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Prospective Evaluation of the Selective Nonoperative Management of Abdominal Stab Wounds: When is it Safe to Discharge? J Trauma Acute Care Surg. 2022 Jul 5. doi: 10.1097/TA.0000000000003733. Epub ahead of print.
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Point-of-care ultrasound carotid artery compression was quicker than manual palpation in determining return of spontaneous circulation.
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Point-of-care ultrasound compression of the carotid artery for pulse determination in cardiopulmonary resuscitation. Resuscitation. 2022 Jul 2;S0300-9572(22)00590-1. doi: 10.1016/j.resuscitation.2022.06.025. Online ahead of print.
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Distraction as a method of analgesia and anxiolysis for minor ED procedures using a 3D virtual reality display was not better than using a 2D screen.
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Analgesic and Anxiolytic Effects of Virtual Reality During Minor Procedures in an Emergency Department: A Randomized Controlled Study. Ann Emerg Med. 2022 May 28:S0196-0644(22)00264-5. doi: 10.1016/j.annemergmed.2022.04.015. Epub ahead of print.
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The presence of certain clinical findings can help clinicians gauge the likelihood of bacterial versus viral conjunctivitis, although data are limited.
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Synovial fluid and peripheral blood neutrophil-to-lymphocyte ratios are promising novel diagnostic and prognostic biomarkers for septic arthritis.
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Synovial Fluid and Serum Neutrophil-to-Lymphocyte Ratio: Novel Biomarkers for the Diagnosis and Prognosis of Native Septic Arthritis in Adults. J Bone Joint Surg Am. 2022 Jun 20. doi: 10.2106/JBJS.21.01279. Online ahead of print.
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The proportion of patients that experience awareness with paralysis is alarmingly high; 3.4% were aware of their surroundings but paralyzed, which 3.4% more than what should occur.
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Awareness With Paralysis Among Critically Ill Emergency Department Patients: A Prospective Cohort Study. Crit Care Med. 2022 Jul 22. doi: 10.1097/CCM.0000000000005626. Online ahead of print.
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This article covers important pearls in the management of posterior hip dislocations along with 6 techniques all EM providers should know. Watch this hilarious YouTube video with all these techniques in under 2 minutes!
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Managing Posterior Hip Dislocations. Ann Emerg Med. 2022 Jun;79(6):554-559. doi: 10.1016/j.annemergmed.2022.01.027. Epub 2022 Mar 9.
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This article is a literature review that covers seven elbow reduction techniques and the key tenets of management. See the visuals for each — a picture is worth a thousand words.
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This article reviews the literature regarding drug reaction with eosinophilia and systemic symptoms (DRESS) and focuses on the EM and critical care physician’s perspective, summarizing the presentation, clinical features, and management.
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Drug reaction with eosinophilia and systemic symptoms: An emergency medicine focused review. Am J Emerg Med. 2022 Jun;56:1-6. doi: 10.1016/j.ajem.2022.03.024. Epub 2022 Mar 18.
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Upright face-to-face intubation had minimal difference in time to intubation or laryngeal views obtained when compared to supine intubation on cadavers, but there were some limitations with this study and further investigation into this technique and its application are needed.
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Comparison of supine and upright face-to-face cadaver intubation. Am J Emerg Med. 2022 Jun;56:87-91. doi: 10.1016/j.ajem.2022.03.029. Epub 2022 Mar 18.
