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Nejm News Une Mise à Jour The New England Journal of Medicine by Specialties

 


The New England Journal of Medicine: Search Results in Emergency Medicine
The New England Journal of Medicine (NEJM) RSS feed -- Search Results in Emergency Medicine. NEJM (http://www.nejm.org) is a weekly general medical journal that publishes new medical research findings, review articles, and editorial opinion on a wide variety of topics of importance to biomedical science and clinical practice.

Post-Traumatic Stress Disorder
01/01/70 - Reports of violence, injury, and death appear daily on headline news. More than 70% of adults worldwide experience a traumatic event at some time in their lives, and 31% experience four or more events. Post-traumatic stress disorder (PTSD) is the most prevalent psychopathological consequence of…

Cluster-Randomized, Crossover Trial of Head Positioning in Acute Stroke
01/01/70 - The prognosis in patients with acute ischemic stroke is determined according to the location and size of the occluded cerebral vessel, the extent of collateral blood flow, and the time to reperfusion therapy. Small, nonrandomized studies have indicated that the lying-flat position (i.e. fully…

State Sepsis Mandates ? A New Era for Regulation of Hospital Quality
01/01/70 - Sepsis is a major cause of illness and death in the United States, affecting more than 1.5 million Americans each year at an annual cost of over $20 billion. To improve outcomes of sepsis, policymakers are increasingly using regulatory mechanisms intended to provide incentives to clinicians and…

Time to Treatment and Mortality during Mandated Emergency Care for Sepsis
01/01/70 - More than 1.5 million cases of sepsis occur in the United States annually, and many patients with sepsis present to the emergency department. International clinical practice guidelines and the Centers for Medicare and Medicaid Services (CMS) recommend the prompt identification of sepsis and…

Early, Goal-Directed Therapy for Septic Shock ? A Patient-Level Meta-Analysis
01/01/70 - In 2001, Rivers and colleagues reported on a 263-patient, single-center, randomized, controlled trial of early, goal-directed therapy (EGDT) versus usual care in patients presenting with septic shock to an urban emergency department in the United States. EGDT is a 6-hour resuscitation protocol for…

Management of Septic Shock
01/01/70 - Ms. Jones has been admitted to the ICU with septic shock and is receiving vasopressors to elevate her mean arterial pressure. Shortly after her arrival, her condition deteriorates, and intubation and mechanical ventilation are initiated because of acute lung injury. The increased lactate level and…

Evolution of Purpura Fulminans
01/01/70 - Figure 1.

Acute Myocardial Infarction
01/01/70 - Acute myocardial infarction with or without ST-segment elevation (STEMI or non-STEMI) is a common cardiac emergency, with the potential for substantial morbidity and mortality. The management of acute myocardial infarction has improved dramatically over the past three decades and continues to…

On the Cusp
01/01/70 - A 27-year-old man presented to the emergency department with a 5-day history of fevers. One week before presentation, he began to have congestion, rhinorrhea, cough, and fatigue after exposure to a coworker who had an upper respiratory infection. At the same time, he noted an oral ulcer, which…

Racial Disparities in Risks of Stroke
01/01/70 - To the Editor: The incidence of stroke in the United States has been decreasing as efforts have been made to control vascular risk factors. However, the extent to which modifications in changes in the risk of stroke have occurred in blacks as compared with whites has not been widely studied. We…

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