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NEJM Journal Watch: Emergency Medicine RSS Feed

• Chest CT for Suspected Pulmonary Embolism in Emergency Departments
  Using computed tomography for suspected pulmonary embolism is increasing, despite clinical decision rules designed to limit use.
  Daniel D. Dressler, MD, MSc, MHM, FACP
• How Accurate Are Unenhanced CT Scans for Evaluating Acute Abdominal Pain?
  Accuracy is ≈30% lower than for contrast-enhanced computed tomography.
  Thomas L. Schwenk, MD
• Neurological Emergency Care in a Managed Care Teleneurology Network
  The benefits of teleneurology extend beyond stroke.
  John C. Probasco, MD
• What Is the Diagnostic Yield of Head CT in Delirium Patients?
  Across multiple studies, 1 in 8 patients had acute or subacute abnormal findings.
  Rahul B. Ganatra, MD, MPH
• Prehospital Risk Stratification with Troponin Point-of-Care Testing
  A modeling study suggests that costs can be minimized by using prehospital point-of-care troponin testing.
  Kirsten E. Fleischmann, MD, MPH, FACC
• Frailty Affects Emergency General Surgery Outcomes
  Even low-risk procedures pose hazards for frail patients.
  Andrew S. Parsons, MD, MPH
• Does Immediate ECMO for Cardiogenic Shock Improve Survival?
  A randomized study found no benefit at 30 days for immediate versus delayed or no ECMO therapy.
  Howard C. Herrmann, MD
• A Synopsis of Other Important Research from 2022
  In 2022, NEJM Journal Watch covered many studies that are not included in our detailed Year in Review feature but nevertheless are highly relevant for clinical practice. Here are brief synopses of some of those studies.
  Allan S. Brett, MD
• CT Coronary Angiography as the Initial Anatomic Imaging Test for Stable Chest Pain?
  A randomized trial suggested some advantages for this approach.
  Kirsten E. Fleischmann, MD, MPH, FACC
• Prolonged Active Fever Management After Out-of-Hospital Cardiac Arrest Showed No Benefit
  Researchers found no difference in mortality or severe neurological impairment when low temperature was maintained after initial cooling.
  Patricia Kritek, MD