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Which ED patients with acute respiratory failure might benefit from NIV trial?
 Which ED patients with acute respiratory failure could benefit from a NIV trial in an attempt to prevent need for intubation?Clinical Decision Rule: Summary by Dr. Amaan SiddiqiIntroductionNon-invasive ventilation (NIV) decreases the work of breathing – by recruiting previously...
Which patients with trauma need foot, ankle and knee x-rays?
 Who needs foot, ankle and knee X-Rays?A summary of the Ottawa Rules for Imaging, By Jason Wilt, M.D.  Missing an ankle, mid-foot or knee fracture in a patient can cause significant morbidity, but for a long time, there were no hard and fast rules for when to get x-rays....
Which ED patients need a blood culture?
Which ED patients need a blood culture? Clinical Decision Rule Summary by Dr. Natasha DesaiIntroduction: Physicians has been shown to consistently overestimate the rate of bacteremia, often leading to over testing and contaminated blood cultures that result in unnecessary antibiotic use,...
Which patients treated with I+D for cutaneous abscess need a wound culture and antibiotics?
 Which patients who are treated with I+D for a cutaneous abscess need to be cultured and given antibiotics?Clinical Decision RuleSummary by Avital Porat, MD It has become standard of practice in the emergency medical field to treat cutaneous abscesses with incision and drainage. The...
Which patients with blunt trauma need cervical spine imaging?
Clinical Decision Rule for Cervical Spine Imaging after Blunt Trauma:A Summary of  the NEXUS Criteria and the Canadian C-Spine Rule Summary Dr. Elizabeth Dei Rossi     Which patients with blunt trauma need cervical spine imaging?  What are the differences...
Which patients with Community Acquired Pneumonia are “high risk” and warrant admission?
Summary of the CURB-65 Clinical Decision Ruleby Dr. Benjamin SchnappWhich patients with Community Acquired Pneumonia are “high risk” and warrant admission?  Who is safe for the floors versus appropriate for ICU admimssion? Community acquired pneumonia occurs in a wide variety of...
Which Adult Patients Need Imaging After Blunt Abdominal Trauma?
 Save the belly!!! A Clinical Decision Rule for Identifying Adults at Very Low Risk for Intra-abdominal Injuries After Blunt traumaSummary by Dr. Neil Singh Why develop the rule?-save patients from receiving unnecessary radiation-utilize resources appropriately to save healthcare system...
In which out-of- hospital cardiac arrest patients is it appropriate to terminate CPR?
 A Summary of the Out-of-Hospital Cardiac Arrest Termination Guidelines Raashee Kedia, MD Decision to withdraw resuscitation is often difficult Guidelines must be established to prevent unnecessary transport of certain cardiac arrest patientsOut-of-hospital Cardiac Arrest Decision...
Which patients who experience syncope are at short-term risk for serious outcomes?
 Clinical Decision Rule: The San Francisco Syncope Rule Summary by Dena Asaad Reiter MDDerivation: A prospective cohort study at a university teaching hospital emergency department analyzed patients presenting with syncope or near syncope (1). Patients with altered mental status,...
Which Patients with Upper GI Bleeding Can be Safely Discharged Home?
 The Clinical Decision Rule: The Glasgow- Blatchford Bleeding Score for Upper Gastrointestinal HemorrhageSummary by Dr. Amy LeuthauserCase:  Young, healthy female presents to the ED stating that she had one episode of vomiting with blood. She denies alcohol use and has no prior history...

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