Section
A large randomized trial finds no difference in 90-day days alive and out of hospital between early vasopressors with restricted fluids versus higher fluids with delayed vasopressors in septic shock, though pulmonary edema was less frequent
Acute Imbalance Syndrome represents over half of stroke-related vertigo cases, distinct from Acute Vestibular Syndrome by lesion location and clinical presentation, crucial for accurate stroke diagnosis in emergency care.
This review synthesizes evidence on the derivation and validation of a claims-based algorithm for identifying cardiogenic shock (CS), demonstrating its high diagnostic performance and enabling robust large-scale epidemiologic and long-term
Paramedic-suspected STEMI identified a heterogeneous, high-acuity population where 60% had confirmed STEMI; outcomes vary by final diagnosis, underscoring the need for rapid reperfusion with early diagnostic refinement.
This review synthesizes evidence on women Veterans’ emergency care utilization, comparing VA and Community ED use. It highlights demographic and clinical predictors influencing care settings and underscores the need for tailored coord
A multicenter study shows similar 14-day treatment failure rates among first-, second-, and third-generation oral cephalosporins for outpatient pyelonephritis, supporting flexibility in antibiotic choice post-ED discharge.
The PACER trial demonstrates that peer-supported internet-based CBT significantly reduces anxiety in ED patients with low-risk chest pain, with pronounced benefits in severe anxiety cases, supporting telehealth CBT as an effective anxiety t
The 2025 Italian consensus offers a reproducible, anatomy- and physiology-focused approach to appendiceal abscess management, clarifying imaging grading, escalation criteria, and when to operate, drain, or observe.
This review synthesizes evidence on racial disparities in prehospital trauma care, examining intervention rates, the influence of social determinants, and mortality outcomes with a focus on recent cohort data.
A clear, clinician-focused summary of the 2026 expert consensus on designing, conducting, and analyzing prehospital stroke trials in routine EMS systems—covering patient identification, consent, trial design, endpoints, and technology prior
This study identifies clinical and sociodemographic factors correlated with subsequent suicide attempts and mental health-related ED visits in youth screened positive for suicide risk in emergency departments, highlighting crucial targets f
This study explores how patient language preference affects the offer and acceptance of hepatitis C screening in emergency departments, highlighting disparities and suggesting targeted approaches to improve screening among non-English speak
The World Society of Emergency Surgery (2026) issues GRADE-based guidance favoring selective primary repair and physiology-guided reconstruction for most colon and rectal injuries, with CT-based diagnosis and limited routine diversion.
This randomized clinical trial demonstrates no clinically meaningful difference in pain relief between 20 mg intranasal and subcutaneous ketamine for acute musculoskeletal trauma in the emergency department, with minor adverse events being
This randomized trial found that larger doses of bupivacaine for sphenopalatine ganglion block did not improve sustained headache relief in emergency patients compared to smaller doses, with good tolerability across all doses.
This study evaluates the delivery of trauma-informed care in initial trauma bay assessments, revealing inconsistencies in communication and care quality, especially among Spanish-speaking patients, underscoring the need for equity-focused t
A multidisciplinary RAND/UCLA consensus defines ‘diagnostic excellence’ and ‘missed diagnostic opportunity’ for emergency departments, offering clear conceptual components to guide measurement, research, and quality
This report describes the use of dexmedetomidine infusion for sedation in severely agitated adolescents in the ED, highlighting its feasibility as a bridge therapy while awaiting psychiatric care.
This study analyzes national trends in emergent interfacility ischemic stroke transfers among Medicare beneficiaries, revealing shifts in transfer rates, patient characteristics, and hospital features associated with transferred versus nont
A national study examining the shift from hourly to RVU-based pay for emergency physicians found no significant changes in productivity, billing intensity, or key operational metrics, suggesting compensation models may not strongly influenc
