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Uncategorized Published - 10 March, 2015    By - Dr Clemens
Transfusion Thresholds Should Be Conservative for Patients with Septic Shock

Authors: Holst LB et al., N Engl J Med 2014 Oct 9; 371:1381 Transfusion thresholds of 7 g/dL or 9 g/dL yielded similar outcomes. Patients with septic shock are treated with early antibiotics, rapid fluid resuscitation, vasopressor/inotrope support, and blood transfusions. The Surviving Sepsis guidelines’recommendation for a transfusion hemoglobin target of 7 to 9 g/dL […]

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Uncategorized Published - 10 March, 2015    By - Dr Clemens
Overuse of Opioids for Headache Treatment in U.S. EDs

This is important for our chronic pain providers to be aware of this problem. Authors: Mazer-Amirshahi M et al., Am J Emerg Med 2014 Sep 32:1068 Nationwide, opioids were administered at 35% of ED visits for headache in 2010. Treatment of primary headache disorders (migraine, tension headache) with opioids is not recommended and is more […]

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Uncategorized Published - 9 March, 2015    By - Dr Clemens
Ultrasound Guidance Superior to Landmark Technique for Pediatric Central Line Placement

Authors: Gallagher RA et al., Acad Emerg Med 2014 Sep 21:981 Ultrasound guidance resulted in a higher success rate, with similar rates of complications. Ultrasound-guided central line placement has shown mixed results in the pediatric population. These investigators retrospectively evaluated success and complication rates of central line placement by pediatric emergency physicians with and without […]

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Uncategorized Published - 9 March, 2015    By - Dr Clemens
Guideline Compliance for Trauma Patients: Room for Improvement

This is important because we all take care of trauma patients. Authors: Shafi S et al., J Am Coll Surg 2014 Aug 219:189 In this study of five trauma centers, compliance with clinical practice guidelines varied widely, and increased compliance was associated with reduced risk for death. To determine if there is an association between […]

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Uncategorized Published - 9 March, 2015    By - Dr Clemens
Extracorporeal Life Support for Refractory Cardiac Arrest in ED Patients

Authors: Johnson NJ et al., Resuscitation 2014 Sep 6; A small registry study adds to the growing body of literature showing feasibility of ECLS. Extracorporeal life support (ECLS) has been used as a rescue strategy for patients who do not respond to standard resuscitation. Investigators report outcomes for 26 adults who received ECLS for out-of-hospital, […]

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