Nebulized Lidocaine Before Nasogastric Tube Insertion in Children Causes Distress
SUMMARY AND COMMENT
This treatment is not a viable option in young children.
Reviewing:
Babl FE et al., Pediatrics 2009 Jun; 123:1548
Limited TTE: Are Patients at the Heart of the Discussion?
SUMMARY AND COMMENT
Nonradiographers can reliably perform and interpret limited TTE.
Reviewing:
Melamed R et al., Chest 2009 Jun; 135:1416
Outpatient Management of Spontaneous Pneumothorax
SUMMARY AND COMMENT
Carefully selected patients can be treated in the ED with a small-bore catheter and Heimlich valve.
Reviewing:
Hassani B et al., Acad Emerg Med 2009 Jun; 16:513
Patients’ Knowledge About CT Radiation Dose and Risk
SUMMARY AND COMMENT
More than 90% of patients do not know the radiation dose from a CT scan or that CT increases the lifetime risk for cancer.
Reviewing:
Caoili EM et al., Arch Intern Med 2009 Jun 8; 169:1069
Use of a Bougie Reduces C-Spine Movement During Intubation with the Airway Scope
SUMMARY AND COMMENT
With a bougie, intubation is possible without fully visualizing the glottis.
Reviewing:
Takenaka I et al., Anesthesiology 2009 Jun; 110:1335
Normal ECG During Chest Pain Does Not Rule Out ACS
SUMMARY AND COMMENT
Among chest pain patients with normal initial ECGs, a similar percentage had acute coronary syndrome whether the ECG was performed when chest pain was present or absent.
Reviewing:
Turnipseed SD et al., Acad Emerg Med 2009 Jun; 16:495
Use of EDs for Food and Shelter by Homeless People
SUMMARY AND COMMENT
No surprise here: Food, shelter, and safety are common reasons for ED visits by homeless people.
Reviewing:
Rodriguez RM et al., Ann Emerg Med 2009 May; 53:598
Access to Pediatric Trauma Centers
SUMMARY AND COMMENT
An estimated 17 million U.S. children younger than 15 years do not have 60-minute access to a pediatric trauma center.
Reviewing:
Nance ML et al., Arch Pediatr Adolesc Med 2009 Jun; 163:512
A Resuscitation Protocol That Minimizes Hands-Off Time Improves Survival
SUMMARY AND COMMENT
A prehospital protocol emphasizing minimal interruption of chest compressions was associated with improved survival to hospital discharge.
Reviewing:
Garza AG et al., Circulation 2009 May 19; 119:2597
Ewy GA., Circulation 2009 May 19; 119:2542
Stroke After TIA: How Likely and How Soon?
SUMMARY AND COMMENT
Risk for stroke within 24 hours after TIA was 5% in this large population-based study.
Reviewing:
Chandratheva A et al., Neurology 2009 Jun 2; 72:1941
