I recently wrote a post lamenting our lack of attention to distress in adult patients. There is so much we can do to improve the emergency department experience. I am tempted to say that we should treat our patients as we would want to be treated – a variation on […]
Evidence Based Medicine
125 posts
The management of burn blisters has always produced a lot of debate. My teaching was to leave the blisters alone, as deroofing them provides no benefit but increases pain. Recently I have noticed a push to have burns debrided. Both in Canada and New Zealand, I have had plastic surgeons […]
Until I moved to New Zealand, I honestly thought that orthostatic vitals signs were dead. I never bothered to cover the evidence, because I thought we had all agreed they were pretty useless. However, in my current hospital, the trainees seem to routinely perform orthostatics, and the admitting medicine doctors […]
Here is another collection of the articles I have found interesting in my reading from the last couple months. For this edition of the Research Roundup we have TB screening, exercise for concussion, conflict of interest, gestalt for ACS, and so much more. Podcast version over on BroomeDocs.
Clinician gestalt is one of those terms that people either love or hate. Lovers will point out how, almost every time that it is studied, gestalt is at least as accurate as validated clinical decision tools. Haters will lament the inclusion of gestalt in decision tools like the Well’s score, […]
This month, I was honoured to be invited back on Dr. Jeannette Wolfe’s incredible podcast “seX and whY”. We chatted about a couple papers that looked at sex differences in the management and outcomes of cardiac arrest and STEMI. This is a brief summary of the papers we discussed.
Here is another collection of the articles I have found interesting in my reading from the last month or so. For this edition of the Research Roundup we have status epilepticus, nocebos, the pink lady, McGyver bias, and so much more. Podcast version over on BroomeDocs.
This will be the final post this week about status epilepticus. I have long argued that our current status algorithms leave too many patients seizing for too long. I updated my suggested alternative algorithm this week and added a longer supplemental post explaining the reasons that I suggest early anesthetic […]
My approach to status epilepticus is somewhat more aggressive than commonly taught algorithms. It is summarized (overly simply) as “benzo → benzo → propofol”. There have been a number of concerns raised with this strategy recently on twitter. This post outlines the reasoning (and limited evidence) behind my seizure algorithm.