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The EMERGE Trial: Emergency vs Delayed Catheterization in Survivors of Out-of-Hospital Cardiac Arrest

REBEL EM

Background: Previous observational studies published in 2015 (Geri 2015)(Vyas 2015) indicated that early cardiac catheterization in patients with out-of-hospital cardiac arrest (OHCA) might improve mortality and result in more favorable neurological outcomes. Article: How-Berlemont C, Lamhaut L, Diehl J, et al.

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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

REBEL EM

Clinical Scenario: A 45-year-old woman with hypertension presents with a productive cough and fever. Additionally, multiple studies demonstrate increased harm with IV antibiotics such as increased rate of diarrhea ( Haran 2014 ), complications from IV placement ( Li 2015 ), and increased length of stay or cost ( Lorgelly 2010 ).

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AuntMinnie 2015: CMS issues final CT lung cancer screening approval

AuntMinnie

Our top article in 2015 reported on the momentous CMS decision on CT lung cancer screening reimbursement. Editor's note: As part of the celebration of AuntMinnie.com's upcoming 25th anniversary, we're presenting 25 for 25 -- a series featuring our most popular content for each of the last 25 years.

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Clinical Conundrum: Should We Always Treat Fever in Patients with Sepsis?

REBEL EM

Clinical Scenario: A 45-year-old woman presents with cough and shortness of breath. What The Evidence Says: Antipyretics are commonly given to patients with fever suspected to be caused by an infection in both at home and in the hospital setting. The HEAT trial represents the highest quality evidence on the topic ( Young 2015 ).

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Trauma Resuscitation Updates

REBEL EM

Clinical Take Home Point: In patients with TBI and hypovolemic shock, target a SBP or MAP ≥90mmHg, but know this is based on limited evidence. mental status, urine output, capillary refill) is more important than an actual goal PERMISSIVE HYPOTENSTION IN PTS WITH TBI Brotfain E et al. NEJM 1994. [2]

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Weekend admission for TIPS procedure tied to higher mortality risk

AuntMinnie

Weekend admission for transjugular intrahepatic portosystemic shunt (TIPS) procedures is tied to higher mortality risk and post-procedure morbidity, suggest findings published June 12 in Clinics and Research in Hepatology and Gastroenterology. Researchers led by Renxi Li from George Washington University in Washington, D.C., days vs. 2.8

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Tributes pour in for CT pioneer Willi Kalender

AuntMinnie

He is the father of contemporary CT imaging -- and thus of clinical radiology as we know it today," Christiane Kuhl, MD, PhD, told AuntMinnie.com on November 4. Willi was the one to invent helical CT, the type of CT which is used today for all whole-body applications of clinical radiology," she said. Willi Kalender, PhD.

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