NEJM Journal Watch: Emergency Medicine RSS Feed

• Not All Patients with Shock Need Arterial Catheters
  Mortality was similar between patients monitored noninvasively and those with an arterial catheter.
  Patricia Kritek, MD
• Lifesaving Medicines for Addiction Are Underused by Clinicians
  Naloxone was offered to less than a third of patients with opioid use disorder seeking care in EDs.
  Christopher W. Goodman, M.D.
• Vasopressor Initiation via Peripheral IV: Current Practice, Outcomes
  Patients with sepsis who received vasopressors peripherally had few complications and no increase in mortality.
  Michael E. Billington, M.D.
• How Can We Reduce Asthma Exacerbations in Pregnancy?
  Continue preventive asthma therapy during pregnancy to lower exacerbation risk.
  Marie Claire O'Dwyer, MB BCh BAO, MPH
• Are Multiple Doses of Ondansetron Beneficial for Gastroenteritis in Children?
  This strategy reduced the severity of gastroenteritis and was safe overall, with diarrhea being the main side effect.
  Clement D. Lee, MD, MSc
• Trends in Placement of PEG Tubes in Patients with Acute Ischemic Stroke
  In recent years, percutaneous endoscopic gastrostomy has been performed less commonly in these patients.
  Allan S. Brett, MD
• Can POCUS Improve Rhythm Identification and Outcomes in Out-of-Hospital Cardiac Arrests?
  Point-of-care ultrasound early in cardiac arrest detected previously unidentified shockable rhythms, but outcomes didn't improve.
  Michael E. Billington, MD
• Does BMI Tip the Scales of Mortality for Patients Who Require ECMO?
  Among adults undergoing extracorporeal membrane oxygenation, no mortality difference was found across body-mass index categories.
  Michael E. Billington, MD
• Haloperidol: Time to Retire QT-Prolongation Hypervigilance?
  Yes! Despite its reputation, haloperidol administration does not confer risk for arrhythmias or death, and routine ECG monitoring is not indicated.
  Michael E. Billington, MD
• Noninvasive Ventilation for Patients with Acute Asthma Exacerbations
  A new systematic review suggests that NIV might benefit some patients.
  Raja-Elie E. Abdulnour, MD