chapter on this for Short Stay Management of Atrial Fibrillation, I initially thought we had thoroughly reviewed the evidence. However, during our later systematic review and meta-analysis, we […]
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