DW

Risk for recurrent VTE in patients with subsegmental PE managed without anticoagulation- A prospective study

6/6/2022

Brian Doyle

Modern imaging technologies have put a virtual microscope into the human body and can find smaller and less significant disease. Our treatment of these conditions often falls under old recommendations meant for more substantial illness. Can treatment of mild disease result in more harm than benefit?

Single dose phenobarbital for the outpatient treatment of alcohol withdrawal... interesting

6/6/2022

Brian Doyle

Phenobarbital has some ideal properties for the treatment of alcohol withdrawal. In particular, it has a long half life (about 100 hours) allowing for a single dose without the requirement for prescriptions.

Risk of delayed intracranial hemorrhage after an initial negative CT in patients on DOACs with mild traumatic brain injury

6/6/2022

Brian Doyle

To identify delayed hemorrhage, some clinicians will repeat a head CT in patients on NOAC’s with mild traumatic brain injury (TBI) after the initial head CT is negative.

How common is delayed hemorrhage with DOAC’s?

Nonoperative or Surgical Treatment of Acute Achilles’ Tendon Rupture

6/6/2022

Brian Doyle

Why do emergency clinicians need to know about this paper? Afterall, we will not be making treatment decisions about to operate or not…

Two reasons.

Dexamethasone in hospitalized patients with COVID-19

3/6/2022

Brian Doyle

Prior to the publication of this study, there was quite a lot of debate about the efficacy of dexamethasone for hospitalized patients with COVID. But not now…

The erector spinae plane block for acute pain management in ED patients with rib fractures

3/6/2022

Brian Doyle

The erector spinae plane block provides analgesia for rib fractures. It is similar to 3 in 1 blocks that we are comfortable performing for femoral neck fractures. It requires ultrasound guidance and high volume (30-40ml) of dilute anesthetic to allow the medication to spread below a fascial plane.

Rapid agitation control with ketamine in the ED: A Randomized Controlled Trial

3/6/2022

Brian Doyle

Agitated patient tearing apart the ED...? Which IM medication do you give?

These authors from a single ED in Vancouver randomized patients to either ketamine 5mg/kg IM vs. midazolam 5mg plus haloperidol 5mg IM.

Association of IV Contrast with Renal Function- A Regression Discontinuity Analysis

3/6/2022

Brian Doyle

IV Contrast has been around for decades. How come we still do not know whether its causes renal damage!

Well, today is your lucky day…

Cannabinoid hyperemesis syndrome: A 6-year audit of adult presentations to a single ED in Melbourne

3/6/2022

Brian Doyle

I'll preface everything by stating this paper is not high science.

Sorry…

These authors performed a retrospective chart review on adult patients who they thought had cannabinoid hyperemesis syndrome (CHS) in their single ED in northern Melbourne.

Point-of-Care hip ultrasound leads to expedited results in ED patients with suspected septic arthritis

20/10/2021

B Doyle

The title tells it all; if you do something yourself, it happens faster. Case closed...
But perhaps there is a little more we can learn from this paper.

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