52 Articles in 52 Weeks - Landmark Article Summaries in One Place

52 Articles in 52 Weeks - Landmark Article Summaries in One Place

It was a big job for ALiEM to come up with the list of 52 landmark articles you need to know as an Emergency Physician.  But it's an even bigger job to sit down and read them.  In fact, most of us just won't be able to find the time to do it.  Because they are so important to know, I wanted to make it easier to get the gist of these articles.  So each Saturday in 2017, I briefly summarized one of these key articles.  For your convenience, here are the links and excerpts for each of the 52 in 52 article summaries in one place.  Enjoy.  And please share this with a friend.  Special thanks to Dr. Michelle Lin for allowing me to partner with ALiEM and use the combined logos.

Canadian CT Head Rule to Reduce CT Use

Canadian CT Head Rule to Reduce CT Use

The Canadian CT Head Rule was 100% sensitive for ruling out clinically important brain injury.  It had higher specificity than the New Orleans Criteria, which meant fewer people would need a CT scan by using the Canadian rule.

How Aortic Dissection Presents

How Aortic Dissection Presents

Sudden-onset, severe ("worst-ever"), sharp chest pain was the hallmark type A and B aortic dissection.  Ripping or tearing pain was present in only half of patients.  Classic features of aortic regurgitation murmur and pulse deficit were frequently lacking.

Why We Delay Volume Administration in Penetrating Trauma

Why We Delay Volume Administration in Penetrating Trauma

In patients with penetrating trauma, it was better to allow prehospital hypotension and hasten transport for definitive repair prior to beginning volume resuscitation than to try to normalize vital signs in the field by giving IV fluid.

Why We Use NEXUS for C-Spine Clearance

Why We Use NEXUS for C-Spine Clearance

The NEXUS criteria can be used to determine which patients do not need c-spine x-rays.  Since this was published, we have shifted to predominantly CT imaging, which is more sensitive.  Also, we have learned that NEXUS is not as sensitive in elderly patients.

Absorbable Suture vs Nylon in Pediatric Lacerations

Absorbable Suture vs Nylon in Pediatric Lacerations

There was no difference in cosmetic outcome with use of absorbable vs. nonabsorbable suture for pediatric lacerations, though there was a nonsignificant trend to absorbable being superior.  There was also no difference in dehiscence or infection rate between the two.

Why Norepinephrine is Better than Dopamine for Shock

Why Norepinephrine is Better than Dopamine for Shock

Norepinephrine and dopamine were equal with regard to mortality in shock, except for the subgroup with cardiogenic shock, in which the dopamine group fared worse. There were twice as many dysrhythmias in the dopamine group, largely atrial fibrillation.

Wells Score Plus D-dimer for PE Rule-out

Wells Score Plus D-dimer for PE Rule-out

Patients in an ED setting with a low pretest probability based on the Wells score, and a negative D-dimer were safely ruled out for pulmonary embolism without further diagnostic imaging.

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