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Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

Plint, 2006. No formal follow up was scheduled Outcomes were: effectiveness, parental satisfaction, and economic benefits The majority of children wore their braces as directed (94%)There was no re-fractureAll parents were happy with the treatment (100%) and felt comfortable removing the brace (100%). West, 2005.

Fractures 286
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The Modified Valsalva Maneuver: Practical Treatment or Pointless Trick?

RebelEM

The primary outcomes are patient-centered and objectively measured, potentially ensuring relevance and reliability. The unblinded nature of the study could influence outcomes due to observer bias. Employing P-values to compare demographics between groups could mislead interpretations of the data’s relevance to the primary outcomes.

Outcomes 132
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Perichondritis of the Ear in Children

Pediatric EM Morsels

Infections there become complicated very quickly and the outcomes can be very poor. 2006 Dec;22(12):804-6. Inpatient Vs Outpatient Therapy No standard approach… but… here is what I say: “ Always Fear Infections in the Hands, Feet, or Face.” ” Those areas have very important and delicate structures.

Burns 130
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The US FDA's cancer drug approval process is broken and needs audit

Sensible Medicine

In the latest project from our team , led by medical student Josh Elbaz, we examine how many FDA approvals from 2006 to 2023 improve survival. COVID19 vaccines have never shown benefit with respect to clinical outcomes among people who already had COVID. Note the time from safety alert to withdrawal, and when the data was generated.

Poisoning 128
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Intensive blood glucose control in the ICU is not helpful (TGC-FAST trial)

PulmCCM

Hyperglycemia is associated with worse outcomes in the ICU (and in medical patients generally), so correcting it must improve outcomes … right?

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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

A retrospective cohort analysis of the ED portion of the National Hospital Ambulatory Medical Care Survey from 2006 to 2009 in the US revealed that less than one-half of patients undergoing ETI in the ED received sedative drugs while in the ED. This could be due to paralysis of the muscles which protect the upper airway. DOI: 10.1097/ANA.0000000000000275

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SGEM#409: Same as it Ever Was – Tamiflu for Influenza?

The Skeptics' Guide to EM

The Cochrane collaboration published analyses of the available data in 1999, 2003 and 2006. Safety issues popped up soon after widespread use of the drug including neuropsychiatric effects as well as the more common adverse effects of nausea and vomiting. There was a large unblinded RCT of over 3,000 patients published in the Lancet in 2020.

CDC 96