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Emergency Medicine Editor's Picks
SUMMARY AND COMMENT
Gout and Diuretics in Hypertensive PatientsFree
- January 26, 2012
- Allan S. Brett, MD
- General Medicine
Diuretic use raised risk for gout by several percentage points.
- Reviewing:
- McAdams DeMarco MA et al. Arthritis Rheum 2012 Jan; 64:121
SUMMARY AND COMMENT
Oral and Fingerstick Sample Collection for HIV Screening: Subtle but Important Differences in Accuracy
- January 30, 2012
- Rochelle P. Walensky, MD, MPH
- HIV/AIDS Clinical Care
The OraQuick rapid HIV test performed well on both types of samples but was less sensitive and specific on oral fluid, which would lead to a lower positive predictive value in low-prevalence settings.
- Reviewing:
- Pai NP et al. Lancet Infect Dis 2012 Jan 24
SUMMARY AND COMMENT
Mixed Evidence on the Link Between PPIs and Infection Risk
- January 27, 2012
- David A. Johnson, MD
- Gastroenterology
A systematic review suggests that chronic PPI use increases the risk for enteric infection with Clostridium difficile, Salmonella, and Campylobacter jejuni.
- Reviewing:
- Bavishi C and Dupont HL. Aliment Pharmacol Ther 2011 Dec; 34:1269
SUMMARY AND COMMENT
Emergency Treatment of Self-Injurious Behavior: Are We Doing Our Best?Free
- January 30, 2012
- Steven Dubovsky, MD
- Psychiatry
Many patients with self-injury, including those with the greatest risks, never receive a psychiatric evaluation.
- Reviewing:
- Olfson M et al. Arch Gen Psychiatry 2012 Jan; 69:80
NEWS IN CONTEXT
FDA Approves Hand-Held Device to Spot Intracranial Hematomas
- January 24, 2012
- Hooman Kamel, MD
- Neurology
A new bedside device has potential for streamlining the care of patients with suspected intracranial bleeding, but widespread use should await further data.
Preventing Readmissions: Should We Be Looking at the Hospital Exit or the Entrance?
- January 23, 2012
- Grace C. Huang, MD
- Hospital Medicine
Regional admission rates for congestive heart failure and pneumonia explain much of the variation in hospital readmission rates.
SUMMARY AND COMMENT
Video Surveillance with Real-Time Feedback Increases Hand-Hygiene Compliance
- January 11, 2012
- Neil M. Ampel, MD
- Infectious Diseases
In one intensive care unit, compliance increased from 6.5% to 81.6% after this strategy was implemented; with continued feedback, the improvement was sustained through 17 months.
- Reviewing:
- Armellino D et al. Clin Infect Dis 2012 Jan 1; 54:1
SUMMARY AND COMMENT
PPIs and CAP, Revisited
- January 18, 2012
- Neil M. Ampel, MD
- Infectious Diseases
In a retrospective, nested case-control study, the risk for community-acquired pneumonia was 29% higher with current use of a proton-pump inhibitor than with past use.
- Reviewing:
- Hermos JA et al. Clin Infect Dis 2012 Jan 1; 54:33
SUMMARY AND COMMENT
Complications from Rebleeding in Aneurysmal Subarachnoid Hemorrhage
- January 10, 2012
- Alejandro A. Rabinstein, MD
- Neurology
After SAH, rebleeding increases mortality and the risk for cerebral and systemic complications but does not change the course or severity of delayed cerebral ischemia.
- Reviewing:
- Lord AS et al. Neurology 2012 Jan 3; 78:31
SUMMARY AND COMMENT
A Single-Sampling Blood Culture Strategy?
- January 4, 2012
- Thomas Glück, MD
- Infectious Diseases
An uncommon approach involving six bottles drawn during a single venipuncture, together with pathogen-specific interpretation, showed high positive predictive values for major pathogens.
- Reviewing:
- Leyssene D et al. Eur J Clin Microbiol Infect Dis 2011 Dec; 30:1537
