JAMA – High Flow oxygen for cluster headaches (describes as worse than giving birth) seems beneficial. 80% relief in 15mins on 02 as opposed to 20% without.

- Soy foods contain phytoestrogens, does this increase the risk of brease cancer? Apparently not, they may even be beneficial. Lower breast cancer recurrence in those with high soy diets

NEJM – Cangrelor an p2y12 inhibitor is no more affective than clopidogrel in patients with acs who were undergoing PCI. In fact, the drug was associated with more bleeding.

- Dabigatran, a direct thrombin inhibitor was shown to be as effective as warfarin for acute venous thromboembolism, with the added benefit that monitoring is not needed.

BMJ – (christmas ed) Encouraging listening to Nellie the elephant while training cpr substantially increases the number of lay people executing the correct rate of compressions

ANNALS OF INTERNAL MED – Should low dose aspirin be continued in patients with cardiovascular disease that develop co-existant bleeding peptic ulcer? In short yes, although more risk of bleeding, mortality is reduced overall. More research needed.