Pediatric Mental Health ED Visits, Hospitalizations Increased Throughout Pandemic
Hospitalizations and emergency department visits for pediatric mental health and self-harm concerns remained high 3 years into the COVID-19 pandemic.
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Emergency
Assessing Trauma Severity: Serum Lactate Alone May Not Be Enough
In trauma patients, elevated initial serum lactate may not independently predict mortality, traumatic ICU admissions, or the need for mechanical ventilation.
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Invasive treatment not superior to medical therapy in older adults with NSTEMI
1. In this randomized controlled trial, in older adults with non-ST-segment elevation myocardial...
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Tranexamic acid reduces life-threatening postpartum bleeding
1. Tranexamic acid significantly reduced life-threatening postpartum bleeding. 2. There were no...
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Point of care C-reactive protein testing may be useful in guiding antibiotic prescribing
1. C-reactive protein (CRP)-point-of-care tests can be used to guide antibiotic prescribing in...
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Beta-blocker interruption not noninferior to continuation following myocardial infarction
1. In this randomized controlled trial, among patients with a history of myocardial infarction...
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Plasma progranulin levels are correlated with left ventricular function recovery following myocardial infarction
1. In this prospective cohort of patients with acute myocardial infarction (AMI), plasma...
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Direct oral anticoagulant scores predict bleeding risk in patients undergoing transcatheter valve replacement
1. In this retrospective cohort of patients with atrial fibrillation (AF) who underwent...
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IV Opioids for Acute Pain Unlikely to Lead to OUD
A study of academic emergency departments showed that fewer than 1% of opioid-naïve patients given IV opioids for acute pain developed persistent opioid use.
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MRI-Based prediction of macrovascular causes of intracerebral hemorrhage
1. The MRI Assessment of the Causes of intracerebral hemorrhage (MACRO) score shows greater...
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Timely diagnosis of migraine may prevent future emergency department
1. Half of patients visiting the emergency department for acute migraine could have been diagnosed...
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How to Cope After Difficult Cases: Compartmentalizing vs Safely Containing
Andrea Austin, MD, discusses the risks of compartmentalizing in the emergency department and offers a strategy to help avoid emergency physician burnout.
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S100β Levels 24 Hours Post-IVT Independently Associated With HT, Infarct Volume, & Prognosis in Patients With Stroke
1. S100β levels 24 hours after IVT were independently associated with HT, infarct volume, and...
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Longterm Oxygen Therapy for 24 vs 15 hours Per Day Does Not Reduce Severe Hypoxemia Mortality Risk
1. In this randomized controlled trial, among patients with severe hypoxemia, long-term oxygen...
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Liberal transfusion may improve outcomes in myocardial infarction and anemia
1. In this secondary analysis of the MINT trial, 30-day risks for the composite outcome of death...
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Adjunctive treatment with argatroban or eptifibatide does not improve post-stroke functional outcomes
1. In this randomized controlled trial, among ischemic stroke patients treated with intravenous...
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Plasma biomarkers may have a role in adolescent traumatic brain injuries
1. GFAP, UCH-L1, NfL, and t-tau are all promising plasma biomarkers that show sex specific changes...
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At-home misoprostol increases rate of day-care procedures and patient satisfaction in late medical abortion
1. 71% of home group patients and 46% of hospital group patients completed abortion as a day-care...
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Liberal transfusion strategy does not improve post-traumatic brain injury neurologic outcomes
1. In this randomized controlled trial, among traumatic brain injury (TBI) patients with anemia, a...
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Biomarkers may help guide antibiotic stewardship in community acquired pneumonia
1. Using either procalcitonin or c-reactive protein as a biomarker to guide antibiotic treatment...
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