Journal Feed Weekly Wrap-Up

Aug 5th, 2023
Clay Smith
categories:
In the Literature

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter.

Originally published at JournalFeed, a site that provides daily or weekly literature updates.

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#1: CT FIRST – Full Body CT Post-OHCA – Does CT Help?

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A full-body CT protocol in resuscitated adults with out of hospital cardiac arrest (OHCA) more often – and more quickly – found the cause of arrest than standard of care CT but did not improve neurologically intact survival.

Source
Diagnostic yield, safety, and outcomes of Head-to-pelvis sudden death CT imaging in post arrest care: The CT FIRST cohort study. Resuscitation. 2023 Jul;188:109785. doi: 10.1016/j.resuscitation.2023.109785. Epub 2023 Apr 3.

#2: Ugly CTPA, Good PESI Score – Are They Low Risk?

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In a retrospective study of 331 low risk acute pulmonary embolism patients, concerning CTPA findings were not associated with adverse clinical outcomes.

Source
Adverse Clinical Outcomes Among Patients With Acute Low-risk Pulmonary Embolism and Concerning Computed Tomography Imaging Findings. JAMA Netw Open. 2023 May 1;6(5):e2311455. doi: 10.1001/jamanetworkopen.2023.11455.

#3: Recalibrating…HEART Score with High-Sensitivity Troponin T

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A recalibrated HEART score ≤ 3 utilizing hs-cTnT ruled out MACE (adjudicated type 1 MI, unplanned coronary revascularization, and all cause death) at 30 days at a sensitivity of 98.5% and NPV of 99.7% with the ability to discharge 46.5% of patients in this cohort.

Source
HEART Score Recalibration Using Higher Sensitivity Troponin T. Annals of emergency medicine, S0196-0644(23)00313-X. 10 Jun. 2023, doi:10.1016/j.annemergmed.2023.04.024