Top EM papers of 2011 Presented at CME in the Sun January 2012

1. Treating MRSA Skin and Soft Tissue Infections -- New Guidelines
Dr. Bartlett offers a practical step-by-step guide for methicillin-resistant Staphylococcus aureus (MRSA) treatment according to the most recent recommendations from the Infectious Diseases Society of America.

2. How Should We Sedate Children for CT Scans?
Several sedative agents have been studied for their effectiveness in sedating children who need head CT scans.

3. I'm Struggling to Live on $160,000 a Year: MD Lament
Whereas most Americans would consider a $160,000 income a fortune, many physicians find it a challenge to live on that amount. Why can some manage easily while others are struggling to pay the bills?

4. The 2010 AHA Guidelines: The 4 Cs of Cardiac Arrest Care
Amal Mattu, MD, reviews the major changes to CPR guidelines and asks, "Do they go far enough?“

5. Physicians Say Good Riddance to 'Worst Drug in History'
The opioid propoxyphene, first approved by the US Food and Drug Administration in 1957, has been pulled from the market and many are happy to see it go.

6. Is Succinylcholine Really Superior for RSI?
This study compared succinylcholine to rocuronium in rapid sequence intubation (RSI), with conclusions that went beyond a simple comparison.

7. Digital Epi -- Fingers Don't Fall Off!
This brief review covers an ingenious approach to further debunk the myth about the use of epinephrine injections in the digits.

8. Liability of Emergency Physicians for Studies Ordered in the Emergency Department
Can emergency physicians be held liable when the test results are not followed up?

9. Complications of Tube Thoracostomy Placement in the Emergency Department
Emergency medicine residents frequently perform invasive procedures, including tube thoracostomy, that inherently place patients at risk for complications. What is the prevalence of complications?

10.The Knowledge and Usage of Complementary and Alternative Medicine by Emergency Department Patients and Physicians
The growing acceptance of complementary and alternative medicine is reflected in patient and physician questionnaires.

1. Children with Normal CT After Blunt Head Injury Are at Low Risk for Neurological Complications
http://emergency-medicine.jwatch.org/cgi/content/full/2011/1104/1

4. Diagnostic Accuracy of High-Sensitivity Troponin Assays at 2 Hours
http://emergency-medicine.jwatch.org/cgi/content/full/2011/812/1

6. Stable Patients with Pulmonary Embolism Can Be Treated as Outpatients
http://emergency-medicine.jwatch.org/cgi/content/full/2011/722/1

7. Tranexamic Acid for Traumatic Hemorrhage: Best Given Within 1 Hour
http://emergency-medicine.jwatch.org/cgi/content/full/2011/422/2

8. Compression-Only CPR Is Less Effective Than Conventional CPR in Some Patients
http://emergency-medicine.jwatch.org/cgi/content/full/2011/304/1

10. Prehospital Intubation Results in Worse Outcomes in Adult CardiacArrest Patients
http://emergency-medicine.jwatch.org/cgi/content/full/2010/1119/1

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