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Emergency Medicine

Cohort Study | Predictors of acute coronary occlusion in patients with out-of-hospital cardiac arrest without ST-segment elevation

3 Feb, 2023 | 14:20h | UTC

Acute Coronary Occlusion in Patients With Non-ST-Segment Elevation Out-of-Hospital Cardiac Arrest – Journal of the American College of Cardiology (link to abstract – $ for full-text)

JACC Podcast: Acute Coronary Occlusion in Patients with Non-ST-segment Elevation Out-of-hospital Cardiac Arrest

Commentary: Coronary Occlusion in Patients With Non-ST Elevation Cardiac Arrest – American College of Cardiology

Related:

#ESCCongress – RCT: Immediate coronary angiography after out-of-hospital cardiac arrest without ST-segment elevation did not improve outcomes compared to delayed/selective angiography – New England Journal of Medicine

Emergency vs Delayed Coronary Angiogram in Survivors of Out-of-Hospital Cardiac Arrest: Results of the Randomized, Multicentric EMERGE Trial – JAMA Cardiology (link to abstract – $ for full-text)

 


Transfusion thresholds for acute coronary syndromes — insights from the TRICS‐III trial and meta‐analysis

3 Feb, 2023 | 13:58h | UTC

Transfusion Thresholds for Acute Coronary Syndromes—Insights From the TRICS‐III Randomized Controlled Trial, Systematic Review, and Meta‐Analysis – Journal of the American Heart Association

 


RCT | Remifentanil vs. neuromuscular blockers during rapid sequence intubation in patients at risk of aspiration

2 Feb, 2023 | 15:01h | UTC

Effect of Remifentanil vs Neuromuscular Blockers During Rapid Sequence Intubation on Successful Intubation Without Major Complications Among Patients at Risk of Aspiration: A Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)

 

Commentary on Twitter

 


Guideline Update | Acute stroke management

2 Feb, 2023 | 14:56h | UTC

Canadian Stroke Best Practice Recommendations: Acute Stroke Management, 7th Edition Practice Guidelines Update, 2022

Related:

AHA/ASA Guideline: Prevention of stroke in patients with previous stroke and transient ischemic attack – prevention efforts should be based on the cause of the first ischemic event.

Stroke and transient ischaemic attack in over 16s: diagnosis and initial management – National Institute for Health and Care Excellence

Dual antiplatelet therapy with aspirin and clopidogrel for acute high risk transient ischaemic attack and minor ischaemic stroke – The BMJ

2 recent meta-analysis highlight the benefits of short term (30 days) dual antiplatelet therapy with aspirin + clopidogrel in patients within 24 hours of high-risk transient ischemic attack or mild-moderate ischemic stroke.

Systematic review: Multiple vs. fewer antiplatelet agents for preventing early recurrence after ischemic stroke or transient ischemic attack

 


M-A | Mucolytics for acute exacerbations of COPD

31 Jan, 2023 | 13:56h | UTC

Mucolytics for acute exacerbations of chronic obstructive pulmonary disease: a meta-analysis – European Respiratory Review

 


Cohort Study | Severe lymphopenia may predict worse outcomes in hospitalized patients with pneumococcal CAP

31 Jan, 2023 | 13:52h | UTC

Impact of severe lymphopenia on the early prediction of clinical outcome in hospitalized patients with pneumococcal community-acquired pneumonia – Infection (if the link is paywalled, try this one in PMC)

 


Podcast | Acute exacerbations of COPD

31 Jan, 2023 | 13:48h | UTC

#378 Acute Exacerbations of COPD (AECOPD) – The Curbsiders

 


Guideline | Management of adult renal trauma

30 Jan, 2023 | 01:20h | UTC

Management of adult renal trauma: a practice management guideline from the eastern association for the surgery of trauma – BMC Surgery

Related:

Kidney and uro-trauma: WSES-AAST guidelines – World Journal of Emergency Surgery

Urotrauma: AUA Guideline – The Journal of Urology

Urological Trauma – European Association of Urology

Renal trauma: the current best practice – Therapeutic Advances in Urology

 


RCT | Early extracorporeal CPR did not improve outcomes in patients with refractory out-of-hospital cardiac arrest

30 Jan, 2023 | 01:18h | UTC

Early Extracorporeal CPR for Refractory Out-of-Hospital Cardiac Arrest – New England Journal of Medicine (link to abstract – $ for full-text)

Commentary: Early Extracorporeal CPR for Out-of-Hospital Cardiac Arrest – American College of Cardiology

 

Commentary on Twitter

 


RCT | Simple aspiration versus drainage for complete pneumothorax

30 Jan, 2023 | 00:40h | UTC

Simple Aspiration Versus Drainage for Complete Pneumothorax: A Randomized Non-Inferiority Trial – Am J Respir Crit Care Med (link to abstract – $ for full-text)

 


Perspective | Is it time to retire the diagnosis “hypertensive emergency”?

27 Jan, 2023 | 12:26h | UTC

Is it Time to Retire the Diagnosis “Hypertensive Emergency”? – Journal of the American Heart Association

 


CT imaging of the larynx for may be a tool for the diagnosis of vocal cord dysfunction

27 Jan, 2023 | 12:13h | UTC

Computed Tomography Imaging of the Larynx for Diagnosis of Vocal Cord Dysfunction – NEJM Evidence (link to abstract – $ for full-text)

 

Commentary on Twitter

 


Review | The blood–brain barrier and optimization of antibiotics for the treatment of CNS infections in adults

27 Jan, 2023 | 11:55h | UTC

The Blood–Brain Barrier and Pharmacokinetic/Pharmacodynamic Optimization of Antibiotics for the Treatment of Central Nervous System Infections in Adults – Antibiotics

 


Review | Spotlight on vaccine-induced thrombosis and thrombocytopenia (VITT)

26 Jan, 2023 | 12:46h | UTC

Spotlight on vaccine-induced thrombosis and thrombocytopenia (VITT) – Blood

 


Cohort study | Endovascular balloon occlusion of the aorta may be an alternative to resuscitative thoracotomy in traumatic hemorrhagic shock

26 Jan, 2023 | 12:18h | UTC

Zone 1 Endovascular Balloon Occlusion of the Aorta vs Resuscitative Thoracotomy for Patient Resuscitation After Severe Hemorrhagic Shock – JAMA Surgery (link to abstract – $ for full-text)

Related: Systematic review to evaluate algorithms for REBOA use in trauma and identify a consensus for patient selection – Trauma Surgery and Acute Care Open

 

Commentary on Twitter

 


Systematic review to evaluate algorithms for REBOA use in trauma and identify a consensus for patient selection

26 Jan, 2023 | 12:13h | UTC

Systematic review to evaluate algorithms for REBOA use in trauma and identify a consensus for patient selection – Trauma Surgery and Acute Care Open

Related: Zone 1 Endovascular Balloon Occlusion of the Aorta vs Resuscitative Thoracotomy for Patient Resuscitation After Severe Hemorrhagic Shock – JAMA Surgery (link to abstract – $ for full-text)

 


Cardiogenic Shock | Emergency department-focused management

25 Jan, 2023 | 11:21h | UTC

Cardiogenic Shock: Emergency Department-Focused Management – emDocs

Related: The medical treatment of cardiogenic shock – Journal of Intensive Medicine

 


AHA Statement | Surgical management and mechanical circulatory support in high-risk pulmonary embolisms

24 Jan, 2023 | 14:40h | UTC

Surgical Management and Mechanical Circulatory Support in High-Risk Pulmonary Embolisms: Historical Context, Current Status, and Future Directions: A Scientific Statement From the American Heart Association – Journal of the American Heart Association

News Release: New statement suggests more patients may benefit from surgery for pulmonary embolism – American Heart Association

 

Commentary from one of the authors on Twitter (thread – click for more)

 


RCT | Outcomes not different with early restrictive vs. liberal fluid management in sepsis-induced hypotension

24 Jan, 2023 | 14:38h | UTC

Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension – New England Journal of Medicine (link to abstract – $ for full-text)

News Release: Study comparing early interventions for sepsis shows patients have identical outcomes – Vanderbilt University Medical Center

 

Commentary on Twitter

 


Retrospective Study | Serial troponin-T and long-term outcomes in suspected acute coronary syndrome

24 Jan, 2023 | 14:09h | UTC

Serial troponin-T and long-term outcomes in suspected acute coronary syndrome – European Heart Journal

 

Commentary on Twitter

 


Perspective | The top 11 priorities to improve trauma outcomes, from system to patient level

24 Jan, 2023 | 14:06h | UTC

Perspective: the top 11 priorities to improve trauma outcomes, from system to patient level – Critical Care

 


Review | Wellens syndrome: an important consideration in patients with chest pain

23 Jan, 2023 | 13:26h | UTC

Wellens syndrome: An important consideration in patients with chest pain – JAAPA

Commentary: Wellens Syndrome Important to Consider if Chest Pain: Key Points – American College of Cardiology

 


AHA Scientific Statement | Diagnosis, workup, risk reduction of transient ischemic attack in the ED setting

20 Jan, 2023 | 14:56h | UTC

Diagnosis, Workup, Risk Reduction of Transient Ischemic Attack in the Emergency Department Setting: A Scientific Statement From the American Heart Association – Stroke

News Release: Stroke symptoms, even if they disappear within an hour, need emergency assessment – American Heart Association

 


Guideline | Diagnosis and treatment of pleural effusion

20 Jan, 2023 | 14:55h | UTC

Diagnosis and Treatment of Pleural Effusion. Recommendations of the Spanish Society of Pulmonology and Thoracic Surgery. Update 2022 – Archivos de Bronconeumología

Related:

Update on Management of Pleural Disease – Current Pulmonology Reports

Pleural Effusion in Adults—Etiology, Diagnosis, and Treatment – Deutsches Ärzteblatt international

Evaluation of the patient with pleural effusion – Canadian Medical Association Journal

State-of-the-art: Radiological investigation of pleural disease – Respiratory Medicine

 


RCT | Aspirin noninferior to low-molecular-weight heparin for thromboprophylaxis after a fracture

19 Jan, 2023 | 14:30h | UTC

Aspirin or Low-Molecular-Weight Heparin for Thromboprophylaxis after a Fracture – New England Journal of Medicine (link to abstract – $ for full-text)

News Release: Aspirin as effective as blood thinner injections to prevent deadly complications in patients hospitalized with bone fractures – University of Maryland School of Medicine

Commentary: PREVENT CLOT Supports Aspirin for VTE Prevention in Trauma Fractures – TCTMD

 


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