Point-of-Care Ultrasonography
The New England Journal of Medicine: Emergency Medicine
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2y ago
Point-of-care ultrasonography (POCUS) is defined as the acquisition, interpretation, and immediate clinical integration of ultrasonographic imaging performed by a treating clinician at the patient’s bedside rather than by a radiologist or cardiologist. POCUS is an inclusive term; it is not limited ..read more
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Toxic Effects from Ivermectin Use Associated with Prevention and Treatment of Covid-19
The New England Journal of Medicine: Emergency Medicine
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2y ago
To the Editor: Ivermectin is approved by the Food and Drug Administration as an oral treatment for intestinal strongyloidiasis and onchocerciasis and as a topical treatment for pediculosis and rosacea. It is also used as a treatment for parasites in pets and livestock. Ivermectin may decrease ..read more
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Intracardiac Cement Embolism
The New England Journal of Medicine: Emergency Medicine
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2y ago
Figure 1 ..read more
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Myocarditis after BNT162b2 mRNA Vaccine against Covid-19 in Israel
The New England Journal of Medicine: Emergency Medicine
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2y ago
After the emergency use authorization of the BNT162b2 messenger RNA (mRNA) vaccine (Pfizer–BioNTech) against coronavirus disease 2019 (Covid-19) by the Food and Drug Administration, authorization was also granted for use in Israel. On December 20, 2020, a national vaccination campaign was initiated ..read more
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Myocarditis after Covid-19 Vaccination in a Large Health Care Organization
The New England Journal of Medicine: Emergency Medicine
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2y ago
In Israel, a nationwide campaign to administer the BNT162b2 messenger RNA (mRNA) vaccine (Pfizer–BioNTech) against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) started on December 20, 2020. By May 5, 2021, a total of 58.2% of the Israeli population had received at least one dose of ..read more
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Hard to Swallow
The New England Journal of Medicine: Emergency Medicine
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2y ago
A 20-year-old woman is admitted to the hospital after presenting to the emergency department with pain in her throat and the left side of her neck, fever, foul-smelling breath, and an inability to clear secretions. She reports three recent bouts of nonbloody, nonbilious emesis, a deepening of her ..read more
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Time to Eliminate Health Care Disparities in the Estimation of Kidney Function
The New England Journal of Medicine: Emergency Medicine
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2y ago
In the wake of the racial reckoning since the spring of 2020 in the United States, efforts have emerged to identify hidden structural determinants of systemic racism in medicine. Such efforts have led to examination of traditional medical algorithms that incorporate race modifiers and may have led ..read more
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New Creatinine- and Cystatin C–Based Equations to Estimate GFR without Race
The New England Journal of Medicine: Emergency Medicine
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2y ago
The glomerular filtration rate (GFR) is generally estimated from serum concentrations of endogenous filtration markers such as creatinine or cystatin C. During the past two decades, automated clinical laboratory reporting of GFR estimated with the use of creatinine (eGFRcr) has become widespread ..read more
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Treatment of Acute Uncomplicated Appendicitis
The New England Journal of Medicine: Emergency Medicine
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2y ago
Foreword. This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors’ clinical recommendations. Stage. A previously ..read more
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Case 28-2021: A 37-Year-Old Woman with Covid-19 and Suicidal Ideation
The New England Journal of Medicine: Emergency Medicine
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2y ago
Presentation of Case. Dr. Reuben A. Hendler (Psychiatry): A 37-year-old woman was admitted to this hospital because of fever, shortness of breath, and suicidal ideation in March 2020, during the pandemic of coronavirus disease 2019 (Covid-19). Ten days before this admission, fever, fatigue, sore ..read more
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