March 2023
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Mar 17 2023
Are Hyperacute T Waves a Reliable Early Sign of MI?
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Hyperacute T-waves, when defined by an absolute amplitude threshold greater than the 95th percentile, were not helpful in diagnosing myocardial infarction.Source
Hyperacute T Wave in the Early Diagnosis of Acute Myocardial Infarction. Ann Emerg Med. 2023 Feb 9:S0196-0644(22)01327-0. doi: 10.1016/j.annemergmed.2022.12.003. Epub ahead of print. -
Mar 16 2023
Six Vital Signs? Should We Measure ETCO2 in Triage?
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ETCO2 measured during emergency department triage outperforms standard vital signs in predicting in-hospital mortality, ICU admission, and correlates with markers of metabolic acidosis.Source
End-Tidal Carbon Dioxide Measured at Emergency Department Triage Outperforms Standard Triage Vital Signs in Predicting In-Hospital Mortality and ICU admission. Acad Emerg Med. 2023 Feb 21. doi: 10.1111/acem.14703. Epub ahead of print. -
Mar 15 2023
Myth-Bust – Can We Give Nitrates to RV Infarction?
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New evidence has demonstrated that previous dogma to withhold nitrates from patients with right ventricular myocardial infarction (RVMI) may be incorrect. -
Mar 14 2023
Epi for OHCA – ROSC, Survival…But Are We Saving the Brain?
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In this systematic review and meta-analysis, researchers found the epinephrine in standard doses, high doses, and with vasopressin lead to an improvement in ROSC and survival to hospital admission in out of hospital cardiac arrest (OHCA) but did not improve survival to discharge or functional neurologic outcome.Source
Epinephrine in Out-of-Hospital Cardiac Arrest: A Network Meta-analysis and Subgroup Analyses of Shockable and Nonshockable Rhythms. Chest. 2023 Jan 31:S0012-3692(23)00165-4. doi: 10.1016/j.chest.2023.01.033. Epub ahead of print. -
Mar 13 2023
CPR Fatigue Is REAL – How Do Fit Rescuers Perform?
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In this study of firefighters performing CPR with feedback devices, researchers found that compression depth decreased over the course of a two-minute chest compression cycle while compression rate stayed within goal.Source
Temporal analysis of continuous chest compression rate and depth performed by firefighters during out of hospital cardiac arrest. Resuscitation. 2023 Feb 16;185:109738. doi: 10.1016/j.resuscitation.2023.109738. Epub ahead of print. -
Mar 10 2023
Does an Epinephrine MDI (Primatene Mist) Work for Croup?
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Epinephrine administration via metered-dose inhaler (MDI) for the treatment of croup in children may be a safe and effective alternative to nebulization.Source
Epinephrine metered-dose inhaler for pediatric croup. Acad Emerg Med. 2023 Feb;30(2):144-146. doi: 10.1111/acem.14616. Epub 2022 Dec 7. -
Mar 09 2023
Can D-dimer Still Rule Out PE in COVID-19 Patients?
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A negative D-dimer performed similarly in predicting a 30-day risk of pulmonary embolism (PE) regardless of a patient’s COVID-19 status.Source
Prognostic association between d-dimer thresholds and 30-day pulmonary embolism diagnosis among emergency department patients with suspected SARS-CoV-2 infection: a Canadian COVID-19 Emergency Department Rapid Response Network study. CJEM. 2023 Feb;25(2):134-142. doi: 10.1007/s43678-022-00440-8. Epub 2023 Jan 10. -
Mar 08 2023
Diagnostic Error in EM – Pushback on the AHRQ
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Diagnostic errors in the ED occur at rates similar to those in other clinical settings. Not all errors have human causes, and not all are inevitable – this article suggests systems-level opportunities for improvement. -
Mar 07 2023
Bad News – You May Be Bad at Delivering Bad News
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When delivering bad news, authenticity is the name of the game.Source
Delivering Bad News Badly. JAMA. 2023 Feb 14;329(6):463-464. doi: 10.1001/jama.2022.24765. -
Mar 06 2023
Verbal and Physical Violence in an Urban ED Setting
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Violence directed at healthcare workers (HCWs) is common in the ED setting. Studies have demonstrated workplace violence is underreported and can have long term effects on HCWs.Source
Exploring verbal and physical workplace violence in a large, urban emergency department. Am J Emerg Med. 2023 Jan 27;67:1-4. doi: 10.1016/j.ajem.2023.01.036. Epub ahead of print.