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10 papers 0 to 25 followers Recommended Novel & Landmark Emergency Medicine Literature From the Northwestern Emergency Medicine Blog
Robbert J de Winter, Niels J W Verouden, Hein J J Wellens, Arthur A M Wilde
No abstract text is available yet for this article.
November 6, 2008: New England Journal of Medicine
Alexander C Fanaroff, Jennifer A Rymer, Sarah A Goldstein, David L Simel, L Kristin Newby
IMPORTANCE: About 10% of patients with acute chest pain are ultimately diagnosed with acute coronary syndrome (ACS). Early, accurate estimation of the probability of ACS in these patients using the clinical examination could prevent many hospital admissions among low-risk patients and ensure that high-risk patients are promptly treated. OBJECTIVE: To review systematically the accuracy of the initial history, physical examination, electrocardiogram, and risk scores incorporating these elements with the first cardiac-specific troponin...
November 10, 2015: JAMA: the Journal of the American Medical Association
Michael G Millin, Angela C Comer, Jose V Nable, Peter V Johnston, Benjamin J Lawner, Nathan Woltman, Matthew J Levy, Kevin G Seaman, Jon Mark Hirshon
INTRODUCTION: The American Heart Association recommends that post-arrest patients with evidence of ST elevation myocardial infarction (STEMI) on electrocardiogram (ECG) be emergently taken to the catheterization lab for percutaneous coronary intervention (PCI). However, recommendations regarding the utility of emergent PCI for patients without ST elevation are less specific. This review examined the literature on the utility of PCI in post-arrest patients without ST elevation compared to patients with STEMI...
November 2016: Resuscitation
Stephen W Smith, Kenneth W Dodd, Timothy D Henry, David M Dvorak, Lesly A Pearce
STUDY OBJECTIVE: Sgarbossa's rule, proposed for the diagnosis of acute myocardial infarction in the presence of left bundle branch block, has had suboptimal diagnostic utility. We hypothesize that a revised rule, in which the third Sgarbossa component (excessively discordant ST-segment elevation as defined by ≥5 mm of ST-segment elevation in the setting of a negative QRS) is replaced by one defined proportionally by ST-segment elevation to S-wave depth (ST/S ratio), will have better diagnostic utility for ST-segment elevation myocardial infarction (STEMI) equivalent, using documented coronary occlusion on angiography as reference standard...
December 2012: Annals of Emergency Medicine
Armin Arbab-Zadeh, Masataka Nakano, Renu Virmani, Valentin Fuster
No abstract text is available yet for this article.
March 6, 2012: Circulation
Brian W Patterson, Robert J Batt, Morgan D Wilbanks, Erkin Otles, Mary C Westergaard, Manish N Shah
OBJECTIVE: We aimed to evaluate the association between patient chief complaint and the time interval between patient rooming and resident physician self-assignment ("pickup time"). We hypothesized that significant variation in pickup time would exist based on chief complaint, thereby uncovering resident preferences in patient presentations. METHODS: A retrospective medical record review was performed on consecutive patients at a single, academic, university-based emergency department with over 50,000 visits per year...
June 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Rachel A Lindor, Eric T Boie, Ronna L Campbell, Erik P Hess, Annie T Sadosty
OBJECTIVES: The objectives were to describe lawsuits against providers for failing to order head computed tomography (CT) in cases of head trauma and to determine the potential effects of available clinical decision rules (CDRs) on each lawsuit. METHODS: The authors collected jury verdicts, settlements, and court opinions regarding alleged malpractice for failure to order head CT in the setting of head trauma from 1972 through February 2014 from an online legal research tool (WestlawNext)...
December 2015: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Pat Croskerry
No abstract text is available yet for this article.
January 2014: CJEM
Peter G Brindley, Stuart F Reynolds
Human errors are the most common reason for planes to crash, and of all human errors, suboptimal communication is the number 1 issue. Mounting evidence suggests the same for errors during short-term medical care. Strong verbal communication skills are key whether for establishing a shared mental model, coordinating tasks, centralizing the flow of information, or stabilizing emotions. However, in contrast to aerospace, most medical curricula rarely address communication norms during impending crises. Therefore, this article offers practical strategies borrowed from aviation and applied to critical care medicine...
April 2011: Journal of Critical Care
David P Sklar, Cameron S Crandall, Eric Loeliger, Kathleen Edmunds, Ian Paul, Deborah L Helitzer
STUDY OBJECTIVE: We measured the frequency of unanticipated death among patients discharged from the emergency department (ED) and reviewed these cases for patterns of potential preventable medical error. METHODS: This was a retrospective cohort of ED patients who were discharged to home from an urban tertiary-care facility after their evaluation, with subsequent case review. Subjects were aged 10 years and older, representing 387,334 visits among 186,859 individuals, February 1994 through November 2004...
June 2007: Annals of Emergency Medicine
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