Although not from our annals, here is the SR/MA which includes the trinity of trials published recently on EGDT. It is worth reading puts the data together from Rivers to Promise nicely.
Putting the EGDT trials together…
Category: From Our Annals
Kids, Head Trauma and Vomiting
I will often dump on the use of secondary analysis to drive clinical practice but studying children with trauma is not easy, so you have to take the data from where you can. From the PECARN group they went back…
“I felt like I was going to pass out”
Presyncope is a poorly studied symptom. Often practitioners dismiss it or treat it like a full syncopal event, but until recently what the risks are in this population of patients in the ER was not well known. Do you want to…
TXA is not just for trauma, maybe…
This one comes not from our annals but it is interesting. Patients with UGIB can be very unstable and getting control of that bleeding is a key factor in keeping them alive. Here is a SR that provides evidence that…
Mg in severe asthma does it make a difference compared to placebo?
This one is not from our annals but it is the best study on the use of Mg in severe asthma exacerbations. Thankfully most asthmatics with sever exacerbations do not die or get intubated but they often get admitted, does…
Early NIPPV, good for every patient ‘that be short’…
We love NIPPV for APE but does it make a difference in clinical outcomes for all comers with acute dyspnea? Find out here.
packed epistaxis and toxic shock syndrome, is it a vagina?
That anterior epistaxis had to be packed and you did what you were told and gave the Abx. Did you help or harm that patient by giving the meds? Let us see what the data in the big world says….
Minor Head Injury in kids, which rule rules…
Do you take care of kids with possible head injuries? Do you use the PECARN clinical decision aid when you do? Should you be using the the PECARN clinical decision aid when you do? It has never been externally validated, until now. Find…