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NEJM Journal Watch: Emergency Medicine RSS Feed

• Should Urea Be Used for Managing SIADH?
  A recent meta-analysis suggests that it is safe and effective for syndrome of inappropriate antidiuretic hormone secretion.
  Aaron J. Calderon, MD, FACP, SFHM
• Optimal Hemoglobin Threshold for Patients with Acute Brain Injury
  In a randomized trial, critically ill patients with acute brain injury who were transfused to a higher hemoglobin goal had better neurological outcomes.
  Clement D. Lee, MD, MSc,Daniel D. Dressler, MD, MSc, MHM, FACP
• What Is the Optimal Hemoglobin Transfusion Threshold in Patients with Myocardial Infarction?
  It's probably 9 g/dL in patients with MI and anemia.
  Daniel D. Dressler, MD, MSc, MHM, FACP
• What's the Best Intravenous Fluid for Sickle Cell Vaso-Occlusive Crisis?
  Lactated Ringer's solution, compared with normal saline, was associated with small but significant improvements in outcomes.
  Neil H. Winawer, MD, SFHM
• Preventing Hypoxemia with Noninvasive Ventilation During Emergency Intubation
  In a randomized trial, preoxygenation with NIV significantly and safely lowered the incidence of hypoxemia in critically ill adults.
  Raja-Elie E. Abdulnour, MD,Patricia Kritek, MD
• Best Practices for Advanced Cardiac Life Support
  The American Heart Association has published minor but relevant updates to its resuscitation guidelines.
  Daniel D. Dressler, MD, MSc, MHM, FACP
• Low-Risk Pulmonary Embolism: An Opportunity to Prevent Hospitalizations
  Nearly two thirds of patients with low-risk PE are hospitalized.
  Daniel D. Dressler, MD, MSc, MHM, FACP
• Another Benefit of a Primary Care Continuity Relationship
  Subsequent emergency department use was lower following a virtual visit with a patient's own family physician compared with a visit with another physician.
  Thomas L. Schwenk, MD
• Steroids for Community-Acquired Pneumonia
  Patients who were admitted directly to intensive care derived the greatest benefit from steroids.
  Patricia Kritek, MD
• Holding Off on Intubation for Airway Protection After a Toxic Ingestion
  This practice was safe and also resulted in fewer intensive care unit admissions.
  Patricia Kritek, MD