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Critical Care & Emergencies (All Articles)

Updates in Management of Hyperkalemia

25 Jul, 2017 | 00:43h | UTC

Practical Review: Updates in Management of Hyperkalemia – emDocs Cases (free)

 


The Diagnosis and Treatment of Hemoptysis

25 Jul, 2017 | 00:42h | UTC

Review: The Diagnosis and Treatment of Hemoptysis – Deutsches Ärzteblatt international (free)

Source: Critical Care Reviews Newsletter

 


Cardiocerebral and cardiopulmonary resuscitation – 2017 update

25 Jul, 2017 | 00:41h | UTC

Cardiocerebral and cardiopulmonary resuscitation – 2017 update – Acute Medicine & Surgery (free)

Source: Critical Care Reviews Newsletter

 


Management of elderly patients with a non-ST-segment-elevation acute coronary syndrome

25 Jul, 2017 | 00:38h | UTC

Review: Management of elderly patients with a non-ST-segment-elevation acute coronary syndrome – Netherlands Heart Journal (free) (RT @Gas_Craic see Tweet)

 


European Society of Cardiology Clinical Practice Guidelines Summary Cards

25 Jul, 2017 | 00:17h | UTC

Latest European Society of Cardiology Clinical Practice Guidelines Summary Cards are now available (Atrial Fibrillation, Heart Failure, CVD Prevention, Cardio-Oncology – free PDF summaries).

See Complete list:

– Atrial Fibrillation

– Heart Failure

– European CVD Prevention in Clinical Practice

– Cardio-oncology

– Infective Endocarditis

– Hypertrophic Cardiomyopathy

– Cardiac Pacing & CRT

– Arterial Hypertension

– Diabetes & Pre-Diabetes, CVD

– Valvular Heart Disease 

 


Review: Update on pediatric sepsis

25 Jul, 2017 | 00:03h | UTC

Update on pediatric sepsis: a review – Journal of Intensive Care (free)

Source: Critical Care Reviews Newsletter

 


Review: Organ dysfunction, injury and failure in acute heart failure

24 Jul, 2017 | 01:02h | UTC

Review: Organ dysfunction, injury and failure in acute heart failure: from pathophysiology to diagnosis and management. A review on behalf of the Acute Heart Failure Committee of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC) (free)

 


Acute Aortic Syndromes: Diagnosis and Management

23 Jul, 2017 | 16:27h | UTC

Summary with 10 key points to remember: Acute Aortic Syndromes: Diagnosis and Management – American College of Cardiology, Latest in Cardiology (free)

Original Article: Acute aortic syndromes: diagnosis and management, an update – European Heart Journal (link to abstract – $ for full-text)

 


Video Laryngoscopy for Endotracheal Intubation of Critically Ill Adults

23 Jul, 2017 | 12:53h | UTC

Video Laryngoscopy for Endotracheal Intubation of Critically Ill Adults: A Systemic Review and Meta-Analysis – Chest (free)

Source: Video Laryngoscopy Does Not Improve First-Pass Success in ICU Patients – Journal Watch ($)

“The VL technique did not increase the first-attempt success rate during EI in ICU patients compared with DL. These findings do not support routine use of VL in ICU patients”.

 


A focus on treating fever does not improve survival in sepsis

22 Jul, 2017 | 21:10h | UTC

A focus on treating fever does not improve survival in sepsis – NIHR Signal (free)

Original article: Antipyretic Therapy in Critically Ill Septic Patients: A Systematic Review and Meta-Analysis (free)

 


Short review: Subarachnoid Hemorrhage

21 Jul, 2017 | 18:27h | UTC

Short review: Subarachnoid Hemorrhage – NEJM Resident 360 (free)

 


Review: Optimizing diagnostic testing for venous thromboembolism

21 Jul, 2017 | 18:04h | UTC

Clinical Review: Optimizing diagnostic testing for venous thromboembolism – Cleveland Clinic Journal of Medicine (free)

 


Antiplatelet Regimen for Patients With Breakthrough Strokes While on Aspirin

21 Jul, 2017 | 17:51h | UTC

Antiplatelet Regimen for Patients With Breakthrough Strokes While on Aspirin: A Systematic Review and Meta-Analysis – Stroke (link to abstract – $ for full-text)

Commentary: Adjusting Antiplatelet Regimen Could Decrease Risk For Stroke Patients on Aspirin Monotherapy – American College of Cardiology, Latest in Cardiology (free)

Meta-analysis of cohort studies: in patients who experienced an ischemic stroke or transient ischemic attack while on aspirin monotherapy, the addition of or a switch to another antiplatelet agent, versus aspirin monotherapy, was associated with a 32 percent reduction in the risk of major adverse cardiovascular events (HR 0.68; 0.54–0.85) and 30 percent reduction in recurrent strokes (HR, 0.70; 0.54–0.92). Additional randomized trials would better clarify the best antiplatet regimen for these patients.

 


The Effects of Public Access Defibrillation on Survival After Out-of-Hospital Cardiac Arrest

21 Jul, 2017 | 17:46h | UTC

The Effects of Public Access Defibrillation on Survival After Out-of-Hospital Cardiac Arrest: A Systematic Review of Observational Studies – Circulation (link to abstract – $ for full-text)

Commentary: Bystander CPR Best Hope for Out-of-Hospital Cardiac Arrest? – Medscape (free registration required)

See related article on Bystander Efforts and 1-Year Outcomes in Out-of-Hospital Cardiac Arrest in our May 4th issue (see #2)

 


An emergency department protocol to restore circulation doesn’t improve outcomes in septic shock

21 Jul, 2017 | 17:38h | UTC

An emergency department protocol to restore circulation doesn’t improve outcomes in septic shock – NIHR Signal (free)

Original article: Early, Goal-Directed Therapy for Septic Shock — A Patient-Level Meta-Analysis – New England Journal of Medicine (link to abstract – $ for full-text)

 


Efficacy and Safety of Spironolactone in Acute Heart Failure

21 Jul, 2017 | 00:21h | UTC

Efficacy and Safety of Spironolactone in Acute Heart Failure: The ATHENA-HF Randomized Clinical Trial – JAMA Cardiology (link to abstract – $ for full-text)

Commentaries: High-dose spironolactone didn’t affect acute heart failure outcomes – ACP Hospitalist (free) AND High-Dose Spironolactone in Acute Heart Failure – American College of Cardiology, Latest in Cardiology (free)

 


Rhabdomyolysis & Exertional Heat Stroke

20 Jul, 2017 | 00:03h | UTC

As Workouts Intensify, a Harmful Side Effect Grows More Common – New York Times (10 articles per month are free)

Related practical review: Exercise-Induced Emergencies in the Heat: Rhabdomyolysis & Exertional Heat Stroke – emDocs (free)

 


Emergency Management of Pediatric Seizures

18 Jul, 2017 | 22:52h | UTC

Clinical Review: EM Cases: Emergency Management of Pediatric Seizures – emDocs (free)

 


Guideline: The management of intra-abdominal infections from a global perspective

17 Jul, 2017 | 01:38h | UTC

The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines – World Journal of Emergency Surgery (free)

Related: The Surgical Infection Society Revised Guidelines on the Management of Intra-Abdominal Infection – Surgical Infections (free)

 


High-flow nasal cannula oxygen therapy is superior to conventional oxygen therapy

17 Jul, 2017 | 01:36h | UTC

High-flow nasal cannula oxygen therapy is superior to conventional oxygen therapy but not to noninvasive mechanical ventilation on intubation rate: a systematic review and meta-analysis – Critical Care (free)

Source: Hospital Medicine Virtual Journal Club (free resource to find articles of interest)

 


Studies suggest apneic oxygenation reduces hypoxemia during emergency intubation

17 Jul, 2017 | 01:34h | UTC

Studies suggest apneic oxygenation reduces hypoxemia during emergency intubation:

Meta-analysis 1: Apneic oxygenation during intubation in the emergency department and during retrieval: A systematic review and meta-analysis – The American Journal of Emergency Medicine (link to abstract – $ for full-text)

Meta-analysis 2: Apneic oxygenation reduces the incidence of hypoxemia during emergency intubation: A systematic review and meta-analysis – The American Journal of Emergency Medicine (link to abstract – $ for full text)

Source: Apneic Oxygenation Prevents Desaturation During Intubation – Journal Watch ($ resource to find articles of interest)

 


Guideline: Nutrition Support Therapy in the Pediatric Critically Ill Patient

16 Jul, 2017 | 12:46h | UTC

Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition (free)

 


Non-invasive ventilation for the management of acute hypercapnic respiratory failure due to exacerbation of COPD

16 Jul, 2017 | 12:48h | UTC

Non-invasive ventilation for the management of acute hypercapnic respiratory failure due to exacerbation of chronic obstructive pulmonary disease – Cochrane Library (free)

NIV reduces mortality and endotracheal intubation in patients with acute hypercapnic respiratory failure secondary to an acute exacerbation COPD.

 


The future of mechanical ventilation: lessons from the present and the past

13 Jul, 2017 | 20:56h | UTC

The future of mechanical ventilation: lessons from the present and the past – Critical Care (free)

 


Blood pressure and in-hospital outcomes in patients presenting with ischaemic stroke

12 Jul, 2017 | 20:13h | UTC

Blood pressure and in-hospital outcomes in patients presenting with ischaemic stroke – European Heart Journal (link to abstract – $ for full-text)

Commentary: Blood Pressure and Outcomes After Ischemic Stroke – American College of Cardiology, Latest in Cardiology (free)

Related article: Editorial: Blood Pressure in Acute Stroke Still No Answer for Management – Stroke (free PDF)

Observational analysis of over 300.000 patients suggests a J-shaped, or U-shaped relationships between BP and outcomes (both lower and higher BP levels detrimental). Among patients submitted to thrombolytic therapy, there were fewer complications with lower blood pressure.

 


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