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Emergency Medicine Editors' Choice: Top Stories of 2013

Letter to Readers |
December 27, 2013

Emergency Medicine Editors' Choice: Top Stories of 2013

  1. Ron M. Walls, MD, FRCPC, FAAEM

A perspective on the most important research in the field from the past year

  1. Ron M. Walls, MD, FRCPC, FAAEM

This has been an exciting year for us, as we embraced a broader collaboration with our colleagues in the NEJM Group and changed our name to NEJM Journal Watch Emergency Medicine. We remain devoted to providing clinicians with the information they need to give their patients the best care — and, as part of NEJM Group, we are now poised to do that better than ever. We are constantly exploring new ways to provide you with richer content, enhanced graphics, and a more useful, convenient website, all intended to make our information and guidance timely, relevant, and succinct.

As in past years, we have selected for you the studies we feel most important to your practice, summarized these, and provided insightful and directive comments to help you put the knowledge into a clinical perspective. As we do each year, this month we feature the 10 summaries from 2013 that we feel are most important for you to be aware of, to think about, and to discuss with others. You may want to navigate back to the original studies, or simply to review these summaries again to refresh your memory. The year brought new clarity to compression-only CPR, rapid blood pressure control during acute intracranial hemorrhage, and the endlessly distracting etomidate in sepsis argument. Iconoclastic studies challenged the Wells and modified Geneva scores for acute pulmonary embolism, and the Alvarado score for appendicitis. And, of course, there was more.

Our Emergency Medicine Top Stories of 2013 are

Is Intensive Blood Pressure Lowering Beneficial in Acute Intracerebral Hemorrhage?

More Information on Thrombolysis Benefits for Ischemic Stroke

Steroid-Pressor Cocktail for In-Hospital Cardiac Arrest?

Etomidate Does Not Increase Mortality in Intubated Septic Patients

Meta-Analysis Finds Ultrasound Guidance Superior to Landmark Technique for Central Venous Catheter Placement

CPR: Compression-Only Wins the Long Race

Acetylcysteine for Prevention of Contrast-Induced Nephropathy

Pretest Probability for PE: Structured Scoring System or Clinical Judgment?

Poor Performance of an Appendicitis Decision Rule

Volume of Crystalloid During Massive Transfusion Is Associated with Increased Mortality

We hope you enjoy reading these, and all of our summaries, as much as we enjoy the privilege and challenge of bringing them to you.

With best wishes for 2014.

  • Disclosures for Ron M. Walls, MD, FRCPC, FAAEM at time of publication Speaker's bureau Airway Management Education Center Equity Airway Management Education Center Grant / research support Agency for Health Care Research and Quality; NIH Editorial boards ACP Medicine; Manual of Emergency Airway Management; Rosen's Emergency Medicine; UpToDate Leadership positions in professional societies Association of Academic Chairs in Emergency Medicine (Secretary-Treasurer)

Reader Comments (6)

MARK GRABER Physician, Emergency Medicine, University of Iowa

I have to agree with Dr. Heller. Many times when I pull the article the methodology is not sufficient to support the conclusions of your reviewer.
A bit more critical look would be welcome.

Gabriela Varone Physician, Pediatrics/Adolescent Medicine, Hospital Bariloche. Rio Negro. Argentina

Excellent choice. Thank you.

JUAN CARLOS GIANELLA Physician, Internal Medicine, Hospital Santa Cruz-Caja petrolera de Salud.

Very good!!
Thankyou.

soraia bl Physician, Anesthesiology, Hospital

great information

soraia bl Physician, Critical Care Medicine, hospital

so useful journal

Michael Heller Physician, Emergency Medicine, Beth Israel

The repeated instances of biased (ie favorable) results from trials that are equivocal or frankly negative (especially thrombolytics for stroke and hypothermia) continues to disappoint. You need more critical reviewers.

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