Two-Unit Red Cell Transfusions in Stable Anemic Patients Choosing Wisely: Things We Do For No Reason https://www.journalofhospitalmedicine.com/jhospmed/article/145147/hospital-medicine/things-we-do-no-reason-two-unit-red-cell-transfusions #Transfusion #2Units #1Unit #TWDFNR #Management #EBM #VisualAbstract #ChoosingWisely #Anemia #Multiple

Visual summary: Managing low back pain and sciatica #Management #EM #PrimaryCare #BackPain #LowBackPain #Sciatica #BMJ

Ruling out Pulmonary Embolism - ADJUST-PE, PE in Pregnancy, and the PERC rule - DenverEM @DenverEMed #Pulmonary #Embolism #VisualAbstract #ADJUSTPE #EBM #Pregnancy #PERC

Practice Guidelines for Preoperative Fasting Infographic by Dr. Jesse Burk-Rafel @jbrafel > 8 hours - Heavy foods (fried/fatty) and meats > 6 hours - Light meal (e.g., toast + clear liquid), Cow's milk (in moderation), Infant formula > 4 hours - Breast milk > 2 hours - Non-alcoholic clear liquids (e.g., water, fruit juice without pulp, nutritional drinks, clear tea, black coffee) 0-2 hours - NPO Benefits of Clear Liquids up to 2 hours Pre-Op - LESS patient thirst and hunger - LOWER risk of aspiration Source: American Society of Anesthesiologists. practice Guidelines for Preoperative Fasting and the Use Of pharmacologic Agents to Reduce the Risk Of pulmonary Aspiration: Application to Healthy Patients undergoing Elective Procedures. Anesthesiology. 2017: 126376-393. http://anesthesiology.pubs.asahq.org/article.aspx?articleid=2596245 #NPO #Preoperative #Fasting #Guidelines #Anesthesia #Hours #Timeline #EBM #VisualAbstract #Times #Preprocedural

Major Clinical Trials and Evidence Summary for Transfusion Thresholds in Critical Care TRICC - NEJM 1999 - ICU FOCUS - NEJM 2011 - Hip Surgery Villaneueva - NEJM 2013 - UGIB TRISS - NEJM 2014 - Sepsis TRICS3 - NEJM 2018 - Cardiac Surgery Transfusing blood is a liquid transplant. Blood saves lives but multiple studies show that PRBC transfusions may be unnecessary and cause harm. Unnecessary transfusions have been observed in critically ill, septic, surgical, GIB, and cardiac surgery patients. Transfusions should be administered in the context of improved oxygen delivery. ALI is the deadliest complication of transfusions. Transfusions are immunosuppressants. Infographic created by Vivek Moitra MD (@ https://twitter.com/vmoitra) #EBM #Transfusion #Thresholds #Hematology #VisualAbstract #Trials #PRBC