New England Journal of Medicine – Emergency Medicine Results

On August 1, 2019, the first cases of electronic cigarette (e-cigarette), or vaping, product use–associated lung injury (EVALI) were reported to the Centers for Disease Control and Prevention (CDC). The cluster was an initial signal of an outbreak that by December 17, 2019, had resulted in 2506…
Posted: February 20, 2020, 12:00 am
Emerging and reemerging pathogens are global challenges for public health. Coronaviruses are enveloped RNA viruses that are distributed broadly among humans, other mammals, and birds and that cause respiratory, enteric, hepatic, and neurologic diseases. Six coronavirus species are known to cause…
Posted: February 20, 2020, 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: February 20, 2020, 12:00 am
You find a spot in the shadows of the emergency department. A nurse has turned off a bank of overhead lamps, creating a twilight that’s anything but peaceful. You fidget with the stethoscope pocketed in the white coat you never wear, listen to your patient’s father and aunt as they stand vigil over…
Posted: February 20, 2020, 12:00 am
The year 2019 looked to be the one in which the U.S. Congress would solve the problem of surprise medical bills, the unexpected and unavoidable bills that result when a patient sees an out-of-network provider in an emergency or at an in-network facility. Though legislation targeting this problem…
Posted: February 19, 2020, 12:00 am
Presentation of Case. Dr. Madeline L. Keyes (Pediatrics): A 32-day-old male infant was transferred to the emergency department and admitted to this hospital for evaluation of suspected abusive head trauma. On the evening of admission, the patient’s mother called emergency medical services and…
Posted: February 13, 2020, 12:00 am
"A wave of heat hit us as we opened the door, like we were in the Sahara Desert!" Sweat was beading on the forehead of the emergency medical technician as he wheeled in an elderly man with a reported fever, whose apparent confusion had led his wife to call 911. In the midst of a record-breaking…
Posted: February 13, 2020, 12:00 am
I walked into the hospital room in the early morning and observed the patient from across the room. As a physician, you start observing, gathering clues, from the moment you enter the door. The patient was disheveled, sprawled in bed amidst crumpled sheets, mumbling incoherently. His untouched…
Posted: February 6, 2020, 12:00 am
The annual rate of hospitalization for spontaneous pneumothorax among persons 15 years of age or older in England is approximately 140 per million. One third of cases are primary, with no known previous pneumothorax or clinically apparent underlying lung disease. There is considerable heterogeneity…
Posted: January 30, 2020, 12:00 am
For the patient who presents with a large primary pneumothorax (i.e. a pneumothorax with no clear underlying lung disease), there is little evidence to guide management. There is general agreement that the air in the pleural space should be removed. If any disagreement exists, it has been about how…
Posted: January 30, 2020, 12:00 am
A 74-year-old woman presented to the emergency department with a 6-week history of progressive dyspnea on exertion. In the preceding 6 months, she had an unintentional weight loss of 9 kg. Eight weeks before presentation, she had traveled by air from Boston to Italy for a 1-week vacation. She had…
Posted: January 30, 2020, 12:00 am
At the Journal, we work with authors to craft their messages to provide readers the best information from rigorous medical practice and basic science. The process can take time, with careful peer review, editing, and graphics often involving multiple rounds of revision. This work fulfills our…
Posted: January 27, 2020, 12:00 am
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
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Posted: January 2, 2020, 12:00 am
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Posted: January 2, 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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