RANDOMISED TRIAL OF IV METOCLOPRAMIDE VS IV KETOROLAC IN TREATMENT OF ACUTE PRIMARY HEADACHES
A large variety of treatment options are available for acute primary headaches. This double-blind, randomized clinical trial study, we demonstrated that IV metoclopramide provided more headache relief but not statistically significant than IV ketorolac in adults patients presented to an ED with acute primary headache.
Full Access: Journal of Emergency Medicine
USE OF INVOLUNTARY EMERGENCY TREATMENT BY PHYSICIANS AND LAW ENFORCEMENT FOR PERSONS WITH HIGH-RISK DRUG USE OR ALCOHOL DEPENDENCE
In this cohort study, we compared the number of public court records of 213 that underwent temporary involuntary commitment secondary to substance use under Section 35 of the Massachusetts General Law. The high proportion of individuals with comorbid mental health diagnoses seen in this cohort suggests that optimal treatment should involve immersive, dual-diagnosis treatment. the findings suggest the need to further explore a multidisciplinary approach to caring for individuals with substance use disorders.
Full Access: JAMA
CONVALESCENT PLASMA DIDN'T HELP HIGH-RISK COVID PATIENTS: NIH
NIH new release that a clinical showed convalescent plasma did not stop the progression of COVID-19 in high-risk patients when given during the first few weeks of their symptoms. Of the 511 people in the study, the disease progressed in 77 (30%) in the COVID-19 plasma group compared with 81 patients (31.9%) in the placebo group. This finding suggests that more effective treatments against this devastating disease should be explored.
Full Access: Medscape
HOW TO PICK THE BEST FACE MASKS FOR KIDS, ACCORDING TO THE EXPERTS
The Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics recommend masks for kids going back to school. This article provides guidance on selecting masks for kids including 1) N95s are not made to fit kids. They do not come in kid sizes 2) Any masks that gapes around the edges isn't going to work well, no matter how well it filters. Parents need to consider the attributes masks in this order of priority: Comfort: "If your kid won't wear it, it's not helping at all". Fit: "Leaks around the sides are like having a hole in your mask and aerosols carrying the virus can get right through". Filtration: How well the mask blocks small particles. KF94 or KN95 masks, which are being manufactured in China and Korea, are good choices. They offer nearly the same degree of filtration as an N95, and they fit closely to the face, to minimize leaks.
Full Access: Medscape
JOINT STATEMENT FROM HHS PUBLIC HEALTH AND MEDICAL EXPERTS ON COVID-19 BOOSTER SHOTS
Based on latest assessments, the current protection against severe disease, hospitalization, and death could diminish in the months ahead, especially among those who are at higher risk or were vaccinated during the earlier phases of the vaccination rollout. For that reason, experts suggest that a booster shot will be needed for American people to maximize vaccine-induced protection and prolong its durability.
Full Access: CDC