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Emergency Medicine
Journal Watch condenses summaries of key research across specialties from more than 250 medical journals into concise yet comprehensive articles, incorporating clinical commentary from prominent physician-editors in the field.
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Featured Article
SUMMARY AND COMMENT
Man vs. Machine for CPRFree
- May 17, 2013
- Kristi L. Koenig, MD, FACEP, FIFEM
In this meta-analysis, return of spontaneous circulation was more likely when chest compressions were delivered by a mechanical device than manually.
- Reviewing:
- Westfall M et al. Crit Care Med 2013 May 8
Recent Emergency Medicine Articles
SUMMARY AND COMMENT
Ultrasound Findings of the Normal Pediatric Appendix
- May 17, 2013
- Katherine Bakes, MD
Sonographic visualization of the appendix was not associated with age, body-mass index, or sex.
- Reviewing:
- Junewick J et al. Emerg Radiol 2013 Apr; 20:135
MEDICAL NEWS
Interview: Marathon Bombings' Lessons — Part 2Free
- May 15, 2013
- Physician's First Watch
Clinical Conversations continues its series of brief interviews on the lessons learned from the Boston Marathon bombings. This one is with Alasdair Conn, chief of...
SUMMARY AND COMMENT
Decision Aids for Low-Risk Chest Pain
- May 10, 2013
- J. Stephen Bohan, MD, MS, FACP, FACEP
The combination of TIMI score and HEART score identifies patients at less than 1% risk for death or cardiac events within 30 days.
- Reviewing:
- Marcoon S et al. Crit Pathw Cardiol 2013 Mar; 12:1
SUMMARY AND COMMENT
Ultrasound Accurately Detects Shoulder Dislocation and Reduction
- May 10, 2013
- Daniel J. Pallin, MD, MPH
Emergency department visits might be faster if ultrasound were used instead of radiographs.
- Reviewing:
- Abbasi S et al. Ann Emerg Med 2013 Mar 8
MEDICAL NEWS
Lessons Learned from the Medical Response to the Marathon BombingsFree
- May 10, 2013
- Physician's First Watch
Clinical Conversations podcast spent 10 minutes with Ron Walls, head of the Department of Emergency Medicine at Boston's Brigham and Women's Hospital. It's the first...
SUMMARY AND COMMENT
Predicting Difficult Intubations — Easier to Say Who Isn't at Risk
- May 2, 2013
- Patricia Kritek, MD
- General Medicine
A new scoring system predicts low-risk intubations fairly well.
- Reviewing:
- De Jong A et al. Am J Respir Crit Care Med 2013 Apr 15; 187:832
SUMMARY AND COMMENT
Do All Patients with Major Blunt Trauma Need C-Spine CT?Free
- May 3, 2013
- Richard D. Zane, MD, FAAEM
Clinical factors show promise for predicting fractures, but until they're validated, all such patients should undergo C-spine computed tomography.
- Reviewing:
- Duane TM et al. J Trauma Acute Care Surg 2013 Apr; 74:1098
SUMMARY AND COMMENT
Direct Laryngoscopy and Intubation Cause Significant Hypertensive Response in Head-Injured Patients
- May 3, 2013
- Richard D. Zane, MD, FAAEM
Heart rate, mean arterial pressure, and systolic blood pressure all increased by more than 20% after intubation.
- Reviewing:
- Perkins ZB et al. J Trauma Acute Care Surg 2013 Apr; 74:1074
SUMMARY AND COMMENT
C-Spine Movement During Intubation
- May 3, 2013
- J. Stephen Bohan, MD, MS, FACP, FACEP
Use of the GlideScope is associated with less movement than conventional laryngoscopy when the C-spine is not secured.
- Reviewing:
- Kill C et al. J Emerg Med 2013 Apr; 44:750
SUMMARY AND COMMENT
Comparing the Truview PCD, GlideScope, and Macintosh for Pediatric Intubation
- May 3, 2013
- Cheryl Lynn Horton, MD, and Ron M. Walls, MD, FRCPC, FAAEM
The Truview PCD and GlideScope were not superior to the Macintosh laryngoscope for routine pediatric intubation.
- Reviewing:
- Riveros R et al. 2013 May
Editor's Picks from across Journal Watch
SUMMARY AND COMMENT
The "Oregon Experiment" at 2 YearsFree
- May 9, 2013
- By Allan S. Brett, MD
- General Medicine
A lottery for Medicaid enrollment simulates a randomized trial.
- Reviewing:
- N Engl J Med 2013 May 2; 368:1713
SUMMARY AND COMMENT
Another Look at the "Ampicillin Rash"
- May 1, 2013
- By Deborah Lehman, MD
- Pediatrics and Adolescent Medicine
This study found a lower incidence of antibiotic-associated rash in children with Epstein-Barr virus acute infectious mononucleosis than previously reported.
- Reviewing:
- Pediatrics 2013 May 1; 131:e1424
NEWS IN CONTEXT
FDA Lowers Age Restriction on Plan B One-Step
- May 2, 2013
- By Anne A. Moore, DNP, APRN, FAANP
- Women's Health
Decision makes EC available without prescription (but with proof of age) to women aged 15 and older.
LETTER TO READERS
Letter to ReadersFree
- April 24, 2013
- By Martin T. Stein, MD
- Pediatrics and Adolescent Medicine
In the shadow of the Boston marathon violence, here is some advice you can share with parents on how to help their children cope.
Journal Watch Emergency Medicine summarizes important medical journal articles about a wide variety of subjects relevant to the practice of emergency medicine including acute coronary syndrome, airway management, asthma, cardiac arrest, chest pain, endotracheal intubation, head trauma, pulmonary embolism, sedation, and stroke.
