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Dear Readers,
This year has been marked by the insanity of the opioid epidemic, but there have been significant advances on less sensational topics. A much more nuanced approach to care of patients with pulmonary embolism has emerged, with selective anticoagulation, outpatient management, and improved use of the d-dimer assay. We continue to hone our approach to neuroimaging, as research identifies more and more patients who don't require these expensive scans. We end our top-10 list with some very surprising practice-changing research on magnesium and ondansetron.
The top NEJM Journal Watch Emergency Medicine stories for 2018 are: