Academic Emergency Medicine

Point-of-care echocardiography of the right heart improves acute heart failure risk stratification for low-risk patients: The REED-AHF prospective study

American Journal of Emergency Medicine

None

Annals of Emergency Medicine

Models for Implementing Emergency Department–Initiated Buprenorphine With Referral for Ongoing Medication Treatment at Emergency Department Discharge in Diverse Academic Centers

Managing Elbow Dislocations

Man with right eye pain and decreased vision

Man presents to ED with right eye pain and decreased vision after hammering a nail.

BMJ

Rivaroxaban treatment for six weeks versus three months in
patients with symptomatic isolated distal deep vein thrombosis:
randomised controlled trial

• 12 weeks better than 6 weeks

Circulation

None

CJEM

The HINTS exam is a skill emergency physicians need to learn, apply and master

Just the facts: point‐of‐care ultrasound for the diagnosis and management of acute heart failure

Just the facts: How to diagnose and manage acute preschool asthma in the ED

EMCRIT

Poor Timing and Failure of Source Control Are Risk Factors for Mortality in Critically Ill Patients with Secondary Peritonitis

Association Between Time to Source Control in Sepsis and 90-Day Mortality

• Source control in peritonitis more important that antibiotics, if fact abx made no difference in outcome.

Excluding Hollow Viscus Injury for Abdominal Seat Belt Sign Using Computed Tomography

Diagnostic Accuracy of Pelvic Radiographs for the Detection of Traumatic Pelvic Fractures in the Elderly

• Like hip fractures, plain films also miss pelvic fractures

Emergency Medicine Journal

EMRAP

Ascending Cholangitis

Cardiac Transplant Challenges

Pediatric Transplant Patients

Massive Hemorrhage Protocol

Macgyver Hacks: Bugs and Enemas

Shock Index and Diastolic Shock Index

First10em

Dose VF: A double sequential defibrillation game changer?

• Study in NEJM looked at out of hospital arrest with refractory vfib or pulseless Vtac after 3 failed attempts at defibrillation.

• Commentary by First10em:
  • It has never made any sense to continue to provide the same unsuccessful therapy over and over again, so I think all of us have been changing something after 3 unsuccessful shocks, whether it was simply changing pad position, or adding a second machine. 
  • Working in a community hospital without access to ECMO or the cath lab, if I have a patient in refractory ventricular fibrillation after 3 shocks, I will perform one of these techniques, but that actually isn’t a change from current practice. I think the plan that might make the most sense is to apply a new set of pads in the anterior-posterior position after the 3rd unsuccessful shock, provide one vector change shock (to limit the risk of machine damage while still gaining potential benefit), and then if that didn’t work try double sequential for the next attempt. I think the potential benefit is worth the relatively limited risk in a hospital setting.
  • However, I will continue to emphasize that this is not standard of care, and this is not definitely proven, and we definitely need to see follow-up RCTs. 

Are sterile gloves necessary when repairing lacerations in the emergency department?

• No

JAMA

None

Journal of Emergency Medicine

November not yet available

Lancet

None

NEJM

Focused Cardiac Ultrasonography for Right Ventricular Size and Systolic Function

Defibrillation Strategies for Refractory Ventricular Fibrillation

Gout

Oxygen-Saturation Targets for Critically Ill Adults Receiving Mechanical Ventilation

Monkeypox

Noninvasive Respiratory Support for Adults with Acute Respiratory Failure

PEDIATRICS

None

REBELEM

None

Resuscitation

None