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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
Propofol Procedural Sedation Is Safe
- May 24, 2013
- Cheryl Lynn Horton, MD, and Ron M. Walls, MD, FRCPC, FAAEM
No adverse outcomes occurred among 1000 adult propofol procedural sedation episodes.
- Reviewing:
- Newstead B et al. Br J Anaesth 2013 May 9
SUMMARY AND COMMENT
Admission Rates for Isolated Pediatric Skull Fractures
- May 24, 2013
- Katherine Bakes, MD
Although 78% of children were admitted, most stayed for only 1 day and had few interventions.
- Reviewing:
- Mannix R et al. Ann Emerg Med 2013 Apr 13
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
Editor's Picks from across Journal Watch
SUMMARY AND COMMENT
Trends in Pediatric Firearms Injuries
- May 15, 2013
- By F. Bruder Stapleton, MD
- Pediatrics and Adolescent Medicine
Firearm injuries are more severe and more often fatal than other injuries.
- Reviewing:
- JAMA 2013 Apr 24; 309:1683
SUMMARY AND COMMENT
Treating GERD Successfully: Beyond Heartburn ReliefFree
- May 17, 2013
- By David A. Johnson, MD
- Gastroenterology
A short questionnaire helps identify whether patients on therapy for GERD are experiencing sleep disturbance and might benefit from an adjustment in therapy.
- Reviewing:
- Aliment Pharmacol Ther 2013 Apr; 37:730
SUMMARY AND COMMENT
Not So Fast! Programming ICDs to Reduce Unnecessary TherapyFree
- May 15, 2013
- By Mark S. Link, MD
- Cardiology
Longer detection times for ICD-documented arrhythmias reduce ATP and inappropriate shocks without reducing appropriate therapy.
- Reviewing:
- JAMA 2013 May 8; 309:1903
GUIDELINE WATCH
HIV Opportunistic Infection Guidelines, Updated
- May 13, 2013
- By Paul E. Sax, MD
- HIV/AIDS Clinical Care
These guidelines, last revised in 2009, are comprehensive, exhaustively referenced, and authoritative.
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.



