Migraine, in ER

Suggested prescription for severe migraine (all at once , rather than stepped care): 1-L bolus of IV normal saline solution 10 mg of IV prochlorperazine 25 mg of IV diphenhydramine 30 mg of IV ketorolac 10 mg of IV dexamethasone Reference Gupta S, Oosthuizen R, Pulfrey S. Treatment of acute…


Subacute Bacterial Endocarditis (SBE) prophylaxis

Follow the AHA 2007 guidelines for antibiotic prophylaxis for high-risk patients undergoing high-risk procedures [1]: Note: there is a lack of evidence that antibiotic prophylaxis provides any benefit, but currently there isn’t enough evidence to justify a change in practice [2]. Prosthetic joints: no antibiotic prophylaxis for patients with prosthetic…


Lateral Epicondylitis

Cortisone injections have been shown to have worse outcomes at one year Consider the following toolkit from UBC: Link Reference Hoens A, Scott A. This Changed My Practice (UBC): Lateral Epicondyle Tendinopathy (Tennis Elbow) Toolkit. http://physicaltherapy.med.ubc.ca/physical-therapy-knowledge-broker/lateral-epicondyle-tendinopathy-let-toolkit/