Journal Feed Weekly Wrap-Up
- Feb 24th, 2024
- Clay Smith
- categories:
#1: How to Treat Infected Kidney Stones
Spoon Feed
All patients with infected ureteral stones necessitate a urine culture, antibiotics, and urology consultation in the ED, with the majority requiring admission for surgical intervention. Very few, in consultation with urology, who have small, non-obstructing stones and are otherwise young healthy individuals can be discharged with oral antibiotics and close follow up.
Source
High risk and low prevalence diseases: Infected urolithiasis. Am J Emerg Med. 2024 Jan;75:137-142. doi: 10.1016/j.ajem.2023.10.049. Epub 2023 Nov 3.
#2: Should We Use Whole Blood for Trauma Patients?
Spoon Feed
Trauma patients who were resuscitated with whole blood compared to component therapy had improved 24-hour mortality and a decrease in the total amount of blood products needed for resuscitation.
Source
Doing more with less: low-titer group O whole blood resulted in less total transfusions and an independent association with survival in adults with severe traumatic hemorrhage. J Thromb Haemost. 2024 Jan;22(1):140-151. doi: 10.1016/j.jtha.2023.09.025. Epub 2023 Oct 4.
