Nov 29, 2017
Author: Nick Hatch, M.D.
Educational Pearls
- Unlike coin ingestions, button batteries can cause necrosis of the GI tract.
- If lodged in the esophagus, removal within 2 hours is important, because they can cause problems such as strictures or esophago-aortic fistula.
- If the battery is in the stomach or beyond, it may be...
Nov 27, 2017
Author: Aaron Lessen, M.D.
Educational Pearls
- A recent prospective observational study was performed to examine the safety of different sedation medications in the pediatric ED.
- This study included 6000 children, and looked at the rate of serious adverse events following administration of different sedatives.
- Overall,...
Nov 17, 2017
Author: Sam Killian, M.D.
Educational Pearls
- Difficulty with bag valve mask (BVM) ventilation can be addressed using the MOANS mnemonic.
- Mask seal, Obesity/obstruction, Age, No teeth, Sleep apnea.
- Often BVM difficulty can be addressed by an extra set...
Nov 16, 2017
Author: David Rosenberg, M.D.
Educational Pearls
- A study of 20,000 subjects found that reducing fever in sepsis did not improve outcomes such as morbidity, mortality, or length of stay.
- However, correcting fever may help for patient comfort.
References: Zhang Z, Chen L, Ni H. Antipyretic Therapy in Critically Ill...
Nov 13, 2017
Author: Chris Holmes, M.D.
Educational Pearls
- The nexus chest CT scan rule is based on an 11,000 subject, multicenter study that looked for signs following a trauma that predicted significant findings on subsequent chest CT.
- Findings that were associated with abnormal chest CT included: abnormal CXR, distracting...