Richard D. Zane

Morphine Dosing in Acute Pain: How Much Is Enough?

Underdosing of opioid analgesia is a significant problem in emergency medicine. Although many dosing regimens for intravenous morphine have been

Validation of the ABCD

The ABCD2 score has been endorsed internationally as a simple method for identifying patients with transient ischemic attack (TIA) who are at high risk

Ultrasound-Guided Central Line Placement

Ultrasound has rapidly emerged as an important tool in the armamentarium of emergency physicians, and procedural guidance seems a natural use for this

NEJM Journal Watch Emergency Medicine Top Stories of 2015

Dear Readers, Compiling our annual list of the most important studies was especially challenging this year. From the elimination of vasopressin in advanced cardiac life support guidelines to new definitions of sepsis to the role of supplemental oxygen in ST-segment elevation myocardial infarction, there were so many practice-changing studies that …

Most Skiers and Snowboarders Now Wear Helmets

Traumatic brain injuries are among the most common skiing and snowboarding injuries, and there is robust evidence demonstrating that helmet use

Presence of Intraluminal Air on Abdominal CT Does Not Exclude Appendicitis

The presence of intraluminal appendiceal air on abdominal computed tomography (CT) scan is occasionally interpreted as ruling out the diagnosis of

Use of rtPA for Acute Ischemic Stroke Within 3 to 4.5 Hours Is Cost Effective in Most Instances

The administration of tissue plasminogen activator (rtPA) for patients who present with acute ischemic stroke within 3 hours of symptom onset has been

Dedicated Trauma Services Deliver Better Outcomes than Consultative Services Only

Providing systems of trauma care has improved outcomes for severely injured patients, yet not all trauma centers have dedicated in-patient trauma

Many Patients Undergo Repeat CT Soon After Transfer to a Trauma Center

Patients transferred to a trauma center often undergo repeat imaging soon after transfer (JW Emerg Med Jan 11 2013). In this prospective study of

Direct Laryngoscopy and Intubation Cause Significant Hypertensive Response in Head-Injured Patients

Laryngoscopy and tracheal intubation are associated with a hypertensive response, although the degree of response in head-injured patients has not been specifically studied. In this retrospective British study, investigators report the hemodynamic response to direct laryngoscopy and …