Annals of emergency medicine
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Editorial Comment
Is Rhythm Control Better Than Rate Control for New-Onset Atrial Fibrillation in the Emergency Department?
In patients with new-onset atrial fibrillation and symptom onset within 48 hours, rhythm control is preferred over rate control if the patient is younger than 65 years. For patients with congestive heart failure, valvular heart disease, hypertension, or permanent atrial fibrillation, rate control remains the favored strategy.
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Editorial Comment
Are Antibiotics Effective in the Treatment of Acute Bronchitis?
In patients without underlying lung disease, antibiotics in acute bronchitis appear to decrease cough, but the clinical significance of this decrease is uncertain. Their use should be weighed against the cost and potential adverse effects for treatment of a self-limiting disease.
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Editorial Comment
Do Mechanical Devices Improve Return of Spontaneous Circulation Over Manual Chest Compressions in Out-of-Hospital Cardiac Arrest?
Data are inadequate to determine whether recent devices (either load-distributing band or piston-driven) confer benefit or harm, though early trial data suggest they do not.