Recommended in Emergency Medicine

  • Clinical Essentials from J Stroke Cerebrovasc Dis
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IVT for stroke: nonintracranial hemorrhage common, but outcomes unaffected

NICH is a common IVT complication, but effects on outcomes were poorly understood.

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  • Vitals
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Stroke Vitals for June 2017

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  • Clinical Essentials from Circ Cardiovasc Qual Outcomes
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Patients with cardiac arrest should be taken to a PCI center, even if a non-PCI hospital is closer

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  • Clinical Essentials from AJNR Am J Neuroradiol
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  • FULLTEXT

Stroke: CTA angiography tops noncontrast CT for predicting EVT outcomes

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  • Clinical Essentials from Neurology
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Meta-analysis: 7% of patients with AIS are DWI-negative

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  • Clinical Essentials from Stroke
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How does stroke affect traumatic brain injury survivors?

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  • Clinical Essentials from Stroke
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Patients with minor stroke face delayed treatment

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  • Clinical Essentials from J Stroke Cerebrovasc Dis
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Stroke: ASPECTS associated with post-thrombolysis outcomes

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  • Clinical Essentials from AJNR Am J Neuroradiol
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Stroke: does stent size affect EVT outcomes?

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Professional Essentials

  • Patients Will Be Asking

Is Zika still a threat?

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  • US Professional News

PCPs: fickle millennials may move on

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  • US Professional News

Senate health bill includes cuts to Medicaid

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  • US Professional News

AMA campaign aimed at easy MIPS compliance

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  • US Professional News

MACRA reporting eased in proposal

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  • Patients Will Be Asking

Can I get a "gentle" cesarean?

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New in Emergency Medicine

  • Clinical Essentials from JAMA Neurol
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Intensive BP treatment isn’t beneficial for ICH with spot sign

Spot sign also may not be that strong as a predictor of ICH expansion.

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  • Clinical Essentials from Lancet Infect Dis
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Antibiotic stewardship, infection measures tied to sharp drop in resistant bacteria

A systematic review and meta-analysis.

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  • Clinical Essentials from Ann Am Thorac Soc
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COPD: guidance on the safe use of acetazolamide

A review of data published over 6 decades.

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  • Clinical Essentials from BMC Cancer
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VTE risk postcurative CRC resection is low

Adjuvant chemotherapy does not increase risk.

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  • Clinical Essentials from Cartilage
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Hyaluronic acid joint injections for knee OA: Appropriate Use Criteria

Recommendations for an array of clinical scenarios.

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  • Clinical Essentials from Am J Crit Care Med
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Sepsis-3 criteria improve ED clinical management of community-acquired pneumonia

qSOFA scoring appears to be optimal for rapid assessment among CAPS patients presenting to the ED.

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  • Clinical Essentials from Cochrane Database Syst Rev
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Topical antimicrobial dressings may improve foot-ulcer healing in diabetes

Cochrane review suggests benefit for antimicrobial dressings, but overall data limited.

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  • Clinical Essentials from Am J Infect Control.
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Sepsis: bundled care may carry unintended consequences along with benefits

Are clinicians suffering from alarm fatigue in response to best practice alerts?

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  • Clinical Essentials from Am J Emerg Med
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Simplified HIV PEP regimen effective and better tolerated

Postexposure prophylaxis is effective in reducing HIV transmission among sexual assault victims.

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  • Clinical Essentials from Ann Emerg Med
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2-stage electronic trigger may improve detection of severe pediatric sepsis

Electronic health records hold promise for pediatric sepsis identification.

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  • Clinical Essentials from Medicine (Baltimore)
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Pediatric community-acquired pneumonia: are blood culture guidelines justified?

Overuse of blood culture can lead to unnecessary venipuncture and antibiotic treatment.

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  • Clinical Essentials from J Diabetes Complicat
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Tool predicts readmission in diabetes patients hospitalized for CVD

The Diabetes Early Readmission Risk Index – Cardiovascular Disease may improve 30-d readmission prediction.

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  • Clinical Essentials from N Engl J Med
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SGLT2 inhibitors double the DKA risk in type 2 diabetes patients

Despite a doubling of risk compared with DPP4 inhibitors, the overall DKA rate with SGLT2 inhibitors is low overall.

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  • Clinical Essentials from Ann Intensive Care
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Omega-3s not recommended for clinical management of sepsis

Mortality risk outweighs slight benefits conveyed by omega-3s as sepsis management strategy.

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