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Diagnostic Delays Are Common, and Classic Prese...

Clinical Takeaway: Classic SEA presentations are uncommon; relying on the triad may miss diagnoses. Missed opportunities are frequent—71% had a potentially related prior visit. Consider SEA in patients with persistent/recurrent...

Multisite Validation of a Strategy to Identify ...

Clinical Takeaway: In ED patients with: HEAR score ≤1 No CAD Nonischemic ECG 👉 Troponin testing may be unnecessary, as MACE risk is <1%. 👉 This approach could streamline chest...

Defining Transfer Criteria for Isolated Facial ...

Clinical Takeaways for the ED: Over half of isolated facial trauma transfers may be avoidable. Many of these patients can be managed without urgent intervention or hospital admission. Authors propose...

Azithromycin vs. Doxycycline for CAP in Hospita...

Clinical Implications for the ED: For admitted CAP patients receiving a beta-lactam, consider: Azithromycin > Doxycycline for mortality benefit and shorter hospital stays. These results may inform empiric antibiotic choice...

Clinical Factors Associated With Ventricular Dy...

Clinical Takeaways: QTc ≥ 500 ms alone does not predict dysrhythmia. Focus on physiologic instability: Bradycardia Acid-base status Hemodynamic compromise If none of the above are present, risk of ventricular...

Acute Prevention of the Heart Attack: The Ident...

Prodromal symptoms are the “Rosetta Stone” of heart attack prevention. Early identification shifts intervention earlier in the ischemic timeline, offering a window to prevent progression to full-blown MI or sudden...