Lactate is a good predictor of which pediatric SIRS patients will develop organ dysfunction. When might you use it? Listen in.

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Oh no! Fluoroquinolones kill people too? Better listen to this article summary!

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So don't laugh since I'm from Nashville... we still visit the beach, and when we do, we need to know how to treat jellyfish stings. Here is the best evidence.

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Do first and second year residents have better luck with central line placement when ultrasound is used? Yes, they do.

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Will you hurt your patient by giving dexamethasone when they meningococcal meningitis? Chris Zammit gives us the scoop on this article.

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Ketamine is reputed to increase intraocular pressure, but does it really?  Nope.

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Is BiPAP safe and effective for severe asthma in kids? This small RCT gives us a little more data.

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If a term newborn has 14 white cells in the CSF, is this too high or is it normal? This article will help you determine reference ranges for CSF in preemies and newborns.

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What is the future of EM in the era of the Affordable Care Act?  Ben gives us a few taking points from this panel discussion.

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If there is no cardiac activity on bedside echo, is this info alone enough to call the code? Maybe not, according to this systematic review.

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Is prasugrel any better than clopidogrel for ACS? No.

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Our Tox expert, Saralyn Williams, uses this case report about systemic loxoscelism to make some key teaching points on managing these patients.

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How do patients present after smoking synthetic cannabinoids? It's not your typical weed!

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What can you do to make parents more satisfied with laceration repair in the Peds ED? It is easier than you think!

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This is a more conversational, less technical, briefer version of the 19 EM articles you must know from September 2012.  Please comment on which one you prefer on Facebook.  Thanks!

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Here are the nineteen articles we covered from September's journal articles in one place in just over 30 minutes.

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Actually, this study is probably too small to answer this question.  Should we even be asking this question? Comment on the article!

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CRASH-2, the pre-specified analysis, says that it will save lives in trauma patients. Probably.

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Are central venous and arterial lactate equal? Yes.

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Droperidol or olanzapine with midazolam vs. midazolam alone: which is better for agitated patients, and do patients drop dead from QT prolongation?

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Do internists change X-ray ordering behavior once taught about cost and radiation? And should we, as ED docs, be on the Choosing Wisely bandwagon?  Comment on the article!

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Is there any diagnostic discriminatory power in a pediatrician's gut feeling that something is wrong? It turns out there is, and it's quite significant.

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How does intussusception present, and is the classic triad as elusive as we thought? Tune in to find out!

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Following trauma guidelines resulted in fewer CT scans and lower cost, but the quality of this study is suspect.

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A new 3rd Sgarbossa criterion is hard to remember but looks promising.

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Does a child's insurance status affect our care? This study was a little disturbing. Ben has some possible explanations.

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Vasopressin vs. norpepinephrine in septic shock: this was a data dredge from the VASST study.

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Are supraglottic airways harmful in arrest victims? Maybe, but so is esophageal intubation in the prehospital setting. You'll want to listen and see what the data shows.

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ECMO for arrest started in the ED: the survival of 63% is impressive, but is the denominator right?

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Doing CPR longer seemed to improve survival and not increase adverse neurological outcome. Should we try a little longer?

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