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Emergency Medicine

Keep on top of the latest research relevant to emergency medicine with succinct perspectives by leading experts in the field.

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Does Lower Extremity Ultrasound Have a Role in Ruling Out PE?

  • Summary and Comment
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Ultrasound is not necessary when computed tomography is performed.

Brugada Syndrome: Association Between AF and VF

  • Summary and Comment
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Spontaneous atrial fibrillation was more common in patients who had episodes of ventricular fibrillation in a small observational study.

Admitting ED Patients with Possible ACS: Cardiology or Other Services?

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Use of guideline-recommended therapies was similar whether patients were on cardiology or other services.

It’s not Easy for ED Patients to Get Follow-Up Care

  • Summary and Comment
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Only 23% of attempts to schedule an outpatient follow-up appointment were successful in this study of callers posing as ED patients without primary care physicians.

Evaluating the Safety of Hemoglobin-Based Blood Substitutes

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Use of cell-free hemoglobin-based blood substitutes increases risk for MI and death.

ECG Abnormalities in Brugada Syndrome — What’s at the Heart of the Matter?

  • Summary and Comment
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Inverted T-wave and dome-shaped notch reflect differences between epicardial and endocardial repolarization times.

Is Ketamine Sedation Without Atropine Prophylaxis Safe in Children?

  • Summary and Comment
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Findings of an observational study suggest that it is.

Diagnostic (In)accuracy in Patients with Dyspnea

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Natriuretic peptide testing adds diagnostic value to physician judgment in determining which dyspneic patients have congestive heart failure in the ED.

Are There Predictors of Difficult GlideScope Intubation?

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Poor mandibular protrusion and short sternothyroid distances predicted more difficult GlideScope intubation, although the success rate with the GlideScope in this study was 99.75%.

Dedicated ED Stat Lab Reduces ED Length of Stay

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Among admitted patients, a stat lab reduced ED stay by more than 1 hour.

A Hidden Risk of "Lipotourism": Mycobacterium Infection

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Patients who travel outside the U.S. for liposuction might be at risk for unusual wound infections.

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Editor's Picks from across Journal Watch

One Quarter of U.S. Adolescent Girls Have STIs

  • Women's Health
  • Summary and Comment
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NHANES 2003–2004 data revealed a high prevalence of STIs, particularly HPV, in 14- to 19-year-old girls.

Corticosteroids in Children with Bacterial Meningitis: The Debate Continues

  • Pediatrics and Adolescent Medicine
  • Summary and Comment
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A retrospective study finds no effect of corticosteroids on overall mortality in children with bacterial meningitis — morbidity was not evaluated.

Overuse of Empirical Antibiotics for Acute Diarrhea

  • Infectious Diseases
  • Summary and Comment
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Examination of Medicaid data from Tennessee revealed that antimicrobials were prescribed for more than 10% of diarrhea episodes, usually without a stool culture.

Group B Strep in the U.S.

  • Infectious Diseases
  • Summary and Comment
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Between 1999 and 2005, incidence of invasive group B streptococcal disease decreased in neonates but increased in adults.

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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.

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