Recommended in Emergency Medicine

29 million people remain uninsured in the USA
  • The Lancet
  • 1 comment
  • FULLTEXT

29 million people remain uninsured in the USA

Although the Affordable Care Act improved coverage, economic, gender, and racial inequalities still persists

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  • The Lancet
  • 1 comment
  • FULLTEXT

Have we addressed income-based disparities in health care?

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  • Clinical Essentials from Ann Intern Med
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Can 1 blood draw rule out MI?

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  • The Lancet
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  • FULLTEXT

Head injuries in children: high sensitivity of PECARN, CATCH, and CHALICE clinical decision rules

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  • Clinical Essentials from J Stroke Cerebrovasc Dis
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Stroke: a successful approach for reducing time to thrombolysis

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  • Clinical Essentials from JAMA Neurol
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Vertebrobasilar stroke: which anesthesia type is best during EVT?

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  • Clinical Essentials from BMJ
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Quick-Wee method gets infants to pee more quickly

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  • Clinical Essentials from Stroke
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LVO stroke outcomes after EVT improved by CT perfusion selection

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  • Clinical Essentials from Neurohospitalist
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Stroke: a CT-direct protocol reduces DTN time

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Professional Essentials

  • Patients Will Be Asking

Do diet sodas cause dementia?

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  • US Professional News

Strategic use of extenders can boost profit

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  • US Professional News

Study links cannabis laws to fewer drug prescriptions

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  • US Professional News

AMA supports EHR training for medical students

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  • US Professional News

Physician doesn't have to treat cannabis-using patient: court

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  • Patients Will Be Asking

Will birth control affect my quality of life?

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New in Emergency Medicine

  • Clinical Essentials from Clin Pediatr (Phila)
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Pediatric sepsis on the rise in the United States

Familiarity with risk factors for severe pediatric sepsis is warranted.

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  • Clinical Essentials from Pediatr Allergy Immunol
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Early antibiotic use doubles risk for childhood asthma

Study utilized data from 4 childhood cohorts comprising 9758 participants.

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  • Clinical Essentials from Eur J Clin Microbiol Infect Dis
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Influenza and the protective effect of neuraminidase inhibitors: unproven?

Prior meta-analysis showed a remarkable reduction in mortality, but was criticized for methodology issues.

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  • Clinical Essentials from Gait Posture
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Parkinson's disease: falls occurring in community, at home differ somewhat

Community falls were more commonly related to terrain and attention demands.

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  • Clinical Essentials from BMC Infect Dis
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CRE prevalence rising in community-acquired infections

While uncommon, CRE is increasing in UTI, pneumonia and sepsis

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  • Clinical Essentials from J Neuromuscul Dis
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Patients with muscular dystrophy may fare better at teaching hospitals

A retrospective study of over 7K patients.

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  • Clinical Essentials from J Crit Care
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Sepsis: saving lives with institution-wide education, bundled care, and designated response teams

Improved sepsis care relies on organizational and cultural changes.

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  • Clinical Essentials from MMWR Morb Mortal Wkly Rep
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MMWR: fentanyl involved in majority of opioid overdose fatalities

Most who survived overdose reported use of naloxone.

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  • Clinical Essentials from Pediatr Infect Dis J
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Pregnancy status, preterm delivery linked to early onset illness risk in very low birthweight infants

Identification of significant risk factors should drive antibiotic stewardship in early onset sepsis.

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  • Clinical Essentials from Ann Am Thorac Soc
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COPD: nebulized therapy better than DPIs in patients with suboptimal peak inspiratory flow

Assess PIF to decide whether to switch from dry powdered inhalers to other delivery devices.

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  • Clinical Essentials from Chest
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Morphine in HF patients in ED is linked to increased 30-d mortality

Increase is especially notable in the first 3 d post-use.

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Stroke Vitals for April 2017
  • Vitals
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Stroke Vitals for April 2017

EVT benefits at 2 y | Long-term benefits of thrombectomy | Transfer to a high-volume center after EVT?

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  • Clinical Essentials from Stroke
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Prophylactic anticoagulation rx’d to Afib patients in the ED is linked to decreased mortality

These patients also have no increase in major bleeding.

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  • Clinical Essentials from N Engl J Med
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Stroke: do EVT benefits hold up after 2 y?

EVT has previously been linked to improved 90-d outcomes, but what about the long-term?

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