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POC Tests LOS | ORANGES RCT | Risk of Death COVID-19 | Neuro Changes COVID-19 | IV Fluid Headache

JournalFeed

Here is the JournalFeed Podcast for the week of August 10-14, 2020. We cover the impact of point-of-care testing on length of stay, the ORANGES RCT, risk factors for death from COVID-19, neurological manifestations of COVID-19, and IV fluid for headache.

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Waiting Room Medicine: The Ethical Conundrum

ACEP Now

A 2020 scoping review reported 38 interventions to improve patient care. Other interventions have included expanded point-of-care testing, frequent vitals, ED observation units, computerized clinical support systems, and activation of additional services such as scribes, mental health providers, and pharmacists.

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Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

The patient was tremulous and severely hypoglycemic by point-of-care testing. The November 10, 2020 post — for PTA. The October 17, 2020 post — for a 70-year old woman with " Artifactual VT ". They described the chest pain as severe, crushing, and non-radiating. It was not worse with exertion or relieved by rest.

EKG/ECG 65
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Diagnostics: Inflammatory Markers

Taming the SRU

Pneumonia A 2020 meta-analysis of 8 studies including 2,215 adults with confirmed community acquired pneumonia in different settings found PCT with a cutoff of 0.5 2020 Nov 20;99(47):e23315. Diagnostic accuracy of point-of-care tests in acute community-acquired lower respiratory tract infections. J Med Virol.

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You don’t need labs or CT scans in children who have recovered after a simple febrile or first time seizure

PEMBlog

The sodium, calcium, and potassium can be checked in settings with access to rapid point-of-care testing. Reaffirmed October 17, 2020 Riviello JJ Jr, Ashwal S, Hirtz D, et al; American Academy of Neurology Subcommittee; Practice Committee of the Child Neurology Society. 2000; 55(5):616-623.

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Antibiotics in the paediatric emergency department

Don't Forget the Bubbles

However, results may take some time and, as such, rapid point-of-care tests are increasingly used. 2020 May;10(5):e035343. 2020 Nov 18;m4238. Efficacy and safety of rapid tests to guide antibiotic prescriptions for sore throat. 2020 Jun 4 [cited 2022 Dec 28];2020(6). 2020 May;220:132-138.e2.