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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 ( 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.

Orbital Apex Syndrome
01/01/70 - A 61-year-old man presented to the emergency department with a 3-week history of right retro-orbital pain and a 1-week history of double vision, lid droop, and loss of vision. Ophthalmologic examination revealed reduced vision in the right eye (only hand motion was perceived), a relative afferent…

Tenecteplase versus Alteplase before Thrombectomy for Ischemic Stroke
01/01/70 - Intravenous thrombolysis with alteplase is used in eligible patients with acute ischemic stroke before endovascular thrombectomy. Alteplase is given as an infusion over a period of approximately 1 hour and has been associated with a low incidence of reperfusion for large-vessel occlusion before…

Suicide: A Silent Contributor to Opioid-Overdose Deaths
01/01/70 - As the toll of opioid-overdose deaths in the United States rises, we face an urgent need for prevention. But preventing such deaths will require a better understanding of the diverse trajectories by which overdoses occur, including the distinction between intentional (suicide) and unintentional…

Case 13-2018: A 53-Year-Old Man with Cardiomyopathy and Recurrent Ventricular Tachycardia
01/01/70 - Presentation of Case. Dr. Timothy W. Churchill: A 53-year-old man was admitted to this hospital because of shock and recurrent ventricular tachycardia after defibrillator placement for nonischemic cardiomyopathy. The patient had been in his usual state of health until 4 weeks before this admission,…

Toxidrome Recognition in Chemical-Weapons Attacks
01/01/70 - Terrorist attacks are increasing in both frequency and complexity around the world. In 2016 alone, there were more than 13,400 terrorist attacks globally, killing more than 34,000 people. Of equal concern, chemical-warfare agents that were developed for the battlefield are being used on civilians…

Paving the Way for Improved Treatment of Acute Stroke with Tenecteplase
01/01/70 - The treatment of acute ischemic stroke is changing rapidly. Three years ago, endovascular thrombectomy was added to thrombolysis with intravenous recombinant tissue plasminogen activator (alteplase) as a cornerstone of treatment of acute stroke. Currently, patients are treated with intravenous…

Long-Term Outcomes of the ADRENAL Trial
01/01/70 - To the Editor: We recently reported the primary results of the Adjunctive Corticosteroid Treatment in Critically Ill Patients with Septic Shock (ADRENAL) trial, which tested the hypothesis that hydrocortisone would result in lower mortality than placebo among patients with septic shock. Further…

Case 12-2018: A 30-Year-Old Woman with Cardiac Arrest
01/01/70 - Presentation of Case. Dr. Emily C. Cleveland (Emergency Medicine): A 30-year-old woman was brought to the emergency department of this hospital because of cardiac arrest. On the morning of this presentation, the patient was found unresponsive in her bedroom. Her mother called emergency medical…

Facing the Shortage of IV Fluids ? A Hospital-Based Oral Rehydration Strategy
01/01/70 - Puerto Rico produces 44% of the intravenous (IV) fluid bags used in the United States. On September 20, 2017, Hurricane Maria struck the island, causing a humanitarian crisis and widespread devastation that escalated a critical shortage of IV fluids throughout the United States. Initially,…

ECG Pattern Associated with Left Anterior Descending Coronary Artery Occlusion
01/01/70 - A 36-year-old man presented to the emergency department with substernal chest tightness of 6 hours? duration. The chest tightness was initially intermittent but became persistent 1 hour before presentation. He was a current smoker with a smoking history of 10 pack-years. An electrocardiogram (ECG;…

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