Emergency Medicine | Page 19 of 59 | Links Medicus Content Curation & Alerts in Medicine

ADVOR: In a placebo-controlled trial, patients with acute decompensated heart failure and volume overload who had been randomly assigned to receive IV acetazolamide plus a loop diuretic had a higher incidence of decongestion. #ESCCongress https://t.co/YeoffDhXwc pic.twitter.com/YV3gM3gxij

— NEJM (@NEJM) August 27, 2022

#ESCCongress | 2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death.

29 Aug, 2022 | 12:21h | UTC

2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: Developed by the task force for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death of the European Society of Cardiology (ESC) Endorsed by the Association for European Paediatric and Congenital Cardiology (AEPC) – European Heart Journal

News Release: People of all ages should learn cardiopulmonary resuscitation – European Society of Cardiology

#ESCCongress – RCT | In comatose survivors of out-of-hospital cardiac arrest, targeting a mean arterial blood pressure of 77 mmHg vs. 63 mmHg did not result in different outcomes.

29 Aug, 2022 | 12:13h | UTC

Blood-Pressure Targets in Comatose Survivors of Cardiac Arrest – New England Journal of Medicine (link to abstract – $ for full-text)

News Release: Trial finds no benefit of raising blood pressure target in post cardiac arrest patients – European Society of Cardiology

Commentary: Blood Pressure Targets Show No Benefit in Comatose Survivors of Cardiac Arrest – HCPLive

Commentary on Twitter

BOX BP: This randomized trial found no difference in the rate of death or severe disability/coma when patients following out-of-hospital cardiac arrest were managed with higher or lower blood pressure targets. #ESCCongress https://t.co/5qOMtiPSck pic.twitter.com/QOl5KetTvn

— NEJM (@NEJM) August 27, 2022

#ESCCongress – RCT | In comatose survivors of out-of-hospital cardiac arrest, a restrictive vs. a liberal oxygenation strategy resulted in similar incidences of death, severe disability, and coma.

29 Aug, 2022 | 12:12h | UTC

Oxygen Targets in Comatose Survivors of Cardiac Arrest – New England Journal of Medicine (link to abstract – $ for full-text)

News Release: Restrictive oxygenation in post cardiac arrest patients is not harmful – European Society of Cardiology

Commentary on Twitter

BOX Oxygen: This RCT found no difference in the rate of death or severe disability/coma when mechanically ventilated patients following out-of-hospital cardiac arrest were managed with higher or lower oxygenation targets. #ESCCongress https://t.co/qqtd4SyVrl pic.twitter.com/q73gqSuAn4

— NEJM (@NEJM) August 27, 2022

Consensus Document | Management of decompensated cirrhosis in the surgical ICU.

25 Aug, 2022 | 12:05h | UTC

Management of Decompensated Cirrhosis in the Surgical ICU: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document – Trauma Surgery & Acute Care Open

Commentary on Twitter

#TSACOTuesday ? !
Check out what the AAST Critical Care Committee has to say about the managing Decompensated Cirrhotics in the SICU! https://t.co/lKVn9Y50xO pic.twitter.com/A4MQzaDvTk

— Trauma Surgery & Acute Care Open (TSACO) (@TSACO_AAST) August 2, 2022

Review | Subphenotypes in acute kidney injury.

25 Aug, 2022 | 11:50h | UTC

Subphenotypes in acute kidney injury: a narrative review – Critical Care

Long-term results of a RCT | Vasopressin and methylprednisolone did not improve outcomes in patients with in-hospital cardiac arrest.

24 Aug, 2022 | 14:15h | UTC

Effect of vasopressin and methylprednisolone vs. placebo on long-term outcomes in patients with in-hospital cardiac arrest a randomized clinical trial – Resuscitation

Original Study: RCT: Vasopressin + Methylprednisolone increase the likelihood of return of spontaneous circulation compared to placebo in patients with in-hospital cardiac arrest.

RCT | Rib fixation is not beneficial for non–ventilator-dependent chest wall injuries.

24 Aug, 2022 | 14:03h | UTC

Rib fixation in non–ventilator-dependent chest wall injuries: A prospective randomized trial – Journal of Trauma and Acute Care Surgery (link to abstract – $ for full-text)

Commentary on Twitter

Prospective randomized trial assessing #RibFixation in non ventilator dependent rib fracture patients compared to non operative management. Outcomes assessed were pain early, & at 3 & 6 months & quality of life. No benefit of rib fixation was demonstrated. https://t.co/0D9GbJ9Oye pic.twitter.com/b7G3wEPkxx

— Journal of Trauma and Acute Care Surgery (@JTraumAcuteSurg) June 7, 2022

Systematic Review | Interventions to reduce computed tomography usage in the emergency department.

24 Aug, 2022 | 13:54h | UTC

A Systematic Review of Interventions to Reduce Computed Tomography Usage in the Emergency Department – Annals of Emergency Medicine

A cohort study of patients with mild traumatic brain injury found that 56% of patients had incomplete recovery after 6 months.

23 Aug, 2022 | 13:27h | UTC

Outcomes in Patients With Mild Traumatic Brain Injury Without Acute Intracranial Traumatic Injury – JAMA Network Open

Commentary: Incomplete Recovery Common 6 Months After Mild TBI – Medscape (free registration required)

Commentary on Twitter (thread – click for more)

1/?Mild Traumatic Brain Injury (TBI) isn’t “Mild” ?

Our daughter fell off a high diving board headfirst to cement years ago. Though she had 2 cracks through her foramen magnum, her GCS was 15 & CT had no bleeding.

“She’s OK,” they said.

Wrong answer ?#TrackTBI Data… pic.twitter.com/1FZuRnt4so

— WesElyMD (@WesElyMD) August 22, 2022

Study Commentary | Non-sterile gloves for suturing traumatic lacerations?

23 Aug, 2022 | 13:29h | UTC

Non-Sterile Gloves for Suturing Traumatic Lacerations? – RebelEM

Original Study: Non-sterile gloves and dressing versus sterile gloves, dressings and drapes for suturing of traumatic wounds in the emergency department: a non-inferiority multicentre randomised controlled trial – Emergency Medicine Journal (link to abstract – $ for full-text)

Review | Dangerous causes of nausea/vomiting beyond the GI system.

23 Aug, 2022 | 13:13h | UTC

Dangerous Causes of Nausea/Vomiting Beyond the GI System – emDocs

Review | Inadequate practices for hepatic encephalopathy management in the inpatient setting.

23 Aug, 2022 | 12:57h | UTC

Inadequate practices for hepatic encephalopathy management in the inpatient setting – Journal of Hospital Medicine

Review | Blood transfusion reactions.

23 Aug, 2022 | 12:50h | UTC

Blood Transfusion Reactions—A Comprehensive Review of the Literature including a Swiss Perspective – Journal of Clinical Medicine

How to improve intubation in the intensive care unit | Update on knowledge and devices.

22 Aug, 2022 | 12:15h | UTC

How to improve intubation in the intensive care unit. Update on knowledge and devices – Intensive Care Medicine (free for a limited period)

Commentary on Twitter

Tracheal intubation in #ICU
➡️ preoxygenation & apneic oxygenation
➡️ devices for ETT positioning & airway management algorithms
➡️ tube position confirmation
➡️ hemodynamic optimization/choice of drugs
➡️ bundle to limit complications #FOAMcc @yourICM
? https://t.co/Bn5F5aRsHK pic.twitter.com/vWgJh5z8Vl

— Intensive Care Medicine (@yourICM) August 20, 2022

M-A | The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation.

19 Aug, 2022 | 16:15h | UTC

The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis – BMC Medicine

Impact of ethnicity on the accuracy of measurements of oxygen saturations: A retrospective observational cohort study – eClinicalMedicine

Racial and Ethnic Discrepancy in Pulse Oximetry and Delayed Identification of Treatment Eligibility Among Patients With COVID-19 – JAMA Internal Medicine

Racial Bias in Pulse Oximetry Measurement – New England Journal of Medicine

Pulse Oximetry for Monitoring Patients with Covid-19 at Home — A Pragmatic, Randomized Trial – New England Journal of Medicine

Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review – The Lancet Digital Health

FDA issues alert on ‘limitations’ of pulse oximeters, without explicit mention of racial bias – STAT

Pulse Oximeter Accuracy and Limitations: FDA Safety Communication – U.S. Food & Drug Administration

Consensus Guideline | Preventing unrecognized esophageal intubation.

19 Aug, 2022 | 16:16h | UTC

Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies* – Anaesthesia

News Release: New guidance to prevent the tragedy of unrecognized esophageal intubation – Association of Anaesthetists of Great Britain and Ireland

Commentary on Twitter

?New #FreeForever @UniversalAirway guidelines!@NicholasChrimes @AndyHiggsGAA @CarinHagberg @PaulBakerORSIM @gaspasser @jadamlaw @hypoxicchicken @SheilaMyatra @ProfEllenO @AirwayOnDemand @crossermed @JohnCSakles @SorbelloMax @doctimcook

?https://t.co/UkOWKhFyBG pic.twitter.com/rnvEdsgRDs

— ??????????? (@Anaes_Journal) August 18, 2022

Guideline | Acute pancreatitis.

19 Aug, 2022 | 16:11h | UTC

Revised Clinical Practice Guidelines of the Korean Pancreatobiliary Association for Acute Pancreatitis – Gut and Liver

Guidelines for the management of patients with severe acute pancreatitis, 2021 – Anaesthesia Critical Care & Pain Medicine

Evidence-Based Disposition of Acute Pancreatitis – emDocs

2019 WSES guidelines for the management of severe acute pancreatitis – World Journal of Emergency Surgery

American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis

Pancreatitis – National Institute for Health and Care Excellence

RCT | Metformin, Ivermectin, and Fluvoxamine are not beneficial for obese outpatients with Covid-19.

18 Aug, 2022 | 13:00h | UTC

Randomized Trial of Metformin, Ivermectin, and Fluvoxamine for Covid-19 – New England Journal of Medicine

Editorial: Time to Stop Using Ineffective Covid-19 Drugs – New England Journal of Medicine

Commentary on Twitter

In this trial involving overweight or obese outpatients with Covid-19, investigators found that none of three repurposed drugs (metformin, ivermectin, and fluvoxamine) reduced the risk of serious disease. https://t.co/8sd6R7CDK6 pic.twitter.com/bPZ6zeuZSA

— NEJM (@NEJM) August 17, 2022

Review | Acute respiratory distress syndrome.

17 Aug, 2022 | 14:30h | UTC

Acute Respiratory Distress Syndrome – Emergency Medicine Clinics of North America

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