An Evidence Based Approach To Opening Pressure in CSF Analysis and its Role in Idiopathic Intracranial Hypertension
Explore the evidence behind previously held beliefs regarding local anesthetic use in digital nerve blocks.
We review the recent randomized-controlled trial by Parienti et al in the New England Journal of Medicine which sought to determine the complication rate of central venous catheters (CVC) at the 3 primary sites of insertion.
Consider upgrading your Valsalva manoeuvre for supraventricular tachycardia. Don't believe it will work? Read our analysis of the REVERT trial for yourself and let us know what you think!
Coronary CT Angiography (CCTA) has shown promise in three major randomized controlled trials evaluating its safety in risk-stratifying low- to intermediate-risk patients. Additionally, CCTA-based screening was shown to increase rate of discharge directly from the ED, and decreased length of stay. The study discussed in this Journal Club Review contributes to the growing body of evidence regarding use of CCTA and its role in screening patients with lower risk chest pain.
Clinical Question: Can low-risk patients with a newly diagnosed VTE in the ED be safely discharged home?
In CT imaging for acute pulmonary embolism, what can we infer from a radiologist’s comments about the right heart in terms of risk stratification and management?
Ketamine has recently gained popularity amongst emergency physicians, and discussions about its efficacy and safety continue to shape practice in emergency medicine. Specifically in this post we will look at a recent article regarding sub-dissociative Ketamine for acute pain management in the emergency department.
Acute aortic dissection is a potentially catastrophic cardiovascular disease, and is a somewhat rare but exceedingly important diagnosis to make. A low-risk, cost-efficient diagnostic test with the ability to reliably exclude this disease would be useful. Is the D-dimer that test?