חדשות מהעתונים בעולם

NEJM Journal Watch: Emergency Medicine RSS Feed

• Hypothermia Isn't Better Than Normothermia After Cardiac Arrest
  Meta-analysis of two large trials showed no difference in mortality or functional outcomes.
  Aaron J. Calderon, MD, FACP, SFHM
• Normal Saline vs. Balanced Crystalloid for Diabetic Ketoacidosis
  Balanced electrolyte solutions led to slightly faster resolution of DKA.
  Daniel D. Dressler, MD, MSc, MHM, FACP
• Diagnostic Yield of Head CT for Common Psychiatric Presentations
  Among patients with no concurrent nonpsychiatric indications for head computed tomography, yield was 0%.
  Paul S. Mueller, MD, MPH, FACP
• Antibiotic Therapy for Uncomplicated Appendicitis: More Data from a Clinical Trial
  When patients were treated with antibiotics instead of surgery, hospital discharge within 24 hours appeared to be safe.
  Thomas L. Schwenk, MD
• Potential Harm of Vitamin C in Treating Patients with Septic Shock
  Combined outcome of death or persistent organ failure at 28 days was higher in patients treated with vitamin C.
  Patricia Kritek, MD
• Canadian Syncope Risk Score Now Is Validated Internationally
  The best-studied syncope risk stratification tool performed well in identifying patients at low risk for serious outcomes.
  Daniel D. Dressler, MD, MSc, MHM, FACP
• Balanced Crystalloid vs. Saline for Critically Ill Patients: A Conversation
  Two experts discuss the ongoing debate.
• Pulmonary Thrombosis in Trauma Patients: A Distinct Clinical Entity?
  Some pulmonary clots in trauma patients can form in situ rather than result from embolization.
  Rahul B. Ganatra, MD, MPH
• Should CT Angiography or Invasive Coronary Angiography Be the Initial Diagnostic Test for Stable Angina?
  No significant differences in cardiovascular-related death, myocardial infarction, or stroke were noted between the two strategies during 3.5 years of follow-up.
  Kirsten E. Fleischmann, MD, MPH, FACC
• Ultrasound vs. Landmark-Guided Technique for Medium-Sized Joint Aspiration
  Ultrasound guidance improved the success rate and avoided unnecessary aspirations.
  Aaron J. Calderon, MD, FACP, SFHM