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Troponin use for suspected coronary syndrome limited in chronic kidney disease
1. This systematic review of the literature demonstrated weak or inconclusive evidence regarding the diagnostic accuracy of troponin I (TnI)...
Emergency
2 Minute Medicine Rewind August 4 – August 10, 2014
In this section, we highlight the key high-impact studies, updates, and analyses published in medicine during the past week. High-Protein...
Centralized stroke care linked to improved mortality and reduced length of stay
1. In this study, specialized inpatient care of stroke patients was linked to better clinical outcomes. 2. Centralization of stroke...
Early alteplase treatment leads to better stroke outcomes regardless of age or stroke severity
1. Alteplase (recombinant tissue plasminogen activator, or rtPA) administration within 4.5 hours hours following the onset of an ischemic stroke...
24 hours may be sufficient to monitor blood cultures in febrile infants
1. The mean time to blood culture positivity in febrile infants with bacteremia was roughly 15 hours. 2. By 24...
Analysis identifies radiology workflow bottlenecks in massive casualty incident
1. Analysis of emergency radiology utilization after the Boston Marathon Bombing demonstrated increased redundant imaging orders and significant delays in...
Hypothermia in perinatal asphyxia encephalopathy preserves IQ
1. Hypothermia for newborns with perinatal asphyxia encephalopathy provided a long-term benefit in preserving IQ among survivors for those up...
Fingolimod (Gilemya) shows promise in treatment of intracerebral hemorrhage
1. Treatment with fingolimod reduced perihematomal edema (PHE) and reduced the numbers of circulating lymphocytes in patients with intracerebral hemorrhage...
Preterm infant mortality lower at high volume neonatal centers
1. Infants less than 27 weeks gestation born at high volume centers had lower neonatal mortality and lower any in-hospital...
Pediatric brain injury unlikely with isolated loss of consciousness
1. In children with isolated loss of consciousness after blunt trauma, the risk of clinically important traumatic brain injury was...
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