We’re excited to bring you a fresh look at the last month's most relevant and interesting general medicine articles.
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In this month's episodes we cover:
...Sepsis treatment adjuncts: what works and (still) doesn’t work...
#Vitamin C still doesn’t work
Fujii, Tomoko et al. “Effect of Vitamin C, Hydrocortisone, and Thiamine vs Hydrocortisone Alone on Time Alive and Free of Vasopressor Support Among Patients With Septic Shock: The VITAMINS Randomized Clinical Trial.” JAMA 2020
#Ringers lactate finally settles the score with saline
Brown, Ryan M et al. “Balanced Crystalloids versus Saline in Sepsis. A Secondary Analysis of the SMART Clinical Trial.” AJRCCM 2019
...A few articles to up your AF game…
#Booze and Atrial Fibrillation don’t mix well.
Voskoboinik, Aleksandr et al. “Alcohol Abstinence in Drinkers with Atrial Fibrillation.” NEJM 2020
#Think twice about combining Aspirin & DOACs
Santulli, Gaetano. “In AF and stable CAD, rivaroxaban reduced cardiovascular events and mortality more than rivaroxaban plus an antiplatelet.” Annals of internal medicine 2020
...Why that 2 am pneumothorax might not be quite so scary...
#To drain or not drain in spontaneous pneumothorax treatment
Brown, Simon G A et al. “Conservative versus Interventional Treatment for Spontaneous Pneumothorax.” NEJM 2020
BTS pneumothorax guidelines: https://thorax.bmj.com/content/65/Suppl_2/ii18
...A few Quickfire JournalSpots...
Ascitic taps in cirrhosis: https://pubmed.ncbi.nlm.nih.gov/31688022/
BSG Ascites Guidance: https://www.bsg.org.uk/clinical-resource/bsg-guidelines-on-the-management-of-ascites-in-cirrhosis/
Gram-negative bacteraemia: https://pubmed.ncbi.nlm.nih.gov/30535100/
N95 masks vs. surgical masks for flu: https://pubmed.ncbi.nlm.nih.gov/31958821/
...And at the end of the shift...
#Why coffee could get you home safely after a night shift
Huffmyer, Julie L et al. “Impact of Caffeine Ingestion on the Driving Performance of Anesthesiology Residents After 6 Consecutive Overnight Work Shifts.” Anesthesia and analgesia 2020