A Week in Review: Nov 28th-Dec 3rd

In the setting of upper GI bleeding from ulcer bleeding, proton pump inhibitors will not affect mortality however may reduce rebleeding and/or surgery. Why We Do It: Medical Management of Acute Upper GI Bleed from Ulcer Bleeding

Tips for a Successful Reduction: Know the anatomy of what your reduction should look like ahead of time. Have a backup plan for an alternate maneuver if your first attempt fails. Complete your setup by having all supplies and another set of hands standing by. Recreate the deformity, apply gentle traction, and reverse the mechanism. Hold a good three-point mold which prevents rotation of the fracture. Wait an extra minute for the mold to dry. Don't forget a post-reduction plain film. Interview with an Orthopedic Surgeon: Tips for a Perfect Reduction

Insert a central line approximately 17 cm +/- 2 cm into the left subclavian vein for correct placement. Imaging Case: Where is the Central Line

The motor component of the Glasgow Coma Scale (GCS-m) performed similarly to the full GCS with no statistical difference when looking at ISS >15, ISS >24, death, TICU admission, need for surgery, and need for craniotomy. In the Literature: Is the Glasgow Coma Scale Motor Component (GCS-m) the Only Score You Need

While available data is limited, procainamide converted stable, monomorphic ventricular tachycardia 57-80% of the time where amiodarone worked only 24% of the time. This is congruent with the ACC/AHA/ECS recommendation of procainamide as first line therapy above amiodarone. Procainamide vs Amiodarone: The Evidence Behind Treating Stable, Monomorphic Ventricular Tachycardia

Resident participation in patient cases adds length and complexity to patient interactions and does not reduce patient satisfaction or Press Ganey Scores. Also, Press Ganey Scores involving residents are unchanged across the academic year. Do Residents Affect Press Ganey Scores?