• Menu
  • Skip to primary navigation
  • Skip to content

Before Header

Header Right

Mobile Menu

RSS
Follow by Email
Facebook
fb-share-icon
Twitter
Visit Us
Follow Me
Tweet
LinkedIn
LinkedIn
Share
Instagram
  • Algorithms
  • Basics
  • Lectures and Cases
  • Quick Hit Article
  • About US
  • Favoritest Links

Quick Hit Article

QUICK HIT ARTICLE: News Flash Breathing is good for you…next up Water, Wet! “How breathing can help you make better decisions…”

July 21, 2019 //  by Jesse Shriki, DO, MS RDMS FACEP//  Leave a Comment

De Couck et al. International Journal of Psychophysiology 139 (2019) 1–9. doi: 10.1016/j.ijpsycho.2019.02.011 THE BOTTOM LINEIn this experimental study of 56 undergrad and grad students in France, utilizing specialized breathing patterns (see image below), the researchers sought to determine the effect of breathing on stressful decision making. They found that using breath patterns for 5 …

Category: Quick Hit ArticleTag: Psychology

LVAD Complications: A review

LVAD Complications: A review

May 18, 2019 //  by Jesse Shriki, DO, MS RDMS FACEP//  Leave a Comment

This is a nice little review by Dr. Long in Dallas entitled: B. Long, J. Robertson, A. Koyfman, et al., Left ventricular assist devices and their complications: A review for emergency clinicians, American Journal of Emergency Medicine, https://doi.org/10.1016/j.ajem.2019.04.050 INTRODUCTION: A ventricular assist device (VAD) can be placed into the right, left, or both ventricles thus …

Category: Quick Hit ArticleTag: Cardiology, ICU

ST segment elevation in aVR is probably NOT a STEMI…BUT, damn, are they sick!

March 21, 2019 //  by Jesse Shriki, DO, MS RDMS FACEP//  Leave a Comment

There I said it. Well Ok I’ve been saying it for a while. But say this to a room full of doctors and you might be ostracized! Well there has been mounting evidence that would argue aVR ST elevation is not an acute STEMI/ STEMI equivalent for a while now. I think this article clinches …

Category: Quick Hit ArticleTag: Cardiology

Emergency Contraception in the ED and BMI?

March 11, 2019 //  by Jesse Shriki, DO, MS RDMS FACEP//  Leave a Comment

We in the ED may sometimes be asked advice on emergency contraception (EC). The most popular one available is levonorgestrel.  The message from this quick hit article is pretty simple and serves as a simple reminder: Clinicians should counsel women with BMI ≥ 26 kg/m2 on the potential limitations of oral levonorgestrelfor EC and offer …

Category: Quick Hit ArticleTag: Obstetrics

Fill the Tank or Rev’ the Engine… WHOA, PUMP the BRAKES: Early fixed dose norepi for septic shock?

Fill the Tank or Rev’ the Engine… WHOA, PUMP the BRAKES: Early fixed dose norepi for septic shock?

March 1, 2019 //  by Jesse Shriki, DO, MS RDMS FACEP//  Leave a Comment

We all know hypotension is bad. But should we fill with fluids or rev up the heart with pressors. This begs the question does early norepi help prevent hypotension and mortality? Today’s quick hit article: Permpikul C, et al. Early Use of Norepinephrine in Septic Shock Resuscitation (CENSER) : A Randomized Trial. Am J Respir Crit Care Med. 2019 Feb 1. doi: 10.1164/rccm.201806-1034OC. PMID 30704260. …

Category: Quick Hit ArticleTag: ICU, Infectious Diseases

Lactate for Safely Screening Sepsis?

February 19, 2019 //  by Jesse Shriki, DO, MS RDMS FACEP//  2 Comments

Fernando  et. al.  HELPFUL ONLY WHEN ELEVATED: INITIAL SERUM LACTATE IN STABLE EMERGENCY DEPARTMENT PATIENTS WITH SEPSIS IS SPECIFIC, BUT NOT SENSITIVE FOR FUTURE DETERIORATION Journal of Emergency Medicine, Vol. 54, No. 6, pp. 766–773. https://doi.org/10.1016/j.jemermed.2018.01.040  BOTTOM LINE: A lactate >4 in this prospective observational cohort study of almost 1000 patients with the “CMS” definition …

Category: Quick Hit ArticleTag: ICU, Infectious Diseases

To B (VM) or Not to B (VM) THAT is the question!

To B (VM) or Not to B (VM) THAT is the question!

February 19, 2019 //  by Jesse Shriki, DO, MS RDMS FACEP//  Leave a Comment

Source: Casey et. al. Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults. NEJM. February 18, 2019DOI: 10.1056/NEJMoa1812405 Whether ‘tis noble in the mind to suffer the slings and arrows of aspiration or by bagging end them? This is a great methodological (and probably landmark) trial by the impressive authors at Vanderbuilt et al. They have been …

Category: Quick Hit ArticleTag: ICU

Antibiotic StewardSHIP…Moveover Titanic…there’s a new failure in town.

Antibiotic StewardSHIP…Moveover Titanic…there’s a new failure in town.

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

Tamma, et al. Rethinking How Antibiotics Are Prescribed: Incorporating the 4 Moments of Antibiotic Decision Making Into Clinical Practice. JAMA. 2018 Dec 27. doi: 10.1001/jama.2018.19509. [Epub ahead of print]   BOTTOM LINE: Providers should be asking themselves: “What is the likelihood my patient has an infection and that it requires antibiotic therapy?” Those who know …

Category: Quick Hit ArticleTag: Infectious Diseases

Macrolide Resistance: Is Resistance Futile?

Macrolide Resistance: Is Resistance Futile?

January 20, 2019 //  by Jesse Shriki, DO, MS RDMS FACEP//  Leave a Comment

There hasn’t been an update to the IDSA/ATS guidelines for CAP (community acquired pneumonia) since 2007 (I keep hearing they will be out soon). These guidelines recommend
 a macrolide antibiotic as first-line therapy for previously healthy patients who have no risk factors for drug-resistant S. pneumonia (SPN) infection (strong recommendation) and a combination of a …

Category: Quick Hit ArticleTag: Infectious Diseases, Pulmonology

SUP-ICU Trial: Pantoprazole in patients at risk for Gastrointestinal Bleeding

December 23, 2018 //  by Jesse Shriki, DO, MS RDMS FACEP//  Leave a Comment

SUP-ICU Trial Kart, M. Pantoprazole in patients at risk for Gastrointestinal Bleeding in the ICU. N Engl J Med 2018;379:2199-208. Trial done in the UK. It was a multicenter, stratified, parallel group, placebo controlled blinded randomized trial.  Included pts admitted to the ICU who were 18 yo or older and had at least one risk …

Category: Quick Hit ArticleTag: GI, ICU

  • « Previous Page
  • Page 1
  • Page 2
  • Page 3
  • Page 4
  • Next Page »

Site Footer

RSS
Follow by Email
Facebook
fb-share-icon
Twitter
Visit Us
Follow Me
Tweet
LinkedIn
LinkedIn
Share
Instagram

Copyright © 2021 · All Rights Reserved · Powered by Mai Theme