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NEJM Journal Watch: Emergency Medicine RSS Feed

• Are Overnight Stays in the Emergency Department Problematic?
  Risk for death was 40% higher in older adults who stayed in the ED overnight before admission to the hospital.
  Paul S. Mueller, MD, MPH, FACP
• Thrombectomy for Large-Volume Stroke with Simplified Imaging
  Even without advanced imaging, thrombectomy was beneficial for large-volume stroke.
  Seemant Chaturvedi, MD
• Is Piperacillin-Tazobactam More Likely Than Cefepime to Be Associated with Acute Kidney Injury?
  In a randomized trial of initial empirical therapy in patients with suspected infection, the answer was no.
  Allan S. Brett, MD
• Dexamethasone Dose for Migraine Treatment in the Emergency Department
  An intravenous dexamethasone dose of 16 mg did not offer greater clinical benefit than 4 mg in reducing post-discharge headaches following acute migraine treatment.
  Robyn-Jenia Wilcha, MD,Peter Goadsby, MD, PhD, DSc
• Is Lactated Ringer's Superior to Normal Saline in Acute Pancreatitis?
  Lactated Ringer's within the first 24 hours lowered the odds of moderate-to-severe pancreatitis.
  Aaron J. Calderon, MD, FACP, SFHM
• ECMO Strikes Out in Patients with Acute Myocardial Infarction and Cardiogenic Shock
  A major randomized trial showed no mortality difference with extracorporeal membrane oxygenation versus supportive care alone.
  David J. Cohen, MD, MSc
• Triage Language Might Delay Correct Diagnosis
  When triage personnel mentioned “CHF,” emergency room clinicians were less likely to test dyspneic patients for pulmonary embolism.
  Abigail Zuger, MD
• Spontaneous Pneumothorax: Simple Aspiration or Chest Tube?
  Simple aspiration was less painful but was somewhat more likely to fail.
  Patricia Kritek, MD
• First-Pass Intubation of Critically Ill Patients Is More Likely with Video Laryngoscopy
  Video laryngoscopy seems to be particularly helpful in operators who are learning to intubate.
  Patricia Kritek, MD
• Should Patients with Sepsis Receive Glucocorticoids?
  A meta-analysis showed that treatment shortened duration of shock but did not affect mortality or length of stay.
  Patricia Kritek, MD