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Initiation of tramadol therapy is associated with increased risk of hospitalization for hypoglycemia compared with codeine treatment, according to a case-control study in JAMA Internal Medicine. Using U.K. prescription and hospital databases, researchers identified over 330,000 adults who began treatment with oral tramadol or codeine for noncancer pain between 1998 and 2012. They then matched […]
Read MorePublished in Emerg Med J 2014 Nov 12 Authors: Wimalasena YH et al. Hypoxia occurred in 15% of patients and poor glottic view was the only predictor. To determine the incidence of peri-intubation complications in a physician-staffed Scottish aeromedical transport system, researchers retrospectively analyzed emergent rapid-sequence intubations performed between 2008 and 2012. Of 208 intubations, […]
Read MorePublished in Can J Anaesth 2014 Dec 61:1075 Authors: Zamora J et al. Yes, and it’s all in the grip. Direct laryngoscopy is a complex skill that requires both practice and proper instruction to master; however, specific teaching on handle grip and angle varies. A handle angle of 45° from horizontal is commonly taught as […]
Read MorePublished in N Engl J Med 2014 Dec 10 Authors: Skolnick BE et al. Two well-conducted studies show that it is not. Traumatic brain injury (TBI) is a major cause of mortality and morbidity with large indirect and direct costs to society. TBI was the first neurological disease for which progesterone administration was studied. Many […]
Read MoreThis is for our providers who treat chronic pain. Published in Ann Emerg Med 2014 Dec 17 Authors: Hoppe JA et al. Patients filling opioid prescriptions from an emergency department visit for pain are nearly twice as likely to receive future opioid prescriptions as patients not prescribed opioids at the visit. To elucidate the patterns […]
Read MorePublished in J Trauma Acute Care Surg 2015 Jan 78:22 Authors: Neff LP et al. Children who received >40 mL/kg of total blood products within 24 hours were at increased risk for death. To define massive transfusion for the pediatric population and thus aid future development of pediatric-specific trauma resuscitation protocols, investigators retrospectively reviewed outcomes […]
Read MoreThis is for our chronic pain providers. Published in Ann Intern Med 2014 Nov 4; 161:639 Authors: Griebeler ML et al. Randomized trials are plentiful, but the evidence as a whole has substantial limitations. A new systematic review and network meta-analysis of drug therapies for painful diabetic neuropathy has been published. The reviewers discovered 65 […]
Read MoreI thought this was interesting so I wanted to share it with our readers and providers. By JENNIFER LEVITZ and JON KAMP in Feb 27 Wall Street Journal UnitedHealth to require doctors to get authorization before performing most types of procedure; decision marks another blow to laparoscopic power morcellator, which can spread hidden cancer Many […]
Read MoreUpdated best practice recommendations for the emergency treatment of acute-onset, severe hypertension during pregnancy and the postpartum period include the addition of nifedipine as a first-line therapy. In an updated opinion published in the February issue ofObstetrics & Gynecology, the American College of Obstetricians and Gynecologists Committee on Obstetric Practice reports that studies of the oral dihydropyridine […]
Read MorePublished in Medicine: January 2015 – Volume 94 – Issue 2 – page 273 Authors: Kim, Won Ho MD et al Abbreviations: AKI = acute kidney injury, BMI = body-mass index, CPB = cardiopulmonary bypass, DHCA = deep hypothermic circulatory arrest, eGFR = estimated glomerular filtration rate, FFP = fresh frozen plasma, LVEF = left […]
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