NEJM Journal Watch - General Medicine

A clinical practice update provides best practice recommendations for anticoagulation, monitoring, and duration of therapy.

A panel recommends against a group of commonly performed procedures.

In a large study, in-hospital and 1-year mortality were higher among patients who received feeding tubes than among those who didn't.

This blinded trial of autologous PRP showed no benefit for pain or function.

Common prodromal symptoms include light or sound sensitivity, fatigue, neck pain, and difficulty thinking or concentrating.

1-mg “neffy” is now approved for children who weigh 15 to 30 kg.

Large-bore mechanical thrombectomy was superior to catheter-directed thrombolysis in a randomized trial.

Not in this study, and salt-based nicotine liquids are associated with higher exposure than freebase nicotine.

The CHEST guidelines support restrictive practices for patients with isolated elevated troponin and discourage permissive strategies for those with septic shock.

A guideline from the American College of Physicians makes only two formal recommendations.