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Clinical judgment alone was not very accurate in predicting serious injury compared with whole-body CT.  But patients with a completely normal exam may be an exception.

The ABCD2 score is a good predictor of stroke risk after TIA.

Once sepsis is detected, start broad spectrum antibiotics as soon as possible.  Delays were associated with mortality: 1 hour = ~1%.

VL is a good way to improve first-pass success in the prehospital setting, especially for care providers who don't intubate frequently.

It looks like we can start thinking of the D-dimer test based on interval likelihood ratios rather than a dichotomous positive or negative, with 500 ng/mL as the cutoff.

Pay attention to discharge vitals, especially in patients over age 65; they predict bouncebacks.

If there is any delay in obtaining IV access, give benzodiazepines by a non-IV route to control seizure activity faster.

The window for tPA got wider with this study; ECASS III expanded the time of administration to 4.5 hours.

Febrile children 2-12 months of age with RSV or influenza may still have UTI as a source of the fever.  However, this study suggests that we may be able to base urine testing on the patient's risk of UTI, with urine testing only in kids with > 1% risk.

Triage nursing protocols that allowed early use of ondansetron and oral fluids significantly reduced the number of children who needed IV fluid without prolonging length of stay.