The American journal of emergency medicine
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To investigate the cost-avoidance associated with implementation of an overnight emergency medicine pharmacist (EMP) through documented clinical interventions. ⋯ Expanded overnight coverage by EMPs provided clinical bedside pharmacotherapy expertise to critically ill patients otherwise not available prior to study implementation. Clinical interventions were associated with substantial cost-avoidance.
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The retraction of articles stands as the most significant mechanism employed to uphold the integrity of science, particularly in flawed studies. ⋯ This study provided an examination of retracted articles in the field of emergency medicine, highlighting a noteworthy increase in retractions due to various reasons. Despite retractions, it was observed that the citation counts of retracted articles increased. The growing number of retracted articles and frequent citations pose potential dangers from a scientific perspective, as citing retracted articles damages scientific integrity. The study underscores the importance of understanding the reasons for retracted articles and preventing the spread of such incidents in emergency medicine literature. The results, analyzed within various variables, indicate the need for further research and solutions, guiding future research efforts and contributing to the literature.
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Review Meta Analysis
Efficacy of second-line anticonvulsant agents with adult status epilepticus: A systematic review and network meta-analysis.
Status epilepticus (SE) is potentially life-threatening, however, it is unclear which antiepileptic drugs (AEDs) should be used as second-line AEDs. ⋯ PHB may have been the most effective for seizure termination as second-line AEDs in adult patients with SE. However, the certainty of almost all comparisons was "very low", and careful interpretation is essential.
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The purpose of this article is to summarize pharmacotherapy related emergency medicine (EM) literature indexed in 2023. Articles were selected utilizing a modified Delphi approach. ⋯ In all, this article summarizes and provides commentary on the potential clinical impact of 13 articles, 6 guidelines, and 5 meta-analyses covering topics including guideline releases and updates on rapid sequence intubation in the critically ill, managing cardiac arrest or life-threatening toxicity due to poisoning, and management of major bleeding following trauma. Also discussed are ongoing controversies surrounding fluid resuscitation, time and treatment modalities for ischemic stroke, steroid use in community-acquired pneumonia, targeted blood product administration, and much more.