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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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Emergency Medicine Supporting Image

SUMMARY AND COMMENT

New and Established Troponin Assays Are Highly Sensitive and Specific for AMIFree

Use of either type of assay can safely exclude or confirm AMI within 3 hours of emergency department admission.

Recent Emergency Medicine Articles

SUMMARY AND COMMENT

Helium-Oxygen Therapy Improves Bronchiolitis Scores in Infants Receiving Nebulized Epinephrine

Improvement was noted on each of two validated severity scores.

SUMMARY AND COMMENT

GlideScope Provides Better Glottic Views Than Direct Laryngoscopy

In this meta-analysis, the GlideScope also was associated with faster intubation times and higher first-attempt success rates among nonexpert operators.

SUMMARY AND COMMENT

Airtraq Outperforms Other Devices for Face-to-Face Intubation

In a manikin study, the Airtraq laryngoscope was faster, more successful, and easier to use than the GlideScope or LMA Fastrach for face-to-face intubation.

SUMMARY AND COMMENT

Inappropriate Ventilation in Intubated Prehospital Patients on Arrival at the ED

In a study at a single emergency department, end-tidal CO2 values revealed inappropriate ventilation in nearly half the patients.

SUMMARY AND COMMENT

QTc Intervals in Youth Are Often Shorter at Follow-Up Than in the ED

But this study's methodology was so weak that we can't draw any meaningful interpretation.

SUMMARY AND COMMENT

Corticosteroids Impart No Benefit After Single-Dose Etomidate for IntubationFree

Moderate-dose hydrocortisone infusion did not affect outcomes in intubated patients without septic shock who had etomidate-related adrenal insufficiency.

SUMMARY AND COMMENT

Nebulized Naloxone Is Safe and Effective for Management of Opioid Overdose

But some patients will still require injected naloxone.

SUMMARY AND COMMENT

Intubation Requires Less Force with GlideScope Than with the Macintosh Laryngoscope

In a manikin study of normal and difficult airways, higher forces were applied with the Macintosh laryngoscope, particularly for difficult airways.

SUMMARY AND COMMENT

Propofol Saves Time for Orthopedic Procedures

And, it is as effective as midazolam/ketamine for procedural sedation in adults.

SUMMARY AND COMMENT

TIA Clinics Might Be More Cost-Effective Than Hospitalization

However, developing such clinics for patients with transient ischemic attacks might not be feasible.

Browse our complete Emergency Medicine archive >>

Editor's Picks from across Journal Watch

SUMMARY AND COMMENT

Complications from Rebleeding in Aneurysmal Subarachnoid Hemorrhage

  • Neurology

After SAH, rebleeding increases mortality and the risk for cerebral and systemic complications but does not change the course or severity of delayed cerebral ischemia.

SUMMARY AND COMMENT

A Single-Sampling Blood Culture Strategy?

An uncommon approach involving six bottles drawn during a single venipuncture, together with pathogen-specific interpretation, showed high positive predictive values for major pathogens.

SUMMARY AND COMMENT

Another Perspective on SepsisFree

Postmortem studies of patients who died of sepsis show evidence of profound immunosuppression.

SUMMARY AND COMMENT

Even Subclinical AF Is Associated with Stroke

In patients with pacemakers, asymptomatic AF is common and warrants increased vigilance.

More Editor's Picks >>

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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Emergency Medicine Editor-in-Chief

Emergency Medicine Journal Watch
Ron M. Walls, MD, FRCPC, FAAEM
Chair, Department of Emergency Medicine, Brigham and Women's Hospital

More about Journal Watch Emergency Medicine and its board >>

Journals Watched: Emergency Medicine >>

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Physician's First Watch
January 27, 2012

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