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- Dr. Anna Yaffee: 52 in 52: Chemical Restraint — 2 comments
- 52 in 52: Airway Assessment Score — 1 comment
Anna Yaffee
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Sep 18
Dr. Anna Yaffee 52 in 52: Omeprazole in GI Bleed
Lau JY et al. 2007. Omeprazole before endoscopy in patients with gastrointestinal bleeding. NEJM. 356:1631-40. Take home points: 638 patients with upper GI bleed undergoing endoscopy were randomized to receive omeprazole vs placebo. The patients who received omeprazole prior to endoscopy had less need for intervention during endoscopy, fewer actively bleeding ulcers. A higher percentage …
Aug 29
Anna Yaffee 52 in 52: Two Brief Articles on Ureteral Calculi
Coll, Deirdre M, Michael J Varanelli, and Robert C Smith. “Relationship of spontaneous passage of ureteral calculi to stone size and location as revealed by unenhanced helical CT.” American Journal Of Roentgenology 178.1 (2002) : 1644. Take Home Points: Spontaneous passage rate of ureteral calculi varies depending on size and location Size: 87% of stones 1mm in …
Aug 21
Dr. Anna Yaffee: 52 in 52: Chemical Restraint
Anna Yaffee Recent articles 52 in 52: Nobay et al. 2004. A prospective, double-blind, randomized trial of midazolam vs haloperidol vs lorazepam in the chemical restraint of violent and severely agitated patients. Acad Emerg Med. 11(7): 744-749. Take home point: In this double-blind, randomized trial of 111 violent and severely agitated patients in a county …
Aug 13
52 in 52: Airway Assessment Score
In preparation for airway simulation lab, we read: Reed MJ, Dunn MJG, McKeown DW. 2005. Can an airway assessment score predict difficulty at intubation in the emergency department? Emerg Med J. 22(2):99-102. Take home points: LEMON criteria: (L- Look externally for characteristics known to cause difficulty; E- Evaluate the 3-3-2 rule; M- Mallampati; O- Obstruction; …
Jul 02
52 in 52: Preoxygenation
Today we read and discussed a landmark article on preoxygenation: Weingart SD, Levitan RM. 2012. Preoxygenation and prevention of desaturation during emergency airway management. Ann Emerg Med. 59(3):165-75.e1. Take home points: Preoxygenation increases length of time for “safe apnea” (SpO2 >88-90%) Positioning is important- use 20-degree head-up or reverse Trendelenberg during preoxygenation; position patient’s head …