Emergency Medicine General
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After-Hours ICU Discharge: A Potentially Modifiable Cause of Increased Hospital Mortality
Examination of outcomes in 710,535 patients in relation to the timing of ICU discharge showed that being moved out to the ward between 1800 and 0600 hours was associated with increased risks of both in-hospital death and unplanned ICU readmission. -
Unplanned Extubations as a Quality-of-Care Issue
Reintubation following unplanned extubation in critically ill post-operative patients is associated with increased hospital mortality. -
Dehydration Is a Poor Prognostic Sign in Acute Ischemic Stroke Patients
Dehydration is an independent predictor of discharge outcome and admission cost in acute ischaemic stroke. -
Nurse Practitioners and Physician Assistants in the ICU
Using retrospective cohort data from a national survey of medical and mixed medical-surgical ICUs, this study found that nurse practitioner (NP)/physician assistant (PA) staffing was common and not associated with any differences in in-hospital mortality compared to ICUs without NP/PAs. -
The Photosensitive Patient
A 65-year-old female presents to the emergency department with a chief complaint of a severe rash. The rash has been present for two weeks on her arms, neck, and scalp. It began while she was sitting on her porch one afternoon. She denies any associated fevers, chills, headache, or muscle ache. She denies any exposure to pets, new soaps, detergents, or lotions, and she denies recent travel.
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Pediatric Myocarditis
Myocarditis can at times be asymptomatic and has a varied presentation; consequentially, it often goes undiagnosed and its true incidence is unknown -
Emergency Ultrasound Part I: Pelvic Ultrasound and the First Trimester Patient
In this article and the succeeding two parts in this series, three distinctive applications of ultrasound in the ED will be discussed. The ability to perform a proficient and diagnostically effective ultrasound examination requires a judicious understanding of the underlying principles. -
ECG Review: Chest Pain and Lots of P Waves
The 12-lead ECG shown in the figure was obtained from a 55-year-old woman with new-onset chest pain. Many more P waves than QRS complexes are seen on the tracing. How would you interpret this ECG? -
Syncope Should Not Be Taken Lightly
The authors of this study in the New England Journal of Medicine evaluated participants enrolled in the Framingham Heart Study between 1971 and 1998 who reported syncopal events. -
Fibrinolysis in Acute MI and Hospital Revascularization Capability
In this retrospective study of the GUSTO-1 database, investigators compared clinical outcomes of more than 25,000 patients with acute myocardial infarction who were treated with fibrinolytic therapy in U.S. hospitals with and without coronary revascularization capability for percutaneous transluminal coronary angioplasty and coronary artery bypass grafting.