Academic Emergency Medicine

• Clinical Course and Factors Associated With Hospitalization and Critical Illness Among COVID‐19 Patients in Chicago, Illinois

Academic Life in Emergency Medicine

• SplintER Series: A Case of Inability to Move the Knee– locked knee syndrome, usually meniscal tear.

Annals of Emergency Medicine

• Anticoagulant Reversal Strategies in the Emergency Department Setting: Recommendations of a Multidisciplinary Expert Panel- expert guideline with significant Pharma conflicts of interest which favors expensive adexanet and idarucizumab over PCC for life threatening DOAC reversal. IBCC does not recommend Adexanet due to cost. Ultimately docs will follow their hospital protocol. Don’t forget to measure Thrombin Time which if normal negates the need for Dabigatran reversal. If no Anti-Xa assay activity, probably excludes clinically relevant levels of Xa inhibitors per 2017 ACC guideline.
• Emerging Treatment Options for Direct Oral Anticoagulant-Related Bleeding– commentary
• Homeless Shelter Entry in the Year After an Emergency Department Visit: Results From a Linked Data Analysis– 5% of ED patients who were not currently homeless had been homeless in the last year.
• The Influence of Medicare for All on Reimbursement for Emergency Care Treat-and-Release Visits. Transitioning to Medicare for all may actually increase reimbursement to emergency departments while decreasing patient co-pays. It’s a win-win for patients and ED physicians!
• COVID-19, Medicare for All, and the Uncertain Future of Emergency Medicine. Jesse Pines.

BMJ

• Fifteen-minute consultation- Does this child have COVID-19 (and does it matter)?

• Neonatal Sepsis

EMCRIT

• Dexmedetomidine (Precedex)- You’d have to be Delirious Not to Use it.
• Hicks on the Labors of Trauma (Blunt)

Emergency Medicine Journal

• Comparison of four decision aids for the early diagnosis of acute coronary syndromes in the emergency department. Emerg Med J. 2020 Jan;37(1):8-13. Body et al.– Mattu recommended this article. T-MACS has higher sensitivity and specificity than HEART or EDACS and less subjectivity in completing the decision rule. Available on MDCALC.
• Combatting COVID-19: is ultrasound an important piece in the diagnostic puzzle? Emerg Med J. 2020 October. 37:644-649. McDermott, Carley.

EMRAP

• Acute Liver Failure- Weingart
• Lateral Canthotomy Case- Cardy and Vieth
• Stroke in Pregnancy- Pensa and Roth
• No Spleen, Big Problems- Bogoch
• Cardiology Corner: Clinical Decision Instruments- Mattu

Internet Book of Critical Care

• Lithium intoxication–
  • gi sxs first, then neuro, cardiac uncommon,
  • aggressive volume (4-6L) resuscitation
  • charcoal doesn’t work
  • dialysis indications discussed
• Wernicke Encephalopathy
• Valproic Acid Intoxication

NEJM

• A Randomized Trial Comparing Antibiotics with Appendectomy for Appendicitis– antibiotics were non inferior to surgery although 30% underwent appendectomy within 90 days. Presence of an appendicolith increased the risk for appendectomy and complications.