Critical Care & Emergencies (all articles) | Page 104 of 187 | Links Medicus Content Curation & Alerts in Medicine

Invasive candidiasis in critical care: Challenges and future directions

1 Oct, 2020 | 09:00h | UTC

Invasive candidiasis in critical care: challenges and future directions – Intensive Care Medicine

Commentary on Twitter

Invasive candidiasis: most common #ICU fungal infection ~40-55% mortality. Key challenges:
➡️ changing epidemiology/emergence of resistances
➡️ timely/appropriate therapy initiation/discontinuation
➡️ choosing/tailoring optimal antifungals#FOAMcc review https://t.co/tMPNcYfzwL pic.twitter.com/HvJKr0jX2o

— Intensive Care Medicine (@yourICM) September 30, 2020

Systematic review: The effectiveness and cost‐effectiveness of hospital‐based specialist palliative care for adults with advanced illness and their caregivers

1 Oct, 2020 | 08:58h | UTC

The effectiveness and cost‐effectiveness of hospital‐based specialist palliative care for adults with advanced illness and their caregivers – Cochrane Library

Summary: Effectiveness and cost-effectiveness of hospital-based specialist palliative care (HSPC) for adults with advanced illness and their unpaid caregivers – Cochrane Library

Commentary: Hospital-based specialist palliative care may slightly improve patient experience and increase their chances of dying at home – King’s College London

Commentary on Twitter

Cochrane review on hospital-based specialist palliative care. Findings: Improved HR-QoL and patient satisfaction, reduced symptom burden and depression, and increased chances of patients dying in their preferred place. @SBajwah @cochranecollab https://t.co/wjhGp0gcbs

— Olaf Geerse (@OlafGeerse) September 30, 2020

New COVID-19 inpatient risk calculator estimates the probability of severe disease or death at hospital admission

30 Sep, 2020 | 09:51h | UTC

Patient Trajectories Among Persons Hospitalized for COVID-19: A Cohort Study – Annals of Internal Medicine

Commentaries: COVID-19 ‘prediction model’ uses data that can help determine if patients’ conditions are likely to worsen – Johns Hopkins Medicine AND Prediction model incorporates more than 20 variables at hospital admission – Physician’s Weekly AND Patient Trajectories Among COVID-19 Hospitalized Patients – American College of Cardiology

Interactive Calculator: The COVID Inpatient Risk Calculator: CIRC

Commentary on Twitter

Lead authors Brian T. Garibaldi, MD, MEHP and Jacob Fiksel, PhD of @HopkinsMedicine developed the COVID-19 Inpatient Risk Calculator (CIRC) that uses patient data at admission to determine potential disease trajectory for #COVID19.

Link: https://t.co/i1e1ek7wO7. @Bedsidemedicine pic.twitter.com/wQLctHHYrn

— Annals of Int Med (@AnnalsofIM) September 22, 2020

Proposed clinical criteria for COVID-19-associated hyperinflammatory syndrome

30 Sep, 2020 | 09:50h | UTC

Clinical criteria for COVID-19-associated hyperinflammatory syndrome: a cohort study – The Lancet Rheumatology

Commentary on Twitter

Defining and grading the clinical hyperinflammatory syndrome with #COVID19 and how this cytokine storm relates to outcomes https://t.co/6Ngp3OHZJx @TheLancetRheum @Intermountain pic.twitter.com/bDGwKpjOI4

— Eric Topol (@EricTopol) September 29, 2020

Intensive care unit acquired muscle weakness in COVID-19 patients

30 Sep, 2020 | 09:39h | UTC

Intensive care unit acquired muscle weakness in COVID-19 patients – Intensive Care Medicine

Commentary on Twitter

#ICU acquired muscle weakness in #COVID19 frequently occurring in critically ills on prolonged sedation. Price to pay for rigorous protective MV? follow-up essential to offer tailored rehab, trying to reduce long-term impact on functional status. #ICUrehab https://t.co/anf0WE0W4w pic.twitter.com/MdnNzYuTN8

— Intensive Care Medicine (@yourICM) September 28, 2020

Editorial – Stress ulcer prophylaxis: Is mortality a useful endpoint?

30 Sep, 2020 | 09:31h | UTC

Stress ulcer prophylaxis: Is mortality a useful endpoint? – Intensive Care Medicine

Commentary on Twitter

Stress ulcer prophylaxis: restrict to highest GI bleeding risk #ICU pts; still uncertainties on harmful effects (ie PK interactions?). Early EN, effective if low-risk + reducing underfeeding, to be encouraged. https://t.co/2EOsefikFc

Referring Wang et al https://t.co/MXnfHYyoJ4 pic.twitter.com/Xz8wmTzn62

— Intensive Care Medicine (@yourICM) September 29, 2020

IDSA updated guidelines on the treatment of patients with COVID-19

28 Sep, 2020 | 01:40h | UTC

Infectious Diseases Society of America Guidelines on the Treatment and Management of Patients with COVID-19

Commentary on Twitter

.@IDSAInfo has updated its #COVID19 treatment guidelines:

*Don't give #tocilizumab
*Give #dexamethasone but not if room air oxygen saturation is > 94%https://t.co/66nwQQZgsz pic.twitter.com/PQNAaFBZS4

— Mike Stevens (@Dr_Mike_Stevens) September 26, 2020

ECMO in Covid-19: An international cohort

28 Sep, 2020 | 01:33h | UTC

Extracorporeal membrane oxygenation support in covid-19: an international cohort study of the extracorporeal life support organization registry – the lancet

Gastrointestinal complications in critically ill patients with and without COVID-19

25 Sep, 2020 | 02:44h | UTC

Gastrointestinal Complications in Critically Ill Patients With and Without COVID-19 – JAMA

Commentary on Twitter

https://twitter.com/LMaurerMD/status/1309185925692481536

Small randomized trial evaluated intravenous methylprednisolone pulse as a treatment for hospitalized severe COVID-19 patients

25 Sep, 2020 | 02:41h | UTC

Intravenous methylprednisolone pulse as a treatment for hospitalised severe COVID-19 patients: results from a randomised controlled clinical trial – European Respiratory Journal

Understanding necrotizing soft tissue infections in the intensive care unit

25 Sep, 2020 | 02:31h | UTC

Understanding necrotizing soft tissue infections in the intensive care unit – Intensive Care Medicine

Commentary on Twitter

Necrotizing soft tissue infections in #ICU, focus on optimizing interventions most likely to impact outcome:
➡️ keep high index of suspicion vs misdiagnosis/delays in starting treatment
➡️ coordinate urgent approach: early debridement + broad-spectrum ABThttps://t.co/NpkxYFHbGl pic.twitter.com/8LDQuOGobI

— Intensive Care Medicine (@yourICM) September 22, 2020

JAMA Network Series: Medical Specialties and the COVID-19 Pandemic

24 Sep, 2020 | 09:45h | UTC

Editorial: The COVID-19 Pandemic and the JAMA Network

See articles:

Association of red blood cell distribution width with mortality risk in hospitalized adults with SARS-CoV-2 infection

24 Sep, 2020 | 09:32h | UTC

Association of Red Blood Cell Distribution Width With Mortality Risk in Hospitalized Adults With SARS-CoV-2 Infection – JAMA Network Open

Commentary: Simple blood test can predict severity of COVID-19 for some patients – University of Texas Health Science Center at Houston AND Routine blood test may identify patients at risk for severe COVID-19 – UPI

Commentary on Twitter

Death in #COVID19: JAMA Open

In lots of dzs RDW >14.5% robustly risk stratifies pts w/in illness. True in #COVID! Mortality w/ nl RDW 11% vs. 31% with high RDW (9% ⬆️ risk per 0.5% increase in RDW). BEST predictor next to Age!https://t.co/aZJ3p488cN #medtwitter #tipsfornewdocs pic.twitter.com/967g2HElYH

— WesElyMD (@WesElyMD) September 23, 2020

COVID-19 can affect the heart

24 Sep, 2020 | 09:30h | UTC

COVID-19 can affect the heart – Science

Commentary on Twitter

"These complications, which at times are the only features of #COVID19 clinical presentation, have occurred even in cases with mild symptoms and in people who did not experience any symptoms" https://t.co/q42cY3ujV4
a 🧵to explain 1/

— Eric Topol (@EricTopol) September 24, 2020

Things we do for no reason: Routine correction of elevated INR and thrombocytopenia prior to paracentesis in patients with cirrhosis

24 Sep, 2020 | 09:17h | UTC

Things We Do for No Reason™: Routine Correction of Elevated INR and Thrombocytopenia Prior to Paracentesis in Patients with Cirrhosis – Journal of Hospital Medicine

See collection: Choosing Wisely: Things We Do For No Reason – Journal of Hospital Medicine

Things we do for no reason: Routine coverage of anaerobes in aspiration pneumonia

24 Sep, 2020 | 09:17h | UTC

Things We Do for No Reason™: Routine Coverage of Anaerobes in Aspiration Pneumonia – Journal of Hospital Medicine

See collection: Choosing Wisely: Things We Do For No Reason – Journal of Hospital Medicine

[Preprint] Randomized trial: Hydroxychloroquine as pre-exposure prophylaxis for COVID-19 in healthcare workers

23 Sep, 2020 | 14:17h | UTC

Hydroxychloroquine as pre-exposure prophylaxis for COVID-19 in healthcare workers: a randomized trial – medRxiv

Commentary on Twitter

🔥 #Hydroxychloroquine as pre-exposure prophylaxis for COVID-19 in healthcare workers: a randomized trial 🔥

-1st RCT on HCQ as PrEP

-1483 HCW randomized to HCQ 1x or 2x weekly or placebo

-No difference in development of confirmed or probable COVID19 https://t.co/Gn1otqKhrW pic.twitter.com/3r0HB56h9y

— Ilan Schwartz is on🦋 (@GermHunterMD) September 21, 2020

COVID-19 clinical trials: Learning from exceptions in the research chaos

23 Sep, 2020 | 14:50h | UTC

COVID-19 clinical trials: learning from exceptions in the research chaos – Nature

Commentary on Twitter

Our analysis on #COVID clinical trials on Nature Medicine. Only big randomised trials can answer rapidly & reliably. Megatrials need support from regulators, funders, health services, docs. Pre-existing trial networks helpful. Collaboration key to success. https://t.co/YlalAEMR9r pic.twitter.com/wElfXfXdol

— Kari Tikkinen (@KariTikkinen) September 22, 2020

Cardiac arrhythmias in critically ill patients with COVID-19: A brief review

22 Sep, 2020 | 09:59h | UTC

Cardiac Arrhythmias in Critically Ill Patients With COVID-19: A Brief Review – Journal of Cardiothoracic and Vascular Anesthesia

Catheter-associated urinary tract infections in adults: diagnosis, treatment, and prevention

23 Sep, 2020 | 14:35h | UTC

Catheter-Associated Urinary Tract Infections in Adults: Diagnosis, Treatment, and Prevention – Journal of Hospital Medicine (free for a limited period)

The core lesson of the COVID-19 heart debate

22 Sep, 2020 | 10:00h | UTC

The Core Lesson of the COVID-19 Heart Debate – The Atlantic

Commentary on Twitter

https://twitter.com/ChecchiaPaul/status/1308065655099478018

Hospital COVID-19 risk lowest among intensive care staff

22 Sep, 2020 | 09:53h | UTC

Hospital COVID-19 risk lowest among intensive care staff – MedicalXpress

Original Study: SARS-CoV-2 seroprevalence and asymptomatic viral carriage in healthcare workers: a cross-sectional study – Thorax

Commentary on Twitter

HOT OF THE PRESS@ThoraxBMJ #Covid19UK #NHS hospital staff

Asymptomatic viral carriage
2.4%

Seroprevalence
▶️ Housekeeping 34.5%
▶️ Acute medicine 33.3%
▶️ General internal medicine 30.3%
▶️ Intensive care 14.8%#protectNHSstaff #protectNHSpatients https://t.co/iqBKl3qLYD

— Prof. Nicholas Hart (@NickHartGSTT) September 12, 2020

Ensuring adequate palliative and hospice care during COVID-19 surges

22 Sep, 2020 | 09:57h | UTC

Ensuring Adequate Palliative and Hospice Care During COVID-19 Surges – JAMA

Commentary on Twitter

An ethical approach to #pandemic surge planning requires providing for patients seeking symptom relief & comfort at the end of life. Not to do so undermines patient, family trust, emotional health, and core values of society https://t.co/P0LeYuZwzt @MatthewWynia @CUPallCare

— JAMA (@JAMA_current) September 22, 2020