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Capsaicin cream for cannabis hyperemesis has been described in adults; this is the first reported use in adolescent patients.  It appeared to help, N = 2.

In pediatric patients with respiratory distress, failure of intubation on the first attempt was associated with increased risk of arrest.

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.

It was a great refresher to go back over the articles we covered in 2017.  There were so many groundbreaking and practice changing articles. We have hand-picked some of our favorites.

An ultrasound-first strategy, especially for recurrent kidney stones, was a good way to reduce radiation exposure in patients presenting to the ED with renal colic.

Sudden cardiac arrest (SCA) is very rare during sports activities 0.76/100,000.  They found only 3 cases that could have been identified by a sports physical prior to competition.  NNT = 146,000.

Young children with community acquired pneumonia seemed to do fine with a beta-lactam antibiotic only and didn't appear to benefit from adding a macrolide.

This retrospective dredge of the ROMICAT-II trial found that clinical evaluation alone had decreased length of stay (LOS) and appeared to be just as safe with respect to major adverse coronary events as those who had non-invasive testing, with lower cost and radiation exposure.

The AHA has published new guidelines replacing the JNC guidelines for management of hypertension. Here is what you need to know.

Patients who had blunt trauma with CPR > 10 minutes, penetrating trauma with CPR > 15 minutes, or asystole without tamponade should not undergo resuscitative thoracotomy in the ED as it would be futile.