This prospective, multicenter cohort study aimed to determine the utility of electroencephalographic reactivity (EEG-R) testing in neurological prognostication of comatose patients after cardiac arrest. The authors found that EEG-R testing, by itself, is not sufficiently reliable to predict neurological outcomes after cardiac arrest.
This article will focus primarily on the important aspects of acute decompensated heart failure in the emergency setting. The authors will include a brief synopsis of noncardiogenic pulmonary edema to highlight key principles in the diagnosis and management.
Ultrasound has emerged as a critical tool for use at the bedside to guide both diagnosis and treatment strategies. In this article, the authors discuss cardiac arrest, congenital abnormalities, pneumothorax, pleural effusion, and pneumonia.
Ultrasound has emerged as a critical tool for use at the bedside to guide not only diagnosis but treatment strategies as well. The first part of this article focuses on the uses and limitations of cardiac ultrasound in the acute setting. Part II will include discussion of cardiac arrest, congenital abnormalities, pneumothorax, pleural effusion, and pneumonia.
Determining the prognosis of neurological outcome after cardiac arrest is notoriously difficult. Neurofilament light chain is a new potential biomarker, for which elevated levels in the spinal fluid or blood indicate axonal injury in several neurological diseases.
Relying on the most current literature, this article discusses the causes of syncope and syncope mimics, provides the best practice evaluation strategies, and will refamiliarize emergency physicians with current state-of-the-art practices regarding syncope risk stratification guidelines.
The authors of a systematic review of 13 studies found convincing evidence that vitamin C supplementation, beginning before cardiac surgery and continuing for a few days postoperatively, can decrease the risk of atrial fibrillation.
Ultrasound is an integral aspect of caring for patients in the emergency department, and real-time use of this imaging modality at the bedside allows practitioners a hands-on approach to the clinical evaluation of patients. Point-of-care ultrasound (POCUS) has particular benefit in the critically ill patient for whom rapid information for decision-making is essential. Given this benefit, there is clear application for POCUS in the patient in cardiac arrest.
Chest pain is one of the most common reasons that patients present to the emergency department. The underlying disease processes can range from benign to life-threatening. The purpose of this article is to discuss the diagnosis, treatment, and management of the common causes of chest pain that can present in a young adult.