Journal Feed Weekly Wrap-Up

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. 

Originally published at JournalFeed, a site that provides daily or weekly literature updates. 

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#1: What is the Optimal Position for Successful Lumbar Puncture?

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This randomized controlled trial demonstrated that lateral decubitus position was statistically the same as the upright position for lumbar puncture success.

Is Lateral Decubitus or Upright Positioning Optimal for Lumbar Puncture Success in a Teaching Hospital? J Emerg Med. 2023 Jan 11;S0736-4679(22)00527-3. doi: 10.1016/j.jemermed.2022.09.002. Online ahead of print.

#2: CLOVERS RCT – Restrictive or Liberal Fluid Before Pressors?

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This unblinded superiority trial found no significant difference in mortality among patients who were randomized to a restrictive fluid strategy with earlier use of vasopressors or liberal fluid administration for treatment of sepsis-induced hypotension.

Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension. N Engl J Med. 2023 Feb 9;388(6):499-510. doi: 10.1056/NEJMoa2212663. Epub 2023 Jan 21. PMID: 36688507.

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This study supports the notion that an early return to school (RTS), results in faster recovery from concussion symptoms versus prolonged absences.

Association Between Early Return to School Following Acute Concussion and Symptom Burden at 2 Weeks Postinjury. JAMA Netw Open. 2023 Jan 3;6(1):e2251839. doi: 10.1001/jamanetworkopen.2022.51839.

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