This week I learnt The SNOOP mnemonic is useful to rule out serious cause of acute headache Pain scores at triage are not associated with admission or mortality In rotator cuff shoulder pain a one of session of physio is equally effective than a long course (but no placebo control). Ebola has made (another) resurgence in the democratic republic of Congo. Unfortunately; there is no good evidence for unconditional cash transfers to treat poverty. NSTEMI treated later rather than in first few hours do very similarly to those who get to the cath lab a couple of days later.
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TWIL-2
This week I learnt A 6 hour CT is the key to ruling out Subarachnoid haemorrhage (if reported by a neuro-radiologist) It might be time to reframe “sepsis” as a part of the dying process in a significant proportion of patients. Statically broad-complex tachycardia is going to be VT. Cerebral oedema in DKA doesn’t seem to related to sodium.
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TWIL 1
This week I learnt . . . Antibiotics are no longer indicated for simple diverticulitis (NICE guidelienes from 2019), This is based on a bang up to date RCT from 2012. In major trauma, a high glucose(>11) is associated with mortality. (But not as much as age and hyperthermia). Emergency doctors and patients disagree about the presenting complaint about a third of the time. It probably makes not difference if you use Normal saline or hartmann’s/plasmaltye.
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Is shorter, lower dose amoxicillin safe in kids discharged with pneumonia in a UK setting?
MSF Blog Surprise trauma Trauma basics Trauma skills Blunt trauma Penetrating trauma Evidence reviews Compendium Cardiology Infectious disease Paediatrics Neurology Pharmacology Toxicology/electrolytes Respiratory Best of FOAM Websites Journals Podcasts Ultrasound Anaesthetics French About A review of some of the latest low-resources emergency medicine evidence Is shorter, lower dose amoxicillin safe in kids discharged with pneumonia in a UK setting? Effect of Amoxicillin Dose and Treatment Duration on the Need for Antibiotic Re-treatment in Children With Community-Acquired Pneumonia The CAP-IT Randomized Clinical Trial Julia A. Bielicki, PhD1; Wolfgang Stöhr, PhD2; Sam Barratt, MPH2; et al Aim To see if a shorter duration or lower dose of amoxicillin is non-inferior to a full 7 day course Rationale It is unclear which…
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Duration of antibiotics in Kids with community pneumonia
MSF Blog Surprise trauma Trauma basics Trauma skills Blunt trauma Penetrating trauma Evidence reviews Compendium Cardiology Infectious disease Paediatrics Neurology Pharmacology Toxicology/electrolytes Respiratory Best of FOAM Websites Journals Podcasts Ultrasound Anaesthetics French About A review of some of the latest low-resources emergency medicine evidence Antibiotic duration for presumed pneumonia in children Amoxicillin for 3 or 5 Days for Chest-Indrawing Pneumonia in Malawian Children Amy-Sarah Ginsburg, M.D., M.P.H., Tisungane Mvalo, M.M.E.D., Evangelyn Nkwopara, M.S., Eric D. McCollum, M.D., Melda Phiri, M.B., B.S., Robert Schmicker, M.S., Jun Hwang, M.S., Chifundo B. Ndamala, Dip., Ajib Phiri, M.D., Norman Lufesi, M.Phil., and Susanne May, Ph.D. Aim To see if 3 day course of amoxicillin is non-inferior to a 5 day course of amoxicillin for…