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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.

Acute Amnestic Syndrome Associated with Fentanyl Overdose
01/01/70 - To the Editor: Between 2012 and 2016, a total of 14 patients in Massachusetts with a history of substance use had an acute anterograde amnestic syndrome that lasted for months (or longer in some patients); this amnestic syndrome was characterized by a hyperintense signal involving both hippocampi…

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,…

Saline Shortages ? Many Causes, No Simple Solution
01/01/70 - Severe and long-standing prescription-drug shortages have become a major threat to public health and patient safety. Despite increased awareness and mitigation strategies, the United States has experienced shortages of many lifesaving drugs and other supplies essential to patient care. There was…

Case 8-2018: A 55-Year-Old Woman with Shock and Labile Blood Pressure
01/01/70 - Presentation of Case. Dr. Nathalie Roy: A 55-year-old woman was transferred to this hospital for evaluation and treatment of cardiogenic shock. Approximately 4 months before presentation, the patient was admitted to a hospital in her home state for "pounding" in her chest, nausea, and diaphoresis…

Self-Management of an Inferior ST-Segment Elevation Myocardial Infarction
01/01/70 - To the Editor: A 44-year-old man presented with severe chest pain and dizziness to the nursing post where he worked in Coral Bay, Australia, more than 1000 km from Perth and 150 km from the next nearest medical facility. He was the only nurse on duty when the symptoms occurred. Since no other…

Acute Angle-Closure Glaucoma
01/01/70 - A 52-year-old woman presented to the emergency department with a 24-hour history of severe retrobulbar pain and blurred vision in the left eye. She described the pain as constant with a shooting character, lasting a few seconds. Examination of her left eye revealed a mid-dilated pupil that was…

Balanced Crystalloids versus Saline in Critically Ill Adults
01/01/70 - Intravenous crystalloid solutions are commonly administered in critical care, yet the question of whether crystalloid composition affects patient outcomes remains unanswered. Historically, 0.9% sodium chloride (saline) has been the most commonly administered intravenous fluid. Data suggest that…

Adjunctive Glucocorticoid Therapy in Patients with Septic Shock
01/01/70 - Sepsis, which has been identified by the World Health Organization as a global health priority, has no proven pharmacologic treatment, other than the appropriate antibiotic agents, fluids, and vasopressors as needed; reported death rates among hospitalized patients range between 30% and 45%.…

Hydrocortisone plus Fludrocortisone for Adults with Septic Shock
01/01/70 - Septic shock is characterized by a dysregulated host response to infection, resulting in life-threatening circulatory, cellular, and metabolic abnormalities. The short-term mortality is approximately 45 to 50%, and 50% of survivors of sepsis may have subsequent long-term cognitive decline. Apart…

Balanced Crystalloids versus Saline in Noncritically Ill Adults
01/01/70 - Administration of intravenous isotonic crystalloids is one of the most common medical therapies, with routine use in emergency departments, hospital wards, intensive care units (ICUs), and operating rooms. However, it is not known whether the composition of isotonic crystalloid fluid has an effect…

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