Air embolism is a rare, but potentially lethal iatrogenic complication. We discuss identification and treatment in this post.
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Air Embolism
Journal Review
Macrolides and the Risk of Ventricular Dysrhythmias
When it comes to treating community acquired respiratory tract infections, macrolide antibiotics (azithromycin, clarithromycin and erythromycin) are a common choice of agent. In 2010, 57.4 million macrolide prescriptions were written in the U.S. with azithromycin being the most commonly prescribed individual antibiotic agent overall with ~51.5 million prescriptions (Hicks 2013)
With more and more patients being prescribed macrolide antibiotics,
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Core
Cerebral Venous Thrombosis
This post reviews CVT with a focus on recognition and diagnostics.
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Journal Review
Ottawa Ankle Clinical Decision Instrument Derivation Study
Prior to the creation of the Ottawa Ankle Decision Instrument, most patients presenting to the Emergency room with a complaint of acute ankle injury had ankle and or foot radiographs ordered to evaluate for fracture, even though the incidence of fracture among this population is relatively low (~ 15%). While ankle radiographs do not expose the patient to large amounts of radiation,
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Journal Review
NEXUS C-Spine Decision Instrument
Neck pain after blunt trauma is common but significant cervical spine injuries are not. An unrecognized cervical spine injury can be catastrophic as it can lead to serious neurologic disability or even death. As a result, we as clinicians are fairly liberal about performing imaging of the cervical spine after trauma. Prior to the creation of the NEXUS C-spine criteria and the Canadian C-spine criteria,
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Core
Post-Dural Puncture Headache
Here we review the post-dural puncture headache with a focus on avoidance of the complication + treatment
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Journal Review
NINDS – tPA in Ischemic Stroke
Each year, 22 million people worldwide will experience a stroke. 50% of these are ischemic strokes. For years, there were no effective treatments for these patients. As a result, the burden of ischemic stroke was enormous. Patients often experience debilitating strokes requiring round-the-clock care. Acute ischemic strokes represent the leading cause of disability in our society and the third most common cause of death.
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