NEJM Journal Watch - General Medicine

Computed tomography perfusion and angiography specificities are high but not high enough for this high-stakes diagnosis.

Bleeding occurred less frequently with the midline approach than the lateral one.

A large observational study showed that this vaccine benefitted recipients beyond just protection against shingles.

Among monitored neonates, maternal opioid history proved most accurate for identifying infants who required treatment for withdrawal.

An AGA narrative review provides advice on best practices in managing ascites, volume overload, and hyponatremia.

Delaying surgical washout of septic joints leads to an increased risk of treatment failure.

Conventional thinking has it wrong according to a randomized trial.

A risk calculator outperformed standard criteria in a head-to-head comparison.

For patients with sympathetic crashing acute pulmonary edema (SCAPE), a high-dose strategy may speed weaning of respiratory support.

One study confirms vaccine effectiveness; another suggests that residents of congregate living facilities particularly will benefit.