5 Minute Journal: Too Much Sugar – what to do about it? Anything at all?
Author: Dr. Nupur Shah
Article: Comparison of Two Glycemic Discharge Goals in ED Pts with Hyperglycemia, a randomized trial.
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5 Minute Journal: Belly Babies: Pediatric Blunt Trauma Decisions
Author: Dr. Shayna Adams Background: The paper validates a prediction rule that aims to identify kiddos with intra-abdominal injuries after blunt trauma. The prediction rule was derived from a previous study that…
5 Minute Journal: Migraine Cocktail — over IV fluids or neat?
Author: Dr. Calloway Pichette Article: IV Fluids for the treatment of Emergency Department patients with migraine headache: a randomized controlled trial Background: Headache, a common complaint in the ED. Many…
5 Minute Journal: BNP & Clinical Judgment in Diagnosing Heart Failure
Author: Dr. William McDowell
Background
- This blog posts looks at the article “B-Type Natriuretic Peptide and Clinical Judgment in Emergency Diagnosis of Heart Failure” (2002)
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5 Minute Journal: Central Line Placement
Author: Lauran Wirfs
Background:
Central venous access is an important procedure for critically ill patients. One consideration when placing a venous catheter is the risk of catheter-related bloodstream infections (CRBIs), which can be a significant cause of morbidity and mortality in hospitalized patients. In 2012, there were 15 million central venous catheter (CVC) days per year in the US in ICUs, and the rate of infections per catheter days is 3/1000. This post looks at a systematic review done by Marik et. al. that examines CRBIs among internal jugular, subclavian, and femoral central venous sites.
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5 Minute Journal: San Francisco Syncope Rule
Background: About 1 to 2% of ER visits deal with Syncope. Most of these are vaso-vagal episodes that do not require more work up. But, beside the obvious slam dunk:…
5 Minute Journal: Canadian C-Spine
Author: Dr. Keya Patel
Background
Each year, more than 1 million patients are treated in the emergency department for blunt trauma and potential C-spine injury. Cervical CT remains the mainstay of imaging in assessing for injury. Here, we review the Canadian C-spine Rule in determining the need for advanced imaging such as CT.
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5 Minute Journal: Kocher Criteria for Septic Arthritis
This week’s 5-minute Journal Article discussion covered
“Validation of a Clinical Prediction Rule for the Differentiation Between Septic Arthritis and Transient Synovitis of the Hip in Children” by Kocher et al.
Why is it important to differentiate between septic arthritis and transient synovitis in pediatric patients? Because both diseases can present similarly with acute onset of pain, fever, limp or inability to bear weight and patients holding their hip in the flexed, abducted, externally rotated (FABER) position. The difference is transient synovitis is exactly that, transient, while septic arthritis can lead to permanent joint damage and disability if not treated aggressively with surgical intervention and IV antibiotics.
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5 Minute Journal: Diagnosing Heart Failure
We can all recall learning about the NYHA classification, and being taught to ask about our CHF ” greatest hits”: orthopnea, dyspnea on exertion, number of pillows (my favorite question), worsening edema, etc., but how does this stack up in the literature?
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