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Verdicts from our biggest study reviews of 2024 Dec 20, 2024

We look at:

  1. The DEVICE Trial
  2. The CAPE COD Trial
  3. Management of Cardiogenic Shock in Elderly Patients
  4. Magnesium in Atrial Fibrillation: 4 Trials
  5. Pad...
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Lignocaine vs Amiodarone for In-Hospital Cardiac Arrests Dec 16, 2024

 

Amiodarone has been the first line therapy for VT/VF since 2000. At that time it replaced Lidocaine as the drug of choice, in the...

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The SHED Trial for SAH in ED Dec 08, 2024

 

Acute headache acounts for up to 2% of Emergency Department presentations, with up to 10% of those patients having a serious cause for their...

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Non-Invasive Workup of Suspected PE in Pregnancy Dec 04, 2024

This study looked at the safety and efficiency of non-invasive diagnostic approaches in pregnant patients suspected of having a pulmonary...

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Does Paralysis-first in RSI, decrease first-pass failure rates? Nov 22, 2024

 

Bottom Line

In this large single-center retrospective study, there was a reduced risk of first pass failure when paralytic agents were...

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PARAMEDIC-3 Trial: Drug Route in OHCA Nov 07, 2024

In response to the uncertainty of which route is better for drug administration in Out-of-Hospital Cardiac Arrest (OHCA) ie., intraosseous (I/O)...

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Papercut: I/O vs IV Access in OHCA Nov 07, 2024

 

This study looked at the use of intraosseous (I/O) versus intravenous (IV) routes for drug administration in out-of-hospital cardiac arrest...

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VL vs DL for intubating Neonates Nov 07, 2024

This trial looked at "whether indirect laryngoscopy with a video laryngoscope would result in increased success on the first attempt at urgent oral...

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Does Induction Agent Choice Affect post intubation hypotension? Nov 02, 2024

Rapid sequence intubation can be associated with peri or post intubation hypotension and in a small group of patients, cardiac arrest. In the...

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Mastery: The New PECARN C-Spine Rule: Interview with a PEM Physician Nov 02, 2024

Cervical spine injuries in children are uncommon and radiation risk from CT scans can be significant. We don’t have specific paediatric...

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Does reduced dose induction agent affect post intubation hypotension? Oct 26, 2024

Post Intubation hypotension has been linked to induction agents, although the studies for this are few. It is moreso related to age and Shock...

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Papercut: The DEFI 2022 Study Sep 24, 2024

There is a significant difference in Out of Hospital Cardiac Arrest (OHCA) survival, in the order of 10 to 20 times, between non-shockable(2%...

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Does IM Adrenaline improve survival in OHCA? Sep 08, 2024

Adrenaline is recommended for all cardiac arrests not due to shockable rhythms and is associated with increased survival, especially if given...

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Impact of time to Defibrillation on ROSC Sep 05, 2024

The rates of Pulseless Electrical Activity (PEA) in out of hospital cardiac arrests (OHCA) is rising, however survival from PEA is low. The...

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The PROFUNDUS Study Aug 28, 2024

A 62 yo patient with a previously diagnosed spontaneous coronary artery dissection (SCAD) presents with sudden onset 10/10 central severe chest...

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Otitis Media: Antibiotics or Not? Aug 22, 2024

We're back to an old question of should we give antibiotics for otitis media? The factors always being weighed up have been around the benefit...

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A Clinical Risk Score for Vertigo Aug 14, 2024

The patient with vertigo can be a clinical challenge. Patients may describe their symptoms as vertigo, or the room spinning, or dizziness, or a...

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Elderly Patients with low Energy Blunt Trauma: Head CT? Aug 12, 2024

Here's a case I have presented to me frequently. The resident presents the case of a 78 yo who had a mechanical fall at home. The patient may or...

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D-dimer to rule out Acute Aortic Syndrome Aug 07, 2024

Patients with acute aortic syndrome, may be very difficult to diagnose. Patients who present with textbook ripping severe chest pain and...

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Is Presyncope as Serious as Syncope? Aug 01, 2024

Syncope has three components:

  1. Loss of consciousness
  2. Loss of postural tone and
  3. Return to baseline

Patients with syncope comprise about 1% of all...

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D-Dimer only testing for PE Jul 23, 2024

Here is a common scenario: The resident presents a case of a 58 yo patient who has presented with shortness of breath. They go over the...

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Zero Point Survey Jul 23, 2024

The 'zero-point survey' is the pre-primary survey. It is about preparing self, the team, the environment and the equipment. It is a 'cognitive...

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The ARREST Trial Jul 23, 2024

Survival from out of hospital cardiac arrest varies from region to region. This makers sense as it depends on resources, such as medical and...

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Femoral Artery Ultrasound in Cardiac Arrest Jul 23, 2024

Cohen AL et al. Femoral artery Doppler ultrasound is more accurate than manual palpation for pulse detection in cardiac arrest. Resuscitation...

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