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NEJM Journal Watch: Emergency Medicine RSS Feed

• 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
• Transferring Suspected Large Vessel Occlusion Stroke Patients Directly to Angiography Suite
  Direct transfer to the angiography suite without stopping for computed tomography improved functional outcomes in a single-center randomized trial, although many patients already had conventional CT done at a primary stroke center before transfer.
  Anthony S. Kim, MD
• No Difference Between Dobutamine and Milrinone in Managing Cardiogenic Shock
  Mortality was high, regardless of which inotrope was administered.
  Patricia Kritek, MD
• Improving Care of Sickle Cell Disease Vaso-Occlusive Pain Crises
  Infusion centers had better outcomes than emergency departments for managing uncomplicated crises.
  Daniel D. Dressler, MD, MSc, MHM, FACP
• 30:2 Cardiopulmonary Resuscitation Might Outperform Continuous Compressions in Out-of-Hospital Cardiac Arrest
  Done correctly, the 30:2 strategy might be associated with a survival benefit over continuous compressions.
  Benton R. Hunter, MD
• Fractures Associated with Electric Scooter Accidents
  During a recent 3-year period, 563 patients presented to a single urban emergency department with scooter-related fractures.
  Allan S. Brett, MD
• No Benefit to Hypothermia Compared with Normothermia After Cardiac Arrest
  Mortality and neurological outcomes were similar when targets were 33°C or 37.5°C.
  Patricia Kritek, MD