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Quick Hit Article

Prophylactic or Surveillance Splenic artery embolization

Prophylactic or Surveillance Splenic artery embolization

January 20, 2021 //  by Jesse Shriki, DO, MS RDMS FACEP//  Leave a Comment

Category: Quick Hit ArticleTag: Trauma

Is there a DIF between H2 and PPI’s in the mechanically ventilated ICU patient

Is there a DIF between H2 and PPI’s in the mechanically ventilated ICU patient

August 25, 2020 //  by Jesse Shriki, DO, MS RDMS FACEP//  Leave a Comment

Category: Quick Hit ArticleTag: GI, ICU

Only the A-E-I-O-U’s to start RRT and now we know “Y”! The Start-AKI Trial

Only the A-E-I-O-U’s to start RRT and now we know “Y”! The Start-AKI Trial

August 10, 2020 //  by Jesse Shriki, DO, MS RDMS FACEP//  Leave a Comment

In residency and med school we are always taught the indications for emergent CRRT as the mnemonic: AEIOU Acidosismetabolic acidosis with a pH < 7.1 Electrolytes hyperkalemia > 6.5 mEq/L refractory to treatment or rapidly rising levels in potassiumIngestionswith dialyzable drug, including salicylates, lithium, isopropanol, methanol, and ethylene glycol (SLIME)Overloadvolume overload that does not respond …

Category: Quick Hit ArticleTag: ICU, Renal

I CAN Drive 65?…In Shock: A Trial of MAP 60-65 in Patients 65 years or older requiring vasopressors

I CAN Drive 65?…In Shock: A Trial of MAP 60-65 in Patients 65 years or older requiring vasopressors

July 29, 2020 //  by Jesse Shriki, DO, MS RDMS FACEP//  1 Comment

Category: Quick Hit ArticleTag: ICU

Conservative vs Interventional Management of Spontaneous Primary Pneumothoracies (PSP)

Conservative vs Interventional Management of Spontaneous Primary Pneumothoracies (PSP)

July 16, 2020 //  by Jesse Shriki, DO, MS RDMS FACEP//  Leave a Comment

Category: Quick Hit ArticleTag: Emergency Medicine, Pulmonology

What No COVID? Then at Least Lets Talk Steroids- in ARDS that is…

What No COVID? Then at Least Lets Talk Steroids- in ARDS that is…

April 1, 2020 //  by Jesse Shriki, DO, MS RDMS FACEP//  Leave a Comment

Reference: Villar. Dexamethasone treatment for the acute respiratory distress syndrome: a multicentre, randomised controlled trial. Lancet Respir Med 2020; 8: 267–76. I know what you are thinking, “What gives? No COVID!” Well the two of you who read this are probably inundated with COVID info. So to give our brains a change I thought I would …

Category: Quick Hit ArticleTag: ICU, Pulmonology

Permissive Hypotension and Shock

Permissive Hypotension and Shock

March 11, 2020 //  by Jesse Shriki, DO, MS RDMS FACEP//  Leave a Comment

Category: Quick Hit Article

ESETT: A Randomized Trial of 3 AEDs for Status Epilepticus

ESETT: A Randomized Trial of 3 AEDs for Status Epilepticus

January 29, 2020 //  by Jesse Shriki, DO, MS RDMS FACEP//  Leave a Comment

Kapur, J et al. Randomized Trial of Three Anticonvulsants Medications for Status Epilepticus. NEJM 2019;381;2103-13 This was a randomized, double-blinded, national multicenter pragmatic study to determine comparative effectiveness of traditional anti-epileptic medications in status epilepticus. The purpose of this study is to see if there is a difference between levetiracetem (Keppra), fosphenytoin (Cerebyx), and valproate (Depakote) in treatment of …

Category: Quick Hit ArticleTag: Neurology

We’re Back Baby!! The Quick hit article: For ESBL, Just Say NO to PIP/TAZO

We’re Back Baby!! The Quick hit article: For ESBL, Just Say NO to PIP/TAZO

December 9, 2019 //  by Jesse Shriki, DO, MS RDMS FACEP//  Leave a Comment

Effect of Piperacillin-Tazobactam vs Meropenem on 30-Day Mortality for Patients With E coli or Klebsiella pneumoniae Bloodstream Infection and Ceftriaxone Resistance
A Randomized Clinical Trial This was a randomized, double-blinded, international multicenter pragmatic (phew! That’s a mouthful!) study to determine if piperacillin/tazobactam (pip-taz) is non-inferior to meropenem. The reason for this study is to see if …

Category: Quick Hit ArticleTag: Infectious Diseases

Quick Hit Article: Difficult vascular access: You know the drill… but do you really know the drill?

July 23, 2019 //  by Jesse Shriki, DO, MS RDMS FACEP//  Leave a Comment

Kawano et al. Intraosseous Vascular Access Is Associated With Lower Survival and Neurologic Recovery Among Patients With Out-of-Hospital Cardiac Arrest. Ann Emerg Med. 2018;71:588-596. THE BOTTOM LINE This study was a secondary analysis of a large EMS trial conducted in 7 sites in the US and Canada. This is a really interesting study that looks …

Category: Quick Hit ArticleTag: Cardiology, ICU

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