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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 […]
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