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2024 Emergency Medicine Research Highlights: Forced Air, Sepsis, and More

ACEP Now

One of the paradoxical oddities of treatment for acute stroke is the reversal of anticoagulation to enable treatment with thrombolysis. Thrombolysis after dabigatran reversal for acute ischemic stroke: a national registry-based study and meta-analysis. Theodorou A, Melanis K, Bakola E, et al. 2024;103(7):e209862. 2024;103(11):e210020.

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The Study of the Week Is a Beautiful Example of Science Done Well

Sensible Medicine

Academic medicine sometimes gets it right. Neurologist Hooman Kamel from the Weil Cornell Medical Center in NY had an idea about atrial fibrillation and stroke. Stroke came when these clots moved northward to the brain. Kamel’s new idea about AF and stroke was that the main problem was primary atrial disease.

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To Treat or Not to Treat

Sensible Medicine

For many doctors in academic medicine, publishing in peer reviewed journal is an important part of their careers. People can rise through the academic ranks as gifted clinicians, creative and effective educators, and talented administrators. years, anticoagulation reduced the rate of stroke or systemic embolism by 1.7% (HR: 0.63; 0.45

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The ECLS-SHOCK Trial: ECPR in Infarct-Related Cardiogenic Shock

RebelEM

bleeding, stroke, limb ischemia, and hemolysis). Many centers have attempted ECLS to achieve hemodynamic stabilization in this group of patients. The benefits of this strategy may be outweighed by the risk of the device-related complications (i.e. The evidence for this practice has been sparse until now. Zeymer HT et al. Control: 53.4%

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Sniffing out Sepsis - Vibes vs Scoring Systems?

Taming the SRU

Population Patients were adult (18 or older) patients at a single academic emergency department who were triaged to a resuscitation bay and were not classified as a trauma, STEMI, stroke, cardiac arrest, or active labor.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

Borgialli DA, Mahajan P, Hoyle JD Jr, Powell EC, Nadel FM, Tunik MG, Foerster A, Dong L, Miskin M, Dayan PS, Holmes JF, Kuppermann N; Pediatric Emergency Care Applied Research Network (PECARN). Academic emergency medicine 12.9 PMID: 1933914. Acad Emerg Med. 2016 Aug;23(8):878-84. doi: 10.1111/acem.13014. Acad Emerg Med. PMID: 27197686.

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The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury

RebelEM

3, 6 Among patients with stroke or traumatic brain injury (TBI), the risk may be as high as 28%-76% and 23%-60%, respectively. Limited to academic hospitals in one country, which may call generalizability into question. 4, 8 Paper: Dahyot-Fizelier, C., Mortality is variable by study, but ranges from 16-70%.

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