Commentary: “You Drink & Drive. You Lose.”: Reaching the Target Audience Is Not Enough (NHTSA Notes) MP McKay IMAGING
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Ultrasonography of the Internal Jugular Vein in Patients With Dyspnea Without Jugular Venous Distention on Physical Examination (Brief Research Report) T Jang, C Aubin, R Naunheim, D Char This case series serves as a pilot study of how ultrasonographic examination of the internal jugular vein compares with other measures of dyspnea. This was a case series of 8 patients presenting with dyspnea without jugular vein distention on physical examination. Each patient underwent ultrasonographic examination of the internal jugular vein and inferior vena cava by an emergency physician sonographer blinded to all other clinical information after initial evaluation by another emergency physician for dyspnea. Results of ultrasonographic examination of the internal jugular vein and inferior vena cava were subsequently compared with initial emergency physician physical examination findings, initial chest radiography interpreted by radiologists, initial B-type natriuretic peptide levels, and final hospital discharge diagnosis. Ultrasonographic examination of the internal jugular vein compared more favorably with B-type natriuretic peptide levels and chest radiographic findings than ultrasonographic examination of the inferior vena cava in these patients with dyspnea but not jugular venous distention on physical examination. It was able to identify every patient diagnosed with cardiogenic pulmonary edema on hospital discharge.
EDUCATION 169
Presenting at Journal Club: A Guide (Residents’ Perspective) C Atzema CHANGE OF SHIFT
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Is Doing “Everything” Enough? MD Burg
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IMAGES IN EMERGENCY MEDICINE
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CORRESPONDENCE
Synchronized Cardioversion of Unstable Supraventricular Tachycardia Resulting in Ventricular Fibrillation LC Xavier, A Memon
SARS Decision Rule: Who’s a Suspect? JH Tan, EJ Weber/T-L Wang
Out-of-Hospital Pediatric Airway Management M Eckstein/M Gausche-Hill