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Emergency Medicine
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Featured Article
SUMMARY AND COMMENT
Is It Safe to Admit Boarder Patients to Inpatient Hallways?Free
- November 20, 2009
- Richard D. Zane, MD, FAAEM
A study at a single academic ED shows that the practice is safe.
- Reviewing:
- Viccellio A et al. Ann Emerg Med 2009 Oct; 54:487
Recent Emergency Medicine Articles
SUMMARY AND COMMENT
Crowding Delays Time to Initiation of Treatment and Increases ED Boarding Time
- November 20, 2009
- Richard D. Zane, MD, FAAEM
Even for high-acuity patients
- Reviewing:
- McCarthy ML et al. Ann Emerg Med 2009 Oct; 54:492
SUMMARY AND COMMENT
Insurance Status and Mortality After Trauma
- November 20, 2009
- Diane M. Birnbaumer, MD, FACEP
Uninsured adults are almost twice as likely as insured adults to die after blunt or penetrating trauma.
- Reviewing:
- Rosen H et al. Arch Surg 2009 Nov; 144:1006
SUMMARY AND COMMENT
Mortality and Insurance Status: The Safety Net Has Holes
- November 18, 2009
- William P. Kanto, Jr., MD
- Pediatrics and Adolescent Medicine
Uninsured children with blunt or penetrating trauma have higher mortality rates than their privately insured counterparts.
- Reviewing:
- Rosen H et al. J Pediatr Surg 2009 Oct; 44:1952
SUMMARY AND COMMENT
Rapid Influenza Test Helps Identify Low-Risk Febrile InfantsFree
- November 13, 2009
- Katherine Bakes, MD
A positive rapid influenza test result predicted low risk for serious bacterial infection in febrile infants younger than 3 months.
- Reviewing:
- Mintegi S et al. Pediatr Infect Dis J 2009 Nov; 28:1026
SUMMARY AND COMMENT
Comparing Three Video Laryngoscopes for Intubation of Obese Patients
- November 13, 2009
- Emily Brown, MD, and Ron M. Walls, MD, FRCPC, FAAEM
Intubation without a stylet was more often successful with the Storz V-MAC than with either the GlideScope Ranger or McGrath video laryngoscopes.
- Reviewing:
- Maassen R et al. Anesth Analg 2009 Nov; 109:1560
SUMMARY AND COMMENT
ECMO for Patients with 2009 H1N1 Influenza and ARDS
- November 13, 2009
- John A. Marx, MD, FAAEM
In a study from New Zealand and Australia, ECMO was used largely in young adults, most of whom had good outcomes.
- Reviewing:
- Davies A et al for the Australia and New Zealand Extracorporeal Membrane Oxygenation. JAMA 2009 Nov 4; 302:1888
SUMMARY AND COMMENT
Immediate vs. Delayed ICU Admission for Patients with CAP
- November 13, 2009
- Kristi L. Koenig, MD, FACEP
Direct admission to the ICU is associated with lower mortality and shorter hospital stay.
- Reviewing:
- Renaud B et al. Crit Care Med 2009 Nov; 37:2867
SUMMARY AND COMMENT
Trends in ED Wait Times by Triage Class
- November 13, 2009
- J. Stephen Bohan, MD, MS, FACP, FACEP
Increasingly, EDs fail to provide care within the target time for their sickest patients.
- Reviewing:
- Horwitz LI and Bradley EH. Arch Intern Med 2009 Nov 9; 169:1857
SUMMARY AND COMMENT
B-Type Natriuretic Peptide to Rule out Heart Failure: Different Cutoffs for Different Patients?
- November 4, 2009
- Joel M. Gore, MD
- Cardiology
Adjusting BNP thresholds for clinical covariates improved the test's ability to differentiate between cardiac and noncardiac causes of dyspnea.
- Reviewing:
- Rogers RK et al. Am J Cardiol 2009 Sep 1; 104:689
SUMMARY AND COMMENT
Induced Hypothermia After VF Cardiac Arrest Improves OutcomesFree
- November 6, 2009
- Kristi L. Koenig, MD, FACEP
Hypothermia led to significantly better survival rates and neurological outcomes in patients with ventricular fibrillation but not in those with other initial rhythms.
- Reviewing:
- Don CW et al. Crit Care Med 2009 Sep 16
Editor's Picks from across Journal Watch
SUMMARY AND COMMENT
Work-Hour Limits for Residents — But What About Attendings?
- November 9, 2009
- By Neil H. Winawer, MD, FHM
- Hospital Medicine
Overnight work by attending physicians with <6 hours of sleep was associated with risk for next-day operative complications.
- Reviewing:
- JAMA 2009 Oct 14; 302:1565
SUMMARY AND COMMENT
Prevention of Flu Transmission in Households
- November 12, 2009
- By Richard Saitz, MD, MPH, FACP, FASAM
- General Medicine
Hand hygiene and face masks can help prevent the spread of influenza.
- Reviewing:
- Ann Intern Med 2009 Oct 6; 151:437
SUMMARY AND COMMENT
New and Unusual Pattern in S. aureus Resistance
- November 17, 2009
- By Abigail Zuger, MD
- General Medicine
Just because an organism is methicillin-susceptible doesn't mean it is vancomycin-susceptible.
- Reviewing:
- Clin Infect Dis 2009 Oct 15; 49:1169
SUMMARY AND COMMENT
Cervical Collar, Physical Therapy, or "Wait and See" for Recent-Onset Cervical Radiculopathy?
- November 10, 2009
- By Paul S. Mueller, MD, MPH, FACP
- General Medicine
Pain scores were significantly lower in the collar and physical therapy groups.
- Reviewing:
- BMJ 2009 Oct 7; 339:b3883
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.
