New England Journal of Medicine – Emergency Medicine Results

To the Editor: Cerebral tissues in human remains are rare archaeological discoveries. These tissues are typically saponified, meaning that their triglycerides have been converted to glycerol and fatty acid salts, or soap. In c.e. 79, a volcanic hot ash avalanche rapidly killed the inhabitants of…
Posted: January 23, 2020, 12:00 am
We had just completed a dramatic 3 hours in the emergency department: one patient in shock, another in status epilepticus, and a third with multiple traumas after having been hit by a car. I took one self-congratulatory moment before checking the board. Fortunately, there was only one new patient,…
Posted: January 23, 2020, 12:00 am
Throughout the world, approximately 800,000 people die by suicide every year, accounting for 1.5% of all deaths. Suicide is the 10th leading cause of death in North America and the foremost cause of death worldwide among persons 15 to 24 years of age. Epidemiology. The World Health Organization…
Posted: January 16, 2020, 12:00 am
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Posted: January 16, 2020, 12:00 am
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Posted: January 9, 2020, 12:00 am
Climate change has been linked to changes in Atlantic hurricane behavior, making storms more destructive to the built environment and vital infrastructure, more harmful to the physical and mental health of island-based and coastal populations, and more deadly in their aftermath. These escalating…
Posted: January 2, 2020, 12:00 am
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Posted: January 2, 2020, 12:00 am
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Posted: January 2, 2020, 12:00 am
Presentation of Case. Dr. Marcus T. Altman (Medicine): A 26-year-old woman with a history of migraines was evaluated in the emergency department of this hospital during the winter because of headache. Three weeks before this presentation, the patient had traveled with her family to Europe for…
Posted: December 26, 2019, 12:00 am
Vitamin D may improve outcomes in critically ill patients. Preclinical data suggest that vitamin D is a potent immunomodulatory agent that is essential for lung development and function. Observational data and initial clinical trial data indicate that vitamin D deficiency is common among critically…
Posted: December 26, 2019, 12:00 am
As of December 12, 2019, the ongoing national outbreak of electronic-cigarette, or vaping, product use–associated lung injury (EVALI) has affected more than 2400 hospitalized patients across all 50 states, the District of Columbia, the U.S. Virgin Islands, and Puerto Rico. In addition, 52 deaths…
Posted: December 20, 2019, 12:00 am
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Posted: December 19, 2019, 12:00 am
Presentation of Case. Dr. Jordan P. Bloom (Surgery): A 57-year-old woman was evaluated at this hospital after a motorcycle accident. The patient was the helmeted operator of a motorcycle traveling at 64 km per hour that collided head on with a car coming from the opposite direction. The patient’s…
Posted: December 19, 2019, 12:00 am
In accordance with the 2015 guidelines of the International Liaison Committee on Resuscitation (ILCOR), targeted temperature management with a target of 32°C to 36°C (moderate therapeutic hypothermia) is currently advocated for all patients with coma after successful resuscitation from cardiac…
Posted: December 12, 2019, 12:00 am
Presentation of Case. Dr. Michael B. Feldman: A 20-year-old man with a history of electronic-cigarette (e-cigarette) use, also known as vaping, was evaluated in the pulmonary clinic of this hospital because of progressive dyspnea and abnormal findings on chest imaging. The patient had been well…
Posted: December 12, 2019, 12:00 am
Migraine is a chronic disease characterized by episodic attacks of headache, sensitivity to light and sound, and nausea. The major classes of medications for acute migraine treatment are analgesics, including nonsteroidal antiinflammatory drugs, ergots, and triptans. Triptans have been the most…
Posted: December 5, 2019, 12:00 am
Out-of-hospital cardiac arrest is a major public health issue. In the United States, an estimated 155,000 persons per year are treated by emergency medical services (EMS) for out-of-hospital cardiac arrest, and approximately 8% survive. In Europe, annual occurrence is estimated to be 128,000 to…
Posted: December 5, 2019, 12:00 am
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Posted: December 5, 2019, 12:00 am
Evidence supports the use of benzodiazepines as the initial treatment for status epilepticus; however, seizures do not respond to benzodiazepines in up to a third of patients. The treatment for this type of benzodiazepine-refractory status epilepticus has not been well studied. Of the three…
Posted: November 28, 2019, 12:00 am
The primary goal of diagnostic testing for pulmonary embolism is to identify which patients should be treated with anticoagulant agents and which should not. The patients who should be treated are those who have pulmonary embolism that has a substantial risk of recurrence or progression. The…
Posted: November 28, 2019, 12:00 am
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