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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.

Angiotensin II for the Treatment of Vasodilatory Shock
01/01/70 - Shock is a life-threatening syndrome characterized by decreased organ perfusion that can progress to irreversible organ failure. Vasodilatory shock is the most common type of shock and is characterized by peripheral vasodilation and reduced blood pressure despite preserved cardiac output.…

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…

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…

Instantaneous Wave-free Ratio versus Fractional Flow Reserve to Guide PCI
01/01/70 - Coronary revascularization is warranted only if a patient has one or more coronary-artery stenoses that are hemodynamically important. Large randomized studies have shown that fractional flow reserve (FFR) is superior to angiographic assessment for the detection of hemodynamically important…

Use of the Instantaneous Wave-free Ratio or Fractional Flow Reserve in PCI
01/01/70 - For the past 20 years, physiological measurements obtained during invasive procedures have been used to guide coronary revascularization. Pioneering work supported the use of flow measurements to make safe decisions about revascularization, but this approach was soon superseded by the use of…

Assessment of Stable Coronary Lesions
01/01/70 - In recent years, concerns have been raised about the appropriateness of performing percutaneous coronary intervention (PCI) in patients with stable coronary artery disease. One objective measure that is used to assess the potential benefit of revascularization is fractional flow reserve (FFR). FFR…

Binaural Tympanic-Membrane Perforations after Blast Injury
01/01/70 - Figure 1.

Back to the History
01/01/70 - Foreword. In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors? commentary follows. Stage. An 82-year-old man presented to…

Bystander Efforts and 1-Year Outcomes in Out-of-Hospital Cardiac Arrest
01/01/70 - Survival after out-of-hospital cardiac arrest has increased in several countries after improvements in bystander interventions and postresuscitation care. Despite these improvements, little is known about long-term functional outcomes, including how bystander interventions (cardiopulmonary…

Health Insurance and Emergency Department Use ? A Complex Relationship
01/01/70 - Throughout the nearly decadelong debate over the Affordable Care Act (ACA), policymakers have questioned how having health insurance affects health care utilization and, in particular, what expanded insurance coverage means for use of the emergency department (ED). ED use is of particular interest…

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