Category: Recent Articles

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 …

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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 …

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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 …

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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; …

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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 …

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EM Journal Club: Rapid Blood-Pressure Lowering in Patients with Acute Intracerebral Hemorrhage

EM Journal Club Reviewer: Jason Holmes Article  Rapid Blood-Pressure Lowering in Patients with Acute Intracerebral Hemorrhage Craig S. Anderson, M.D., Ph.D., Emma Heeley, Ph.D., Yining Huang, M.D., Jiguang Wang, M.D., Christian Stapf, M.D., Candice Delcourt, M.D., Richard Lindley, M.D., Thompson Robinson, M.D., Pablo Lavados, M.D., M.P.H., Bruce Neal, M.D., Ph.D., Jun Hata, M.D., Ph.D., Hisatomi …

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IV Contrast Myths

Credit to Dr Todd Taylor for finding the article and sharing on the ED Listserv. Article by Anand Swaminathan   Main take-away points: shellfish allergies do not crossover to IV contrast – we shouldn’t even be asking this question pretreatment only helps hives, no statistical significance for major complications interesting discussion between anaphylactic reactions (mast cell …

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Quiz of the Day

[WpProQuiz 2]