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NEJM Journal Watch: Emergency Medicine RSS Feed

• Nonresponsiveness to Antibiotics in Acute Uncomplicated Appendicitis
  Appendiceal diameter of ≥15 mm or fever >38°C were associated with higher likelihood of early antibiotic failure and need for surgery.
  Aaron J. Calderon, MD, FACP, SFHM
• Calcium in Out-of-Hospital Cardiac Arrest: No Benefit
  Intravenous or intraosseous calcium administration did not improve outcomes and might be harmful.
  Neil H. Winawer, MD, SFHM
• First-Pass Intubation Is Similarly Successful with Stylet or Bougie
  Patients were intubated successfully on the first attempt 80% of the time, regardless of approach.
  Patricia Kritek, MD
• Many Patients with Alcohol Withdrawal in Intensive Care Don't Receive Thiamine
  The practice is even less common in patients with alcohol use disorder admitted to ICUs for other critical illnesses.
  Patricia Kritek, MD
• New Surviving Sepsis Guidelines
  In this update, recommendations include using balanced crystalloid for resuscitation and steroids for persistent shock.
  Patricia Kritek, MD
• Medication Harms Leading to Emergency Department Visits
  The U.S. CDC reports national data on medication-related adverse events leading to emergent care.
  Daniel D. Dressler, MD, MSc, MHM, FACP
• Early CT Angiography for Suspected Acute Coronary Syndromes
  Early computed tomographic angiography did not change outcomes at 1 year.
  Kirsten E. Fleischmann, MD, MPH, FACC
• Racial Disparities in Clinical Medicine
  An NEJM Group eBook explores how racial inequity persists in clinical medicine and what we can do to begin to counter it.
• EPIC's Sepsis Model Is Not Ready for Prime Time
  Despite its widespread use, the proprietary electronic health record system missed sepsis 67% of the time.
  Aaron J. Calderon, MD, FACP, SFHM
• For Anticoagulated Patients with Blunt Trauma, Repeat Head CTs Aren't Necessary
  Fewer than 1% of patients developed intracranial hemorrhage at 6 hours after initially negative head computed tomography.
  Ali S. Raja, MD, MBA, MPH