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February Lifeline

Undifferentiated Dyspnea in the ED: Consider Using BNP More Often

  • Knudsen CW, Clopton P, Westheim A, et al. Predictors of elevated B-type natriuretic peptide concentrations in dyspneic patients without heart failure: an analysis from the breathing not properly multinational study. Ann Emerg Med. 2005;45(6):573-580. doi:10.1016/j.annemergmed.2005.01.027
  • Wang CS, FitzGerald JM, Schulzer M, Mak E, Ayas NT. Does this dyspneic patient in the emergency department have congestive heart failure?. JAMA. 2005;294(15):1944-1956. doi:10.1001/jama.294.15.1944

 

March Lifeline

Patient and Provider Experience Pearl: Communication is Key

  • https://www.hcahpsonline.org. Centers for Medicare & Medicaid Services, Baltimore, MD. March, 26, 2025.

 

July Lifeline

Don’t Write “MDM” Checks Your “H&P” Can’t Cash:  Stroke Syndromes without Paralysis or Paresis

  • Martin-Schild S, Albright KC, Tanksley J, et al. Zero on the NIHSS does not equal the absence of stroke. Ann Emerg Med. 2011;57(1):42-45. doi:10.1016/j.annemergmed.2010.06.564
  • Gottlieb M, Peksa GD, Carlson JN. Head impulse, nystagmus, and test of skew examination for diagnosing central causes of acute vestibular syndrome. Cochrane Database Syst Rev. 2023;11(11):CD015089. Published 2023 Nov 2. doi:10.1002/14651858.CD015089.pub2

 

August Lifeline

Back Pain Imaging: How Many Segments Should I Image?

  • 1. Expert Panel on Neurological Imaging, Ortiz AO, Levitt A, et al. ACR Appropriateness Criteria® Suspected Spine Infection. J Am Coll Radiol. 2021;18(11S):S488-S501. doi:10.1016/j.jacr.2021.09.001
  • 2. Shifrin A, et al. Paraspinal Edema Is the Most Sensitive Feature of Lumbar Spinal Epidural Abscess on Unenhanced MRI. AJR. 2017;209(1):176-181. doi:10.2214/AJR.16.17108
  • 3. Chima-Melton C, et al. Diagnosis of spinal epidural abscess: a case report and literature review. Spinal Cord Ser Cases. 2017;3:17013. doi:10.1038/scsandc.2017.13

Pediatric Sepsis

  • Rudd  KE, Johnson  SC, Agesa  KM,  et al.  Global, regional, and national sepsis incidence and mortality, 1990-2017: analysis for the Global Burden of Disease Study.  Lancet. 2020;395(10219):200-211. doi:10.1016/S0140-6736(19)32989-7
  • Schlapbach LJ, Straney L, Alexander J, et al. ; ANZICS Paediatric Study Group . Mortality related to invasive infections, sepsis, and septic shock in critically ill children in Australia and New Zealand, 2002-13: a multicentre retrospective cohort study. Lancet Infect Dis. 2015;15(1):46-54. doi: 10.1016/S1473-3099(14)71003-5
  • Watson RS, Carcillo JA, Linde-Zwirble WT, Clermont G, Lidicker J, Angus DC. The epidemiology of severe sepsis in children in the United States. Am J Respir Crit Care Med. 2003;167(5):695-701. doi: 10.1164/rccm.200207-682OC
  • de Souza DC, Gonçalves Martin J, Soares Lanziotti V, et al. ; SPREAD PED Investigators and the Instituto Latino Americano de Sepsis Network . The epidemiology of sepsis in paediatric intensive care units in Brazil (the Sepsis PREvalence Assessment Database in Pediatric population, SPREAD PED): an observational study. Lancet Child Adolesc Health. 2021;5(12):873-881. doi: 10.1016/S2352-4642(21)00286-8
  • Weiss SL, Fitzgerald JC, Pappachan J, et al; Sepsis Prevalence, Outcomes, and Therapies (SPROUT) Study Investigators and Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network . Global epidemiology of pediatric severe sepsis: the sepsis prevalence, outcomes, and therapies study. Am J Respir Crit Care Med. 2015;191(10):1147-1157. doi: 10.1164/rccm.201412-2323OC
  • Schlapbach LJ, Watson RS, Sorce LR, et al. Society of Critical Care Medicine Pediatric Sepsis Definition Task Force. International Consensus Criteria for Pediatric Sepsis and Septic Shock. JAMA. 2024 Feb 27;331(8):665-674. doi: 10.1001/jama.2024.0179.
  • Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children. Published February 2020
  • Weiss, JC Fitzgerald, F Balamuth, et al. Delayed antimicrobial therapy increases mortality and organ dysfunction duration in pediatric sepsis.  Critical Care Medicine. 2014; 42(11):p 2409-2417.
     

 

August Lifeline

HM Quality Minute: When the Monitor Matters: Telemetry in Critical Illness

  • JAHA. 2023;12:e03152. doi:10.1161/JAHA.123.03152

Give Your “Blink” a Chance

  • Cleveland Clinic Health Essentials. Why Multitasking Doesn’t Work. March 10, 2021.
  • Gladwell, M. Blink: The Power of Thinking Without Thinking. Little, Brown and Co., 2005.

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