From the publishers of The New England Journal of Medicine

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  4. Top Stories of 2009: Editors' Choice

Emergency Medicine Top Stories of 2009: Editors' Choice

SUMMARY AND COMMENT

Decision Rules for Children with Head Trauma Can Prevent Unnecessary CTs

A large multicenter study provides robust support for avoiding head CT scans in children at low risk.

SUMMARY AND COMMENT

Is ED Boarding Associated with Undesirable Events?

Nearly 30% of ED boarders at a single tertiary care hospital experienced undesirable events.

SUMMARY AND COMMENT

Chest Compression Fraction and Survival from Cardiac Arrest

Minimizing interruption of chest compressions is associated with improved survival.

SUMMARY AND COMMENT

Induced Hypothermia After VF Cardiac Arrest Improves Outcomes

Hypothermia led to significantly better survival rates and neurological outcomes in patients with ventricular fibrillation but not in those with other initial rhythms.

SUMMARY AND COMMENT

Analgesia in Children: Ibuprofen as Effective as Acetaminophen-Codeine

IIbuprofen and acetaminophen-codeine provided similar relief of traumatic extremity pain in children aged 5 to 17 years.

SUMMARY AND COMMENT

Ketamine and Etomidate: Good Choices for RSI in Critically Ill Patients

Mortality rates were similar in patients who received single doses of etomidate or ketamine.

SUMMARY AND COMMENT

LP Is Not Needed for Young Children with First Simple Febrile Seizure

It’s time for the American Academy of Pediatrics to revise its recommendations for LP.

SUMMARY AND COMMENT

More Disturbing News About Prehospital Trauma Intubation

Prehospital intubation failed in 31% of trauma patients in a large urban trauma system.

SUMMARY AND COMMENT

Steroids Might Relieve Sore Throat Pain

A meta-analysis shows that a single dose of steroids, given in addition to standard antibiotics, hastens resolution of pain in adults with exudative pharyngitis or bacterial pharyngitis.

SUMMARY AND COMMENT

Tamsulosin for Treatment of ED Patients with Renal Colic?

Tamsulosin provided no benefit over conventional outpatient analgesic therapy in adult ED patients with small, distal renal ureteral stones.

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