November 2017 EM Articles


You'd have to read 2714 articles to find these 32 nuggets from the bowels of science.

*NNR - number needed to read


A Randomized Double Blind Trial of Needle-free Injected Lidocaine Versus Topical Anesthesia for Infant Lumbar Puncture.  Acad Emerg Med. 2017 Nov 20. doi: 10.1111/acem.13351. [Epub ahead of print]


Topical Tranexamic Acid Compared With Anterior Nasal Packing for Treatment of Epistaxis in Patients Taking Antiplatelet Drugs: Randomized Controlled Trial.  Acad Emerg Med. 2017 Nov 10. doi: 10.1111/acem.13345. [Epub ahead of print]


A Randomized, Double-Blind, Placebo-Controlled Trial of Naproxen With or Without Orphenadrine or Methocarbamol for Acute Low Back Pain.  Ann Emerg Med. 2017 Oct 28. pii: S0196-0644(17)31700-6. doi: 10.1016/j.annemergmed.2017.09.031. [Epub ahead of print]


A Systematic Review and Meta-Analysis of the Management and Outcomes of Isolated Skull Fractures in Children.  Ann Emerg Med. 2017 Nov 23. pii: S0196-0644(17)31797-3. doi: 10.1016/j.annemergmed.2017.10.014. [Epub ahead of print]


Hidden risks your smartphone poses to your career.  BMJ. 2017 Oct 26;359:j4896. doi: 10.1136/bmj.j4896.


Conservative Management in Traumatic Pneumothoraces: An Observational Study.  Chest. 2017 Nov 15. pii: S0012-3692(17)32917-3. doi: 10.1016/j.chest.2017.10.015. [Epub ahead of print]


2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.  Circulation. 2017 Oct 30. pii: CIR.0000000000000549. doi: 10.1161/CIR.0000000000000549. [Epub ahead of print]


2017 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Summary.  Circulation. 2017 Nov 6. pii: CIR.0000000000000541. doi: 10.1161/CIR.0000000000000541. [Epub ahead of print]


Video laryngoscopy does not improve the intubation outcomes in emergency and critical patients - a systematic review and meta-analysis of randomized controlled trials.  Crit Care. 2017 Nov 24;21(1):288. doi: 10.1186/s13054-017-1885-9.


Vancomycin Plus Piperacillin-Tazobactam and Acute Kidney Injury in Adults: A Systematic Review and Meta-Analysis.  Crit Care Med. 2017 Oct 28. doi: 10.1097/CCM.0000000000002769. [Epub ahead of print]


Prolonged Infusion Piperacillin-Tazobactam Decreases Mortality and Improves Outcomes in Severely Ill Patients: Results of a Systematic Review and Meta-Analysis.  Crit Care Med. 2017 Nov 7. doi: 10.1097/CCM.0000000000002836. [Epub ahead of print]


Effect of patient weight on first pass success and neuromuscular blocking agent dosing for rapid sequence intubation in the emergency department.  Emerg Med J. 2017 Nov;34(11):739-743. doi: 10.1136/emermed-2017-206762. Epub 2017 Aug 16.


Stable High-Sensitivity Cardiac Troponin T Levels and Outcomes in Patients With Chest Pain.  J Am Coll Cardiol. 2017 Oct 31;70(18):2226-2236. doi: 10.1016/j.jacc.2017.08.064.
Time for a New Strategy for High-Sensitivity Troponin in the Emergency Department.  Editorial: J Am Coll Cardiol. 2017 Oct 31;70(18):2237-2239. doi: 10.1016/j.jacc.2017.09.021.


Systematic Review for the 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.  J Am Coll Cardiol. 2017 Nov 7. pii: S0735-1097(17)41517-8. doi: 10.1016/j.jacc.2017.11.004. [Epub ahead of print]


Potential U.S. Population Impact of the 2017 American College of Cardiology/American Heart Association High Blood Pressure Guideline.  J Am Coll Cardiol. 2017 Nov 6. pii: S0735-1097(17)41474-4. doi: 10.1016/j.jacc.2017.10.073. [Epub ahead of print]


Low Yield of Clinically Significant Injury With Head-To-Pelvis Computed Tomography in Blunt Trauma Evaluation.  J Emerg Med. 2017 Oct 28. pii: S0736-4679(17)30742-4. doi: 10.1016/j.jemermed.2017.08.036. [Epub ahead of print]


Emergency Medicine Myths: Ectopic Pregnancy Evaluation, Risk Factors, and Presentation.  J Emerg Med. 2017 Oct 27. pii: S0736-4679(17)30783-7. doi: 10.1016/j.jemermed.2017.08.074. [Epub ahead of print]


Effect of a Single Dose of Oral Opioid and Nonopioid Analgesics on Acute Extremity Pain in the Emergency Department: A Randomized Clinical Trial.  JAMA. 2017 Nov 7;318(17):1661-1667. doi: 10.1001/jama.2017.16190.


Association of High-Sensitivity Cardiac Troponin I Concentration With Cardiac Outcomes in Patients With Suspected Acute Coronary Syndrome.  JAMA. 2017 Nov 21;318(19):1913-1924. doi: 10.1001/jama.2017.17488.


Noninvasive Cardiac Testing vs Clinical Evaluation Alone in Acute Chest Pain: A Secondary Analysis of the ROMICAT-II Randomized Clinical Trial.  JAMA Intern Med. 2017 Nov 14. doi: 10.1001/jamainternmed.2017.7360. [Epub ahead of print]


Effectiveness of β-Lactam Monotherapy vs Macrolide Combination Therapy for Children Hospitalized With Pneumonia.  JAMA Pediatr. 2017 Oct 30. doi: 10.1001/jamapediatrics.2017.3225. [Epub ahead of print]


Sudden Cardiac Arrest during Participation in Competitive Sports.  N Engl J Med. 2017 Nov 16;377(20):1943-1953. doi: 10.1056/NEJMoa1615710.


Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct.  N Engl J Med. 2017 Nov 11. doi: 10.1056/NEJMoa1706442. [Epub ahead of print]


Clinical Impact of External Laryngeal Manipulation During Laryngoscopy on Tracheal Intubation Success in Critically Ill Children.  Pediatr Crit Care Med. 2017 Nov 14. doi: 10.1097/PCC.0000000000001373. [Epub ahead of print]


Failure of Invasive Airway Placement on the First Attempt Is Associated With Progression to Cardiac Arrest in Pediatric Acute Respiratory Compromise.  Pediatr Crit Care Med. 2017 Nov 10. doi: 10.1097/PCC.0000000000001370. [Epub ahead of print]


Fast and Sensitive: Automated Point-of-Care Urine Dips.  Pediatr Emerg Care. 2017 Nov 20. doi: 10.1097/PEC.0000000000001357. [Epub ahead of print]


Ondansetron Prescription for Home Use in a Pediatric Emergency Department.  Pediatr Emerg Care. 2017 Nov 14. doi: 10.1097/PEC.0000000000001343. [Epub ahead of print]


Capsaicin Cream for Treatment of Cannabinoid Hyperemesis Syndrome in Adolescents: A Case Series.  Pediatrics. 2017 Nov 9. pii: e20163795. doi: 10.1542/peds.2016-3795. [Epub ahead of print]


Effect of FDA Investigation on Opioid Prescribing to Children After Tonsillectomy/Adenoidectomy.  Pediatrics. 2017 Nov 16. pii: e20171765. doi: 10.1542/peds.2017-1765. [Epub ahead of print]


Oral Analgesics Utilization for Children With Musculoskeletal Injury (OUCH Trial): An RCT.  Pediatrics. 2017 Nov;140(5). pii: e20170186. doi: 10.1542/peds.2017-0186. Epub 2017 Oct 11.


A retrospective study of pulseless electrical activity, bedside ultrasound identifies interventions during resuscitation associated with improved survival to hospital admission. A REASON Study.  Resuscitation. 2017 Nov;120:103-107. doi: 10.1016/j.resuscitation.2017.09.008. Epub 2017 Sep 13.


A comparison of pediatric airway management techniques during out-of-hospital cardiac arrest using the CARES database.  Resuscitation. 2017 Nov;120:51-56. doi: 10.1016/j.resuscitation.2017.08.015. Epub 2017 Aug 22.

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