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Articles by Suneel Upadhye, MD, MSc Evidence-Based Medicine The use of non-invasive positive pressure ventilation (NIPPV), especially CPAP, in decompensating patients with acute cardiogenic pulmonary edema (ACPE), can reduce the need for intubation, resolve symptoms faster, and reduce the hospital/ICU length of stay and mortality significantly. Only 13 patients with ACPE need to be treated in order to save one extra life, and 9 patients to avoid an extra intubation.
Read moreCME Archive You are working in a busy ED when a 58-year-old male presents with
worsening dyspnea over a few days, with increasing cough and purulent
sputum production. He is well known to your ED as a lifelong smoker with
moderate to severe COPD with increasing exacerbations.
Read moreEvidence-Based Medicine The Setup:
You’re working in a busy suburban ED when a patient presents with an abscess of the forearm that’s been growing for three days. The patient denies any IV drug use, significant comorbidities, or prior abscesses. You determine that the patient has an uncomplicated (no overlying cellulitis) 4cm abscess that would benefit from I&D, which is completed with irrigation and gauze packing. The patient asks you if you think they need antibiotics… |
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