August 2019

Compared to the placebo group, patients who presented with ischemic stroke (4.5-9h from onset or wake-up stroke) with salvageable brain tissue identified on perfusion imaging and received tPA, had a slight improvement in functional outcome (mRS of 0-1) at 3 months (36% vs 29%) with higher rates of symptomatic intracerebral hemorrhage (5% vs <1%).

In this randomized trial of anesthetized patients, ultrasound-guided internal jugular venous catheters had a lower arterial puncture rate, pneumothorax rate, catheter misplacement, and access time compared to ultrasound-guided subclavian venous catheterization.

We may need to perform about 3 or supervise about 5 endotracheal intubations per year to maintain procedural proficiency.

The average emergency physician does about ten endotracheal intubations per year. However, about one quarter of physicians perform <5 per year.

Using an ED phlebotomist to initiate lab draws in patients with wait times over 20 minutes cut the number of patients who leave before treatment completion in half.

Follow these five steps to help you avoid missing a posterior circulation stroke.

Ambulance use of lights and sirens is associated with increased risk of crashes, especially from scene to medical care. Transport-phase crashes more than doubled when ambulances used lights and sirens.

See if you can crack this case of pediatric syncope. It took suspicion and persistence to get the diagnosis. Would you have made it?

Free Open Access Medical Education (FOAM or #FOAMed) allows information to rapidly and widely disseminate. It’s paramount to make sure errors are minimized and addressed when they occur. Here’s how.

The new tool, Compass MI, allows you to choose high-sensitivity troponin i or t (hsTni or hsTnt), initial cutoff, and early/late delta troponin, and calculates the diagnostic performance you can expect.