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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.

Procalcitonin-Guided Use of Antibiotics for Lower Respiratory Tract Infection
31/12/69 - The overuse of antibiotic agents is a public health problem associated with increased health care costs and antibiotic resistance. Overuse of antibiotics is common in infections of the lower respiratory tract, where bacterial and viral infections manifest similarly. Procalcitonin is a peptide with…

Case 15-2018: An 83-Year-Old Woman with Nausea, Vomiting, and Confusion
31/12/69 - Presentation of Case. Dr. Andrew S. Hoekzema (Medicine): An 83-year-old woman was admitted to this hospital in the winter because of nausea, vomiting, diarrhea, and confusion. One week before admission, rhinorrhea, sore throat, and nonproductive cough developed. The patient felt feverish but did…

MRI-Guided Thrombolysis for Stroke with Unknown Time of Onset
31/12/69 - Intravenous thrombolysis with alteplase, a recombinant tissue plasminogen activator, is the standard medical treatment for acute ischemic stroke within 4.5 hours after the onset of symptoms. In 14 to 27% of strokes, the time of symptom onset is not known, frequently because stroke symptoms are…

Long-Term Outcomes of the ADRENAL Trial
31/12/69 - 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…

Questionable Admissions
31/12/69 - "I?ve been coughing real bad, Doc," the man told me. He couldn?t seem to stop. His green sputum was tinged with blood. His lungs crackled. Although his fever had briefly abated, he still shivered beneath his rough hospital blanket. Despite his illness, he looked relieved. Violent snow squalls…

Aspiration of a Chicken Bone
31/12/69 - A 78-year-old man presented to the emergency department with stridor, shortness of breath, and fever (38.1°C). Five days earlier, he had come to the emergency department with the sensation of having a foreign body in his throat, approximately an hour after a choking episode that had occurred while…

Relapsing Polychondritis
31/12/69 - A 31-year-old man presented to the emergency department with a 2-week history of swelling of the left ear and a 6-month history of weight loss, fatigue, and generalized aches. During the 2 years before presentation, he had been treated multiple times with antibiotics for recurrent episodes of pain…

Tenecteplase versus Alteplase before Thrombectomy for Ischemic Stroke
31/12/69 - 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…

Case 13-2018: A 53-Year-Old Man with Cardiomyopathy and Recurrent Ventricular Tachycardia
31/12/69 - 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
31/12/69 - 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…

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