Recommended in Emergency Medicine

  • Clinical Essentials from JAMA Neurol
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Stroke: is “drip-and-ship” treatment actually effective?

Most hospitals do not have on-site mechanical thrombectomy facilities.

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  • Clinical Essentials from N Engl J Med
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FFR-guided PCI of noninfarct related coronary arteries reduces revascularization by more than half

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  • Clinical Essentials from Lancet Neurol
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Stroke: neurovascular thrombectomy yields sustained benefit

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  • Clinical Essentials from JAMA
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Norepinephrine in short supply is linked to increased mortality from septic shock

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  • Clinical Essentials from J Stroke Cerebrovasc Dis
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Mild stroke prognosis: total NIHSS score as accurate as individual items

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  • Clinical Essentials from BMJ Open
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Two antibiotics not better than 1 in cellulitis treatment

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  • Clinical Essentials from JAMA Pediatr
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Acute kidney injury found in two-thirds of children with DKA

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  • Clinical Essentials from Curr Opin Crit Care
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Bedside clinical assessment essential for better sepsis outcomes

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  • Clinical Essentials from Ann Emerg Med
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Pediatric asthma: ED revisits common after hospitalization

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Professional Essentials

  • US Professional News

Most states now allowing experimental drug access

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  • US Professional News

CMS delays some bundled payments

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  • US Professional News

Time for kickback rules to reflect new payment models

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  • US Professional News

Texas physician penalized by IRS for personal loan

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  • Patients Will Be Asking

How am I supposed to squeeze in 2 h of walking a day?

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  • Patients Will Be Asking

Is it better to have kids when you're older or younger?

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New in Emergency Medicine

  • Clinical Essentials from Amyotroph Lateral Scler Frontotemporal Degener
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Fractures: a harbinger of ALS?

Elevated risk for ALS persists for many years post-fracture.

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  • Clinical Essentials from Int J Chron Obstruct Pulmon Dis
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COPD: post-ED case management slashes readmission rates

Patients received in-home clinical assessment, medication review, and education.

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  • Clinical Essentials from J Clin Lab Anal
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NLR boosts treadmill test sensitivity for detecting CAD

Readily available measurement improves diagnostic power.

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  • Clinical Essentials from Curr Osteoporos Rep
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Lessons from the Dubbo Osteoporosis Epidemiology Study

A summary of recent fracture-outcome discoveries from this long-running study.

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  • Clinical Essentials from Int J Chron Obstruct Pulmon Dis
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COPD: impulse oscillometry shows diagnostic value in the elderly

Findings serve as a good foundation on which to establish independent diagnostic criteria.

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Heart Failure Vitals for March 2017
  • Vitals
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Heart Failure Vitals for March 2017

Bedsore score linked to HF outcomes | CAP linked to HF | Discontinuing ACEi/ARBs in HFrEF

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  • Clinical Essentials from Am J Emerg Med
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Emergency departments are frontline resource for combating antibiotic resistance

Avoidance of antibiotics for skin, soft tissue, and upper respiratory infections are key to reducing the antibiotic resistance burden.

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  • Clinical Essentials from Mayo Clin Proc
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In-hospital “stress hyperglycemia” raises type 2 diabetes risk

The prevalence of new-onset diabetes increases with the degree of in-hospital hyperglycemia.

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Septic shock: do hyperoxia and hypertonic saline improve survival?
  • The Lancet Pneumology
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Septic shock: do hyperoxia and hypertonic saline improve survival?

Study evaluates efficacy and safety of hyperoxia and hypertonic saline in patients with septic shock

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Breaking golden hour limit: Mobile stroke units for better-quality care of patients with acute stroke
  • The Lancet Neurology
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Breaking golden hour limit: Mobile stroke units for better-quality care of patients with acute stroke

Study evaluated benefits and challenges

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  • Clinical Essentials from Crit Care Med
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New-onset Afib undetected in 1 in 12 ICU patients

Afib detected in 1 in 5 ICU patients overall.

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  • Clinical Essentials from Womens Health Issues
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Pregnant women with unmet needs and lower SES frequently turn to emergency department for care

Lack of access, poor coping skills, and secondary gains prompt frequent OB ED visits.

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  • Clinical Essentials from BMJ
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Sleep: opioids, benzodiazepines are a dangerous combo

About 30% of opioid overdoses occur in patients who are also taking benzodiazepines.

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  • Clinical Essentials from J Emerg Med
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Acute pain: ketamine reduces pain, increases satisfaction in the ED

Placebo-controlled trial examines subdissociative doses of ketamine as a adjunct to morphine.

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