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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.

Case 8-2018: A 55-Year-Old Woman with Shock and Labile Blood Pressure
31/12/69 - 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
31/12/69 - 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
31/12/69 - 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…

Adjunctive Glucocorticoid Therapy in Patients with Septic Shock
31/12/69 - 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%.…

Balanced Crystalloids versus Saline in Critically Ill Adults
31/12/69 - 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…

Hydrocortisone plus Fludrocortisone for Adults with Septic Shock
31/12/69 - 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
31/12/69 - 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…

A Role for Hydrocortisone Therapy in Septic Shock?
31/12/69 - One of the first double-blind, multicenter trials of hydrocortisone in the management of severe infections involved 194 patients and was reported in 1963. The authors noted that "the role of adrenocorticosteroids in the management of infectious diseases has been a subject of much controversy."…

Reduction in Firearm Injuries during NRA Annual Conventions
31/12/69 - To the Editor: Despite high rates of unintentional firearm injuries, and recognition by the National Rifle Association (NRA) that firearm education is important, it is often said that firearm injuries occur primarily among inexperienced users and that firearm safety comes with experience and…

Patient-Centered Outcomes and Resuscitation Fluids
31/12/69 - During the past 50 years, the use of intravenous resuscitation fluids in critically ill patients has been based on physiological principles rather than on evidence from clinical trials. None of the current proprietary resuscitation fluids have been formally evaluated for safety and efficacy, and…

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