Critical Care
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Emergency Medicine Reports - Full June 22, 2009 Issue in PDF
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The Missed MI: Understanding the Limits of Biomarkers and CT Angiography
I remember when the Goldman myocardial infarction (MI) algorithm came out, quickly followed by a seven-button hand-held "calculator." It promised to reduce all decision-making regarding ED chest pain patients to seven yes or no questions. But when you looked into the mathematics, if you answered no or negative to all of the questions, it indicated a 4% chance of acute cardiac ischemia. So, what would you do with this information? Could you tell the patient that there was only a 4% chance of a heart attack, so it was OK to go home? -
Critical Care Alert July 2009 Issue in PDF
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Pharmacology Watch: Dual Antiplatelet Therapy? Consider H2 Blockers, not PPIs
In this issue: Clopidogrel and proton pump inhibitors; adverse events with tamsulosin after cataract surgery; new guidelines for persistent pain in the elderly; and FDA Actions. -
Emergency Medicine Reports - Full June 8, 2009 Issue in Streaming Audio/Downloadable MP3 Format
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Emergency Medicine Reports: Full June 8, 2009 Issue in PDF
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Missed Myocardial Infarction: ECG Strategies to Reduce the Risk
Does the electrocardiograph in your emergency department include a computer-generated interpretation on every electrocardiogram printed? Like me, do you often find them less than helpful? Occasionally troubling? -
Pediatric Emergency Medicine Reports: Full June 1, 2009 Issue in PDF
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Management of Asthma Exacerbations
Asthma is the most common chronic childhood illness; it is estimated that it currently affects 6 million children in the United States. -
Hospital Medicine Alert - Full June 1, 2009 Issue in PDF