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Is Antibiotic Prophylaxis Necessary for Anterio...

Clinical Takeaway Routine prophylactic antibiotics are not necessary for patients receiving anterior nasal packing for spontaneous epistaxis in the ED. This large study supports antibiotic stewardship and recommends against routine...

Comparing HINTS Exam, TriAGe+ Score, and ABCD2 ...

HINTS is the best exclusion tool but requires clinical expertise in performing the exam reliably. TriAGe+ is highly specific and can be a practical tool in busy ED settings. ABCD2...

Can Intubate, Cannot Ventilate: A Proposed Algo...

The CICV scenario is a critical emergency that requires a structured approach. Key principles: Rule out equipment failure and airway obstruction before diagnosing medical causes of ventilatory failure. The proposed...

The Utility of Initial Lactate for the Quick Se...

LqSOFA demonstrates stronger predictive performance than qSOFA, particularly for mortality. While qSOFA remains more specific, LqSOFA's higher sensitivity makes it more useful for early identification of high-risk septic patients. Future...

Highly Pathogenic Avian Influenza A(H5N1) Virus...

A(H5N1) infections in the U.S. have primarily caused mild illness, mostly conjunctivitis, in adults exposed to infected animals. No evidence of human-to-human transmission was found. PPE use was suboptimal, highlighting...

Treatment of Headache Reduces Blood Pressure Am...

Most patients with migraine and elevated BP experience BP improvement after headache treatment, without needing additional anti-hypertensive medication. Patients without diagnosed hypertension are more likely to have BP reduction associated...