A study published in Critical Care Medicine in Jan 2015 identified nonpersistent hypotension (OR 6.2), bandemia (OR 2.6), history of coronary artery disease (OR 2.0), female gender (OR 1.6) and this lactate level as predictors for septic shock.
What is a lactate level > 4 (OR 5.3)?
100
A systematic review in the Annals of Internal Medicine in March 2015 should that MR is/is not indicated after a normal cervical CT in obtunded trauma patients (GCS < or = to 14, unreliable clinical exam, intubated)
What is not indicated?
100
According to a study in the Annals of Internal Medicine in April 2014 a diagnostic algorithm utilizing a clinical decision score, Ddimer, and ultrasound were effective at ruling out his clinical entity.
What is an upper extremity DVT?
100
According to a research letter in JAMA clinicians were more likely/less likely to prescribe antibiotics as the day went on.
What is more likely?
100
A meta-analysis published in JAMA in 2014 suggested that thrombolysis reduced mortality in this group of pulmonary embolus patients.
What is intermediate risk patients (those hemodynamically stable but with right ventricular dysfunction)?
200
According to a research letter published in JAMA in 2014 antiobiotic prescriptions for acute bronchitis went up, stayed the same, or went down between 1996 and 2010.
What is stayed the same?
200
According to authors of a study in J of American College of Surgeons this group of patients with traumatic ICH did not need a repeat head CT.
Who are patients with a normal neuro exam?
200
An external validation of a 2 hours rule-out process used an EKG that was not clearly ischemic, a 2 hour troponin, and a TIMI score(s) of this as an indicator of very low risk patients for 30 day MI or MACE.
What is 0?
200
Patients with out of hospital cardiac arrest who received this had higher survival at hospital discharge and 90 days and were less likley to have a poor neurological outcome that those who received ALS in a recent investigation published in JAMA.
What is BLS?
200
This medication was found to be safe and effective when used as agent to facilitate preoxygenation prior to intubation in those unable to cooperate with preoxygenation in a small study published in the Annals of Emergency Medicine.
What is ketamine?
300
According to two studies published in the Journal of American College of Surgeons the rate of complications of non-operative managment of this malady were similar to those of operative management.
What is appendicitis?
300
According to a meta-analysis in the Scandinavian Journal of Trauma, Resuscitation, and Emergency Medicine in 2014 multitrauma patients receiving whole body CT versus those with selective radiological imaging had a lower chance of this.
What is death?
300
According to a paper in the Annals of Surgery this was not necessary in CT evaluation of patients with suspected appendicitis.
What is enteral contrast?
300
This was observed between weight and change in pain at 30 minutes in patients given 1 mg of hydromorphone in a study in the Annals of Emergency Medicine.
What is no correlation?
300
A record review published in Annals of Emergency Medicine showed a less than 0.2% risk of this in patients with an allergic reaction (1/6th with anaphylaxis).
What is a biphasic reaction?
400
A prospective study published in Academic Emergency Medicine in 2014 suggested that fever (OR 4.3), chronic leg ulcers (OR 2.5), chronic edema or lymphedema (OR 2.5), prior cellulitis in the same area (OR 2.1) and cellulitis at a _____ site were predictive of treatment failure when empiric outpatient antibiotics were used for cellulitis.
What is a wound site?
400
This index that looks at demographic variables, social activity, activities of daily living, nutritional status, and general mood was shown to be a better predictor of complications in trauma patients than age alone.
What is the Frailty Index?
400
An algorithm incorporating this decreased the use of CT and was safe in evaluating kids with suspected appendicitis according to a before and after study published in Surgery.
What is ultrasound?
400
A hospital in Arizona used this approach to increase the number of patients screened for HIV.
What is the opt-out approach?
400
In a randomized, double blind, placebo controlled trial published in Annals of Emergency Medicine showed ondansetron and metoclopramide to be this compared to placebo in those with undifferentiated nausea?
What is equivalent?
500
According to a study that looked at significant over prescribing of antibiotics for abscesses antibiotics should be prescibed in those with abscesses with large surrounding cellulitis, those with poorly drained abscesses and in patients with this.
What is immunosuppression?
500
According to the authors of a prospective evaluation of a decision rule determining the need for CT in pediatric patients with blunt abdominal trauma what percentage of abdominal CTs in children do not influence management - 30, 60, or 90%.
What is 90%?
500
In older patients this test denoted MOTYB was found to be most accurate in screening older adults for delirium as compared to several other methods.
What is months of the year backward?
500
No reduction in CT or MRI utilization or hospital admission was found in Texas, Georgia, or South Carolina after this happened in each of the 3 states.
What is legislation that changed the malpractice standard?
500
A study published in the Annals of Emergency Medicine showed this method of follow up intervention to be effective at reducing self-reported binge drinking and number of drinks consumed per drinking day.