CDM talk on updates in the diagnosis and management of ED arthritis

Welcome, readers from Clinical Decision Making. You've got a PowerPoint version of my talk on your USB drives; here's the link to today's Prezi.I frequently mentioned Chris Carpenter's excellent 2011 systematic review of ED septic arthritis; Margaretten's Systematic Review for JAMA is also worth a look.Other references from my talk:EPMonthly and EMPractice (new Rosen's chapter is not yet published)Terkeltaub's trial that changed colchicine regimens for goutKesselheim and Solomon in NEJM 2010 on the Curious Case of ColchicinePiper on the risks of local anesthetics on cartilageFitch 2008 on IA lidocaine for shoulder reduction in the EDBarthel 2010 on topical diclofenacLynch 2011 on cannabinoidsRichards 2012 on capsaicinI encountered a bit of resistance to this when I presented it at Ponte Vedra: not too many do IA injections, but those who do said things like, "aw, come on, please, my patients love this"I think I'll borrow a page from the Newman playbook and recommend shared decision-making with the patient - "while no studies have shown this dose or a one-time exposure in humans is dangerous, and the majority of patients who get pump infusions have no detectable adverse reaction years later, there is a risk and the benefit is just a few hours of relief, sooner"
Source: Blogborygmi - Category: Emergency Medicine Doctors Authors: Source Type: blogs