About Michelle Lin, MD

ALiEM Founder and CEO
Professor and Digital Innovation Lab Director
Department of Emergency Medicine
University of California, San Francisco

MIA 2012: IST-3 collaborative group et al. The benefits and harms of intravenous thrombolysis with recombinant tissue plasminogen activator within 6 h of acute ischaemic stroke (the third international stroke trial [IST-3]): a randomised controlled trial. Lancet. 2012 Jun 23;379(9834):2352-63.

Screen Shot 2013-06-01 at 7.22.47 AMBottom Line 1

Giving tPA to stroke patients within 6 hrs of symptom onset does not improve mortality or independence at 6 months.  However, patients might be a little “less disabled” while they are alive. Maybe.

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By |2016-11-11T18:42:29-08:00Jan 1, 2013|Neurology|

MIA 2012: Than M et al. 2-Hour accelerated diagnostic protocol to assess patients with chest pain symptoms using contemporary troponins as the only biomarker: the ADAPT trial. J Am Coll Cardiol. 2012 Jun 5;59(23):2091-8.

2-hoursBottom Line 1

For ED patients presenting with undifferentiated chest pain, a TIMI score of 0, together with a non-ischemic EKG, and a negative cTnI at 0 hours and 2 hours, can identify patients at very low-risk for having a major adverse cardiac event (MACE) in 30 days.

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By |2016-11-11T18:42:29-08:00Jan 1, 2013|Cardiovascular|

Most Interesting Articles of 2012

Screen Shot 2013-06-11 at 12.11.31 AMThe following compilation of the Most Interesting Articles in 2012 is the work of the EM residents at the Jacobi/Montefiore Emergency Medicine Residency Program.

INTRODUCTION

Standing at the intersection of patient care and academics, we Emergency Medicine residents have overwhelming expectations. We’re the ones dropping NG tubes, popping abscesses, and pushing stretchers, while also expected to remain up to date with current research and trends in our field. With all these lofty expectations, not to mention the ever-present requirement of sleep and caloric intake, how does a resident pick which papers to read in this sea of literature?

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By |2018-10-28T21:34:55-07:00Jan 1, 2013|Medical Education|
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