52To provide a resource for evidence-based Emergency Medical education, this list of must-read landmark articles was created to supplement the Emergency Medicine (EM) internship year of training. There are 52 articles so that one article can be read at leisure each week of the year. I searched national databases and polled faculty at the University of Washington to identify articles that faculty would expect any EM resident to be familiar with or that they felt were practice-changing in EM. Articles were selected for the final list based on the quality of study design, sample size, and relevance for EM residents.

Airway/ RespiratoryReed, MJ et alCan an Airway Assessment Score Predict Difficulty at Intubation in the Emergency Department?Emergency Medicine Journal2005Pubmed
Airway/ RespiratoryWells, PS et alExcluding pulmonary embolism at the bedside without diagnostic imaging: Management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and D-dimer.Annals of Internal Medicine2001Pubmed
Airway/ RespiratoryKheterpal, S et alIncidence and Predictors of Difficult and Impossible Mask Ventilation.Anesthesiology2006Pubmed
Airway/ RespiratoryThe Acute Respiratory Distress Syndrome NetworkVentilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and the Acute Respiratory Distress Syndrome.New England Journal of Medicine2000Pubmed
Airway/ RespiratoryBurton, JH et alDoes End-Tidal Carbon Dioxide Monitoring Detect Respiratory Events Prior to Current Sedation Monitoring Practices?Academic Emergency Medicine2006Pubmed
Airway/ RespiratoryBrochard, L et alNoninvasive Ventilation for Acute Exacerbations of Chronic Obstructive Pulmonary Disease.New England Journal of Medicine1995Pubmed
Airway/ RespiratoryKline, JA et alProspective multicenter evaluation of the pulmonary embolism rule-out criteria.Journal of Thrombosis and Haemostasis2008Pubmed
Airway/ RespiratoryWeingart, SD et alPreoxygenation and prevention of desaturation during emergency airway management.Annals of Emergency Medicine2012Pubmed
CardiologyMehta, S et alRoutine vs Selective Invasive Strategies in Patients with Acute Coronary Syndromes: A Collaborative Meta-Analysis of Randomized Trials.Journal of the American Medical Association2005Pubmed
CardiologySgarbossa, E et alElectrocardiographic Diagnosis of Evolving Acute Myocardial Infarction in the Presence of Left Bundle-Branch Block.New England Journal of Medicine1996Pubmed
CardiologyWeigner, M et alRisk for Clinical Thromboembolism Associated with Conversion to Sinus Rhythm in Patients with Atrial Fibrillation Lasting Less than 48 Hours.Annals of Internal Medicine1997Pubmed
CardiologyThan, M et al2-Hour Accelerated Diagnostic Protocol to Assess Patients With Chest Pain Symptoms Using Contemporary Troponins as the Only Biomarker: The ADAPT Trial.Journal of the American College of Cardiology2012Pubmed
CardiologyQuinn, J et alProspective validation of the San Francisco Syncope Rule to predict patients with serious outcomes.Annals of Emergency Medicine2006Pubmed
CardiologyWenzel, V et alA Comparison of Vasopressin and Epinephrine for Out-of-Hospital Cardiopulmonary Resuscitation.New England Journal of Medicine2004Pubmed
CardiologyHypothermia After Cardiac Arrest Study GroupMild Therapeutic Hypothermia to Improve the Neurologic Outcome after Cardiac Arrest.New England Journal of Medicine2002Pubmed
CardiologyWyse, DG et alA comparison of rate control and rhythm control in patients with atrial fibrillation.New England Journal of Medicine2002Pubmed
CardiologyAndersen, HR et alA comparison of coronary angioplasty with fibrinolytic therapy in acute myocardial infarction.New England Journal of Medicine2003Pubmed
GastrointestinalPalamidessi, N et alNasogastric aspiration and lavage in emergency department patients with hematochezia or melena without hematemesis.Academic Emergency Medicine2010Pubmed
GastrointestinalVillanueva, C et alTransfusion strategies for acute upper gastrointestinal bleeding.New England Journal of Medicine2013Pubmed
GastrointestinalLau, J et alOmeprazole Before Endoscopy in Patients with Gastrointestinal Bleeding.New England Journal of Medicine2007Pubmed
ImmunologyLin, R et alImproved Outcomes in Patients with Acute Allergic Syndromes Who are Treated with Combined H1 and H2 Antagonists.Annals of Emergency Medicine2000Pubmed
Infectious diseaseMarik, PE et alThe risk of catheter-related bloodstream infection with femoral venous catheters as compared to subclavian and internal jugular venous catheters: A systematic review of the literature and meta-analysis.Critical Care Medicine2012Pubmed
Infectious diseaseMedeiros, I and Saconato, H.Antibiotic prophylaxis for mammalian bites.Cochrane Database of Systematic Reviews2001Pubmed
Infectious diseaseWong, C et alThe LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections.Critical Care Medicine2004Pubmed
MusculoskeletalStiell, IG et alDecision Rules for the Use of Radiography in Acute Ankle Injuries.Journal of the American Medical Association1993Pubmed
NeuroscienceAnderson, CS et alIntensive blood pressure reduction in acute cerebral haemorrhage trial (INTERACT): a randomised pilot trial.Lancet2008Pubmed
NeurosciencePerry, JJ et alHigh risk clinical characteristics for subarachnoid haemorrhage in patients with acute headache: prospective cohort study.British Medical Journal2010Pubmed
NeuroscienceJohnston, SC et alValidation and refinement of scores to predict very early stroke risk after transient ischaemic attack.Lancet2007Pubmed
NeuroscienceMorgenstern, L et alWorst Headache and Subarachinoid Hemorrhage: Prospective, Modern Computed Tomography and Spinal Fluid Analysis.Annals of Emergency Medicine1998Pubmed
NeuroscienceThe National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group.Tissue plasminogen activator for acute ischemic stroke.New England Journal of Medicine1995Pubmed
NeuroscienceHacke, W et alThrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke.New England Journal of Medicine2008Pubmed
PediatricsHolmes, J et alValidation of a Prediction Rule for the Identification of Children With Intra-abdominal Injuries After Blunt Torso Trauma.Annals of Emergency Medicine2009Pubmed
PediatricsKuppermann, N et alIdentification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study.Lancet2009Pubmed
PediatricsAltamimi, S et alSingle-dose oral dexamethasone in the emergency management of children with exacerbations of mild to moderate asthma.Pediatric Emergency Care2006Pubmed
PediatricsBerg, AT et alA Prospective Study of Recurrent Febrile Seizures.New England Journal of Medicine1992Pubmed
Renal/ urologyColl, DM et alRelationship of spontaneous passage of ureteral calculi to stone size and location as revealed by unenhanced helical CT.American Journal of Roentgenology2002Pubmed
Renal/ urologyLuchs, JS et alUtility of hematuria testing in patients with suspected renal colic: correlation with unenhanced helical CT results.Urology2002Pubmed
ResuscitationDellinger, RP et alSurviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis and Septic Shock.Critical Care Medicine2013Pubmed
ResuscitationRivers, E et alEarly goal-directed therapy in the treatment of severe sepsis and septic shock.New England Journal of Medicine2001Pubmed
ResuscitationJones, AE et alLactate clearance vs central venous oxygen saturation as goals of early sepsis therapy: a randomized clinical trial.Journal of the American Medical Association2010Pubmed
TraumaHoffman, JR et alSelective cervical spine radiography in blunt trauma: methodology of the National Emergency X-Radiography Utilization Study (NEXUS).Annals of Emergency Medicine1998Pubmed
TraumaBickell, WH et alImmediate Versus Delayed Fluid Resuscitation for Hypotensive Patients with Penetrating Torso Injuries.New England Journal of Medicine1994Pubmed
TraumaStiell, IG et alThe Canadian C-Spine Rule for Radiography in Alert and Stable Trauma Patients.Journal of the American Medical Association2001Pubmed
TraumaStiell, IG et alThe Canadian CT Head Rule for patients with minor head injury.Lancet2001Pubmed
TraumaChi, JH et alPrehospital Hypoxia Affects Outcome in Patients with Traumatic Brain Injury: A Prospective Multicenter Study.Journal of Trauma2006Pubmed
TraumaHaydel, MJ et alIndications for Computed Tomography in Patients with Minor Head Injury.New England Journal of Medicine2000Pubmed
TraumaCRASH-2 trial collaboratorsEffects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a randomised, placebo-controlled trial.Lancet2010Pubmed
TraumaBranney, SW et alCritical Analysis of Two Decades of Experience with Postinjury Emergency Department Thoracotomy in a Regional Trauma Center.Journal of Trauma1998Pubmed
TraumaTsutsumi, S et alEffects of the Second National Acute Spinal Cord Injury Study of High-Dose Methylprednisolone Therapy on Acute Cervical Spinal Cord Injury-Results in Spinal Injuries Center.Spine2006Pubmed
TraumaMacKenzie, EJ et alA national evaluation of the effect of trauma-center care on mortality.New England Journal of Medicine2006Pubmed
UltrasoundBranney, SW et alQuantitative Sensitivity of Ultrasound in Detecting Free Intraperitoneal Fluid.Journal of Trauma1995Pubmed
UltrasoundNagdev, AD et alEmergency department bedside ultrasonographic measurement of the caval index for noninvasive determination of low central venous pressure.Annals of Emergency Medicine2010Pubmed

Emily Junck, MD

Emily Junck, MD

Helicopter EMS Fellow
Auckland City Hospital
Auckland, New Zealand
Emily Junck, MD


Chief Resident, Emergency Medicine University of Washington
Emily Junck, MD

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