Sep 29, 2021
Contributor: Nick Tsipis, MD
Educational Pearls:
- Fluid choice may have an impact on outcomes in resuscitation, and a meta-analysis has relevant insight into their use in sepsis and trauma patients
- Large volume normal saline fluid resuscitation in sepsis is associated with acute kidney injury and metabolic acidosis...
Sep 27, 2021
Contributor: Nick Hatch, MD
Educational Pearls:
- High flow nasal cannula (HFNC) or “heated high flow” can deliver higher oxygen levels than nasal cannula
- It typically is used as an “intermediate” between oxygen via nasal cannula and other non-invasive positive pressure devices, such as BiPAP
- Can modify both the...
Sep 21, 2021
Contributor: Aaron Lessen, MD
Educational Pearls:
- Randomized controlled-trial evaluated intradermal injections of sterile water to manage low back pain versus an IV NSAID
- Four intradermal injections of 0.1 cc sterile water in a square around the area of musculoskeletal pain
- Reduction of pain was 7 points with...
Sep 20, 2021
Contributor: Don Stader, MD
Educational Pearls:
- Those on chronic opioid therapy may have high tolerance to opioids and/or opioid hyperalgesia
- Ketamine is a good adjunct for pain control in patients on chronic opioid therapy
- To avoid the time constraints often required to push ketamine intravenously, it can be given...
Sep 13, 2021
Contributor: Aaron Lessen, MD
Educational Pearls:
- Retrospective cohort study in the Kaiser system looked at over 4 million patients receiving antibiotics to determine the effect of penicillin allergy prompts in the EHR on antibiotic prescribing
- Half of the sites removed prompts stating penicillin allergy and half kept...