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NEJM Journal Watch: Emergency Medicine RSS Feed

• 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
• Treating Rhythmic and Periodic EEG Patterns in Comatose Survivors of Cardiac Arrest
  A multicenter trial suggests that aggressive treatment of generalized periodic discharges and other rhythmic and periodic EEG patterns does not improve outcome in some comatose survivors of cardiac arrest.
  Craig Williamson, MD
• 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