Journal Club Article for 11/8/2017

Tissue plasminogen activator for acute ischemic stroke.
N Engl J Med. 1995 Dec 14;333(24):1581-7.
National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group.
PubMed: https://www.ncbi.nlm.nih.gov/pubmed/7477192
Full text PDF: http://www.nejm.org/doi/pdf/10.1056/NEJM199512143332401

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EMTALA, adjusted for inflation (via E. Shaw)

Feds Increase EMTALA Penalties against Physicians and Hospitals

The Office of Inspector General recently doubled the potential monetary penalty for violations of EMTALA, added a new physician decision-making scenario subject to the penalty, and modified the factors considered in determining the amount of the penalty.

http://epmonthly.com/article/feds-increase-emtala-penalties-physicians-hospitals/

Robert A. Bitterman, MD, JD
Emergency Physicians Monthly
October 17, 2017

Oxygen Therapy in Myocardial Infarction (From NEJM via G Johnson)

Oxygen Therapy in Suspected Acute Myocardial Infarction.
Hofmann R
N Engl J Med. 2017 Sep 28;377(13):1240-1249. doi: 10.1056/NEJMoa1706222. Epub 2017 Aug 28.
At Publisher: http://www.nejm.org/doi/full/10.1056/NEJMoa1706222
Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/28844200

Is Oxygen Therapy Beneficial in Acute Myocardial Infarction? Simple Question, Complicated Mechanism, Simple Answer.
Loscalzo J.
N Engl J Med. 2017 Sep 28;377(13):1286-1287. doi: 10.1056/NEJMe1709250. Epub 2017 Aug 28.
At Publisher: http://www.nejm.org/doi/full/10.1056/NEJMe1709250
Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/28844195

Journal Club Articles, 9/27/2017

Recommendations on pre-hospital & early hospital management of acute heart failure: a consensus paper from the Heart Failure Association of the European Society of Cardiology, the European Society of Emergency Medicine and the Society of Academic Emergency Medicine
Eur J Heart Fail. 2015 Jun;17(6):544-58. doi: 10.1002/ejhf.289. Epub 2015 May 21.
PMID: 25999021
DOI: 10.1002/ejhf.289
Free full text: http://onlinelibrary.wiley.com/doi/10.1002/ejhf.289/epdf

 

Time-to-Furosemide Treatment and Mortality in Patients Hospitalized With Acute Heart Failure
J Am Coll Cardiol. 2017 Jun 27;69(25):3042-3051. doi: 10.1016/j.jacc.2017.04.042.
PMID: 28641794
DOI: 10.1016/j.jacc.2017.04.042
Full text through Upstate library: http://www.sciencedirect.com/science/article/pii/S0735109717373229/pdfft?md5=894a2cf8db8139d8e439e867746b7baf&pid=1-s2.0-S0735109717373229-main.pdf