NEJM Journal Watch: Emergency Medicine RSS Feed

• Does Prone Positioning Save Lives in Nonintubated Patients with COVID-19?
  A meta-analysis offers compelling evidence that awake prone positioning improves outcomes in patients with acute hypoxemic respiratory failure.
  Michael Billington, MD
• Interventions for Intermediate-Risk Pulmonary Embolism
  Large-bore mechanical thrombectomy was superior to catheter-directed thrombolysis in a randomized trial.
  Daniel D. Dressler, MD, MSc, MHM, FACP
• Intranasal Epinephrine Is Approved for Younger Children
  1-mg “neffy” is now approved for children who weigh 15 to 30 kg.
  David J. Amrol, MD
• Cephalosporins for Outpatient Pyelonephritis?
  The guidelines say no, but this study says OK.
  Abigail Zuger, MD
• Clinical Risk Score to Predict Serious Causes of Vertigo
  The Sudbury Vertigo Risk Score uses 7 patient characteristics to predict serious causes.
  Molly S. Brett, MD
• Can Prognostic Scores Identify Low-Risk Patients with Upper Gastrointestinal Bleeding in the Emergency Department?
  Among several scores tested in a large cohort, none performed well enough.
  Rahul B. Ganatra, MD, MPH
• High-Flow Nasal Cannula Is Not Inferior to Noninvasive Ventilation for Many Patients with Acute Respiratory Failure
  The data are relatively convincing for hypoxemic respiratory failure but are less so for COPD exacerbations with hypercarbia.
  Patricia Kritek, MD
• Is Accelerated Surgery for Hip Fracture Better for High-Risk Patients?
  In patients with hip fracture and an elevated troponin level, rapid surgical intervention was associated with lower mortality.
  Daniel D. Dressler, MD, MSc, MHM, FACP
• 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