Articles related to Emergency Medicine

A review identified 15 reports of Wernicke encephalopathy among patients receiving GLP-1 therapies, most accompanied by poor intake, vomiting, weight loss, or malnutrition, highlighting a rare safety signal without establishing drug-related causality.

Extensively drug-resistant Shigella has increased in US surveillance, with sexual transmission emerging as an important route among some populations. Rising multidrug resistance may complicate treatment, although many infections remain self-limited.

In a single-center randomized trial, mouth-dissolving clobazam and intranasal midazolam showed no statistically significant difference in clinical or electrographic seizure-termination time, supporting further study rather than establishing comparable efficacy.

A physician-focused review of a spinal cord compression malpractice case highlights documentation, follow-up, communication, and escalation practices that experts believe may help clinicians identify neurologic deterioration and reduce diagnostic delays.

A case report describes duodenal ulcer perforation in a woman receiving tirzepatide for weight loss, occurring shortly after dose escalation, though important confounders prevent conclusions about a causal drug relationship.

A perimenopausal woman presenting with ST-segment elevation myocardial infarction was found to have both spontaneous coronary artery dissection and stress-induced cardiomyopathy, highlighting the diagnostic complexity and potential overlap of two uncommon causes of acute coronary syndrome in women.