Critical Care & Emergencies (all articles)
Review: Understanding Tumor Lysis Syndrome
17 Sep, 2019 | 07:40h | UTCUnderstanding tumor lysis syndrome – Intensive Care Medicine (free for a limited period)
ACC Consensus Decision Pathway for Heart Failure Hospitalizations
16 Sep, 2019 | 02:24h | UTCKey Points to Remember: ACC Consensus Decision Pathway for Heart Failure Hospitalizations – American College of Cardiology (free)
Evaluation and Management of Angioedema in the Emergency Department
15 Sep, 2019 | 23:43h | UTCSource: Medscape
Updates in Pathophysiology, Definition and Classification of Hepatorenal Syndrome
15 Sep, 2019 | 23:34h | UTCNews in pathophysiology, definition and classification of hepatorenal syndrome: A step beyond the International Club of Ascites (ICA) consensus document – Journal of Hepatology (free for a limited period)
Related Article: Diagnosis and management of acute kidney injury in patients with cirrhosis: revised consensus recommendations of the International Club of Ascites – Gut (free PDF)
Related Guidelines: Cirrhosis in Over 16s: Assessment and Management – National Institute for Health and Care Excellence (free) AND 2018 KASL clinical practice guidelines for liver cirrhosis: Ascites and related complications – Clinical and Molecular Hepatology (free) AND 2018 Recommendations of the Brazilian Society of Hepatology for the management of acute kidney injury in patients with cirrhosis (free PDF) AND Evidence-based clinical practice guidelines for liver cirrhosis 2015 – Journal of Gastroenterology (free) AND Chinese guidelines on the management of ascites and its related complications in cirrhosis – Hepatology International (free)
Hypertensive Crisis: Pearls and Pitfalls for the ED Physician
11 Sep, 2019 | 08:02h | UTCHypertensive Crisis: Pearls and Pitfalls for the ED Physician – emDocs (free)
Related: ESC Council on hypertension position document on the management of hypertensive emergencies – European Heart Journal – Cardiovascular Pharmacotherapy (free) AND 7th Brazilian Guideline of Arterial Hypertension: Chapter 14 – Hypertensive Crisis – Arquivos Brasileiros de Cardiologia (free) AND Focused Update on Pharmacologic Management of Hypertensive Emergencies – Current Hypertension Reports (free)
The Serotonin Syndrome: From Molecular Mechanisms to Clinical Practice
11 Sep, 2019 | 00:00h | UTCRelated Reviews: Serotonin syndrome: Preventing, recognizing, and treating it – Cleveland Clinic Journal of Medicine (free) AND Demystifying serotonin syndrome (or serotonin toxicity) – Canadian Family Physician (free)
Recent Advances in the Diagnosis and Management of Sepsis in Pregnancy
10 Sep, 2019 | 23:56h | UTCRecent advances in the diagnosis and management of sepsis in pregnancy – F1000Research (free)
Related Guidelines: Sepsis in Pregnancy, Bacterial (Green-top Guideline No. 64a) – Royal College of Obstetricians and Gynaecologists (free PDF) AND SOMANZ guidelines for the investigation and management sepsis in pregnancy (free) AND SMFM Consult Series #47: Sepsis during pregnancy and the puerperium – American Journal of Obstetrics & Gynecology (free)
Short Review: Management of Staphylococcus aureus Bacteremia in Adults
10 Sep, 2019 | 01:39h | UTCManagement of Staphylococcus aureus bacteremia in adults – Canadian Medical Association Journal (free for a limited period)
Related: Clinical Management of Staphylococcus aureus Bacteremia – JAMA (free) AND Clinical Practice Guidelines by the Infectious Diseases Society of America for the Treatment of Methicillin-Resistant Staphylococcus aureus Infections in Adults and Children (free)
Critical Care for Infants and Children – Updated Guidance and Practice Statement Released
9 Sep, 2019 | 00:17h | UTCExecutive Summary: Criteria for Critical Care of Infants and Children: PICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance – Pediatrics (free)
Commentaries: Critical Care for Infants and Children – Updated Guidance and Practice Statement Released – American Academy of Pediatrics (free) AND Updated recommendations, levels of care categorized for pediatric ICUs – MedicalXpress (free) AND ‘Explosive’ growth in PICUs prompt updated policy in levels, practice of critical care – AAP News (free)
Preliminary Report: Pulmonary Illness Related to E-Cigarette Use
9 Sep, 2019 | 00:12h | UTCEditorial: Vaping-Induced Lung Injury (free)
Related: Imaging of Vaping-Associated Lung Disease – New England Journal of Medicine (free) AND Pulmonary Lipid-Laden Macrophages and Vaping – New England Journal of Medicine (free) AND Severe Pulmonary Disease Associated with Electronic-Cigarette–Product Use — Interim Guidance – Centers for Disease Control and Prevention (free)
Commentaries: CDC Says Number Of Possible Cases Of Vaping-Related Lung Illness Has Doubled – NPR (free) AND Cases of Vaping-Related Lung Illness Surge, Health Officials Say – The New York Times (10 articles per month are free) AND Pneumonia cases linked to vaping are still rising. And federal officials don’t know what’s causing them – STAT (free)
Clinical Update: What Is Known About Candida auris
9 Sep, 2019 | 00:08h | UTCWhat Is Known About Candida auris – JAMA (free for a limited period)
Related: Global Epidemiology of Emerging Candida Auris (reviews and commentaries on the subject)
Review: Assessment and Treatment of Patients with Type 2 Myocardial Infarction and Acute Non-Ischemic Myocardial Injury
9 Sep, 2019 | 00:03h | UTCRelated Reviews: A systematic review on the triggers and clinical features of type 2 myocardial infarction – Clinical Cardiology (free) AND Type 2 Myocardial Infarction: An Evolving Entity – Circulation Journal (free)
A Systematic Review of Clinical Guidelines on the Management of Acute, Community-acquired CNS Infections
9 Sep, 2019 | 00:07h | UTCRelated: The UK joint specialist societies guideline on the diagnosis and management of acute meningitis and meningococcal sepsis in immunocompetent adults (free) AND ESCMID guideline: diagnosis and treatment of acute bacterial meningitis (free) AND Meningitis (bacterial) and meningococcal septicaemia in under 16s: recognition, diagnosis and management – National Institute for Health and Care Excellence (free) AND Management of suspected viral encephalitis in adults – Association of British Neurologists and British Infection Association National Guidelines (free) AND Management of suspected viral encephalitis in children – Association of British Neurologists and British Paediatric Allergy, Immunology and Infection Group National Guidelines (free)
Systematic Review: Chlorhexidine Bathing of the Critically Ill for the Prevention of Hospital‐acquired Infection
8 Sep, 2019 | 23:01h | UTCChlorhexidine bathing of the critically ill for the prevention of hospital‐acquired infection – Cochrane Library (free)
Summary: Bathing critically ill patients with chlorhexidine to prevent hospital-acquired infections – Cochrane Library (free)
“Due to the very low-certainty evidence available, it is not clear whether bathing with chlorhexidine reduces hospital-acquired infections, mortality, or length of stay in the ICU”
Systematic Review: Pharmacological Interventions for the Treatment of Delirium in Critically Ill Adults
5 Sep, 2019 | 08:16h | UTCPharmacological interventions for the treatment of delirium in critically ill adults – Cochrane Library (free)
Summary: Medicines to treat delirium in critically ill adult patients – Cochrane Library (free)
Related Systematic Reviews: Antipsychotics for Treating Delirium in Hospitalized Adults: A Systematic Review – Annals of Internal Medicine (free) AND Antipsychotics for Preventing Delirium in Hospitalized Adults: A Systematic Review – Annals of Internal Medicine (free)
#ESCCongress – [Not Published Yet] Randomized Trial: Oxygen is Neither Beneficial nor Harmful in Patients with Acute Coronary Syndrome
4 Sep, 2019 | 08:40h | UTCNews Release: Oxygen is neither beneficial nor harmful in patients with acute coronary syndrome – European Society of Cardiology (free)
Commentary: Supplemental Oxygen Fails Once Again in ACS Patients: NZOTACS – TCTMD (free)
Related: Guideline: Oxygen Therapy for Acutely Ill Medical Patients (free) AND Systematic Review: Effects of Hyperoxia in Acutely Ill Patients(free) AND Meta-Analysis: Liberal vs Conservative Oxygen Therapy in Acutely ill Adults (link to abstract and commentary)
ATS Guideline: Diagnosis of Fungal Infections in Pulmonary and Critical Care Practice
3 Sep, 2019 | 01:30h | UTCCommentary: New ATS Clinical Practice Guideline: Diagnosing Fungal Infections – American Thoracic Society (free)
Systematic Review: Antipsychotics for Treating Delirium in Hospitalized Adults
3 Sep, 2019 | 01:29h | UTC
Systematic Review: Antipsychotics for Preventing Delirium in Hospitalized Adults
3 Sep, 2019 | 01:27h | UTC
#ESCCongress – 2019 ESC Guidelines for the Diagnosis and Management of Acute Pulmonary Embolism
2 Sep, 2019 | 01:19h | UTC
Related Commentary on Twitter
JUST RELEASED: 2019 #ESCGuidelines for Acute Pulmonary Embolism – what's new? what has changed? what are the main 2019 recommendations? https://t.co/nyLf7eWk5G@escardio #ESCcongress #ESCCoT #cardiotwitter pic.twitter.com/DEFBMKdwcO
— European Society of Cardiology (@escardio) August 31, 2019
#ESCCongress – 2019 ESC Guidelines for the Management of Patients with Supraventricular Tachycardia
2 Sep, 2019 | 01:17h | UTC
Related Commentary on Twitter
JUST RELEASED: 2019 #ESCGuidelines for the management of Supraventricular Tachycardia – what's new? what has changed? what are the main 2019 recommendations? https://t.co/A3Y15T3Dy8#ESCcongress #cardiotwitter pic.twitter.com/GVkMoOvYQQ
— European Society of Cardiology (@escardio) August 31, 2019
#ESCCongress – [Abstract Only] Randomized Trial: Complete Revascularization Superior to Culprit-lesion-only PCI in Patients with ST-segment Elevation Myocardial Infarction (STEMI) and Multivessel Coronary Artery Disease
2 Sep, 2019 | 01:11h | UTCComplete Revascularization with Multivessel PCI for Myocardial Infarction – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Complete Versus Culprit-Only Revascularization Strategies to Treat Multivessel Disease After Early PCI for STEMI – COMPLETE – American College of Cardiology (free) AND Complete revascularisation is superior to culprit-lesion only intervention – European Society of Cardiology (free)
Related Cochrane Review: Complete versus culprit-only revascularisation in ST elevation myocardial infarction with multi-vessel disease – Cochrane Library (free)
Related Meta-analysis: Complete Revascularization During Primary Percutaneous Coronary Intervention Reduces Death and Myocardial Infarction in Patients With Multivessel Disease: Meta-Analysis and Meta-Regression of Randomized Trials – JACC: Cardiovascular Interventions (free)
Related Commentary on Twitter
https://twitter.com/tomjcahill/status/1168149684575227905
#ESCCongress – Randomized Trial Suggests Maximum-fixed Energy Shocks (360-360-360 J) are More Effective for Cardioverting Atrial Fibrillation
2 Sep, 2019 | 01:12h | UTCMaximum-fixed energy shocks for cardioverting atrial fibrillation – European Heart Journal (free)
Commentary: Comparison of High vs. Escalating Shocks – CHESS – American College of Cardiology (free)
Related Commentary on Twitter
Maximum-fixed energy shocks (360-360-360J) were more effective and equally safe when compared with low-escalating energy shocks (125-150-200J) for cardioverting atrial fibrillation https://t.co/RkYCNILvck
@escardio @TomLuscher #EHJ #ESCcongress #freeaccess pic.twitter.com/3ZxS5Xx2Ok
— European Society of Cardiology Journals (@ESC_Journals) August 31, 2019
#ESCCongress – [Not Published Yet] Randomized Trial Supports Single High-sensitive Troponin Measurement to Rule out Myocardial Infarction
2 Sep, 2019 | 01:06h | UTCCommentaries: HiSTORIC Trial Supports Single-Test Rule-Out of MI Using High-Sensitivity Troponin – TCTMD (free) AND Risk-Based Thresholds for hs-Troponin I Safely Speed MI Rule-Out – MedPage Today (free registration required) AND HISTORIC: Early Rule-Out Strategy Using High-Sensitivity Cardiac Troponin I Reduced Length of Stay, Hospital Readmissions in Suspected ACS Patients – American College of Cardiology (free)
Related Studies: Randomized Trial: High-Sensitivity Troponin in the Evaluation of Suspected Acute Coronary Syndrome (free study and commentaries) AND Cohort Study: The Introduction of High-sensitive Troponins Had No Impact on Survival (free study and commentaries)
Related Commentary on Twitter
In an RCT of 31,492 patients with suspected acute coronary syndrome, a rule out pathway using a hs-TnI risk stratification threshold of 5ng/L reduced length of stay by 3.3hrs (57% ⬆️ in ED discharge) with no evidence of harm at one year #ESCCongress #HiSTORIC #troponin pic.twitter.com/5hTUcxAyLF
— Andrew Chapman (@chapdoc1) September 1, 2019
#ESCCongress – Observational Study: A Low High-sensitive Troponin has a Negative Predictive Value of 99.8% for Myocardial Infarction or Cardiac Death Within 30 days in Patients with Suspected Acute Coronary Syndrome and at Least 2 Hours of Symptoms
2 Sep, 2019 | 01:04h | UTC