Critical Care & Emergencies (all articles)
Meta-analysis: Outcomes of non-invasive diagnostic modalities for the detection of coronary artery disease
22 Feb, 2018 | 23:33h | UTCAmong patients with low risk acute coronary syndrome, stress echocardiography, cardiovascular magnetic resonance, and exercise electrocardiograms resulted in fewer invasive referrals for coronary angiography than coronary computed tomographic angiography, without apparent impact on the future risk of myocardial infarction. Similarly, for outpatients with suspected stable angina, an initial strategy based on functional testing might be preferable, resulting in fewer referrals for invasive coronary angiography and revascularization, without a statistically significant difference in the future risk of MI.
Avoid common mistakes when treating hyponatremia
22 Feb, 2018 | 23:30h | UTCAvoid common mistakes when treating hyponatremia – ACP Hospitalist (free)
Research: Effect of Haloperidol on Survival Among Critically Ill Adults With a High Risk of Delirium
22 Feb, 2018 | 23:31h | UTCProphylactic haloperidol in this population with elevated risk of delirium did not reduce mortality or any of the 15 prespecified secondary outcomes, including delirium incidence, 28-day delirium-free and coma-free days, duration of mechanical ventilation, and ICU and hospital length of stay.
Review: Anaphylaxis
22 Feb, 2018 | 23:24h | UTCReview: Anaphylaxis – Chest (free)
Source: Critical Care Reviews Newsletter
Opinion: Stories about tragic flu deaths wrongly portray Tamiflu as a panacea
22 Feb, 2018 | 23:25h | UTCOpinion: Stories about tragic flu deaths wrongly portray Tamiflu as a panacea – HealthNewsReview (free)
Related: Tamiflu and Relenza: getting the full evidence picture – Cochrane Library (free)
“The review confirms small benefits on symptom relief, namely shortening duration of symptoms by half a day on average. However, there is little evidence to support any belief that use of NIs reduces hospital admission or the risk of developing confirmed pneumonia”. (from Cochrane)
Review: Delirium in the Cardiac Intensive Care Unit
22 Feb, 2018 | 23:19h | UTCDelirium in the Cardiac Intensive Care Unit – Journal of the American Heart Association (free)
Source: Critical Care Reviews Newsletter
Sepsis – thoughtful management for the non-expert
22 Feb, 2018 | 23:01h | UTCSepsis – thoughtful management for the non-expert – Clinical Medicine (free)
Source: Critical Care Reviews Newsletter
Research: New-Onset Atrial Fibrillation After PCI or CABG for Left Main Disease
22 Feb, 2018 | 22:26h | UTCNew-Onset Atrial Fibrillation After PCI or CABG for Left Main Disease: The EXCEL Trial – Journal of the American College of Cardiology (link to abstract – $ for full-text)
Commentaries: One in Five CABG Patients Develop New-Onset Atrial Fibrillation: EXCEL – TCTMD (free) AND Post-operative AFib common in CABG, linked to future stroke, death – Cardiovascular Business (free)
Review: Mastering the dark arts of BiPAP & HFNC
22 Feb, 2018 | 22:25h | UTCPulmCrit- Mastering the dark arts of BiPAP & HFNC (free)
Editorial: Animal-Assisted Intervention in the ICU
22 Feb, 2018 | 21:51h | UTCEditorial: Animal-assisted intervention in the ICU: a tool for humanization – Critical Care (free)
Related: Humanizing the ICU: incorporating animal-assisted interventions – On Medicine Blog (free)
Syncope: ED Updates from the 2017 AHA/ACC/HRS Clinical Policy
22 Feb, 2018 | 21:50h | UTCSyncope: ED Updates from the 2017 AHA/ACC/HRS Clinical Policy – emDocs (free)
Review: Pediatric Traumatic Brain Injury
22 Feb, 2018 | 21:48h | UTCPediatric traumatic brain injury – Journal of Emergency and Critical Care Medicine (free)
Source: Critical Care Reviews Newsletter
Review: Anticoagulation in Extracorporeal Membrane Oxygenation
22 Feb, 2018 | 21:49h | UTCSource: Critical Care Reviews Newsletter
Review: When Psychiatric Symptoms Reflect Medical Conditions
22 Feb, 2018 | 21:47h | UTCSource: Critical Care Reviews Newsletter
Review: A Systematic Approach to the Unconscious Patient
22 Feb, 2018 | 21:43h | UTCA systematic approach to the unconscious patient – Clinical Medicine (free)
Source: Critical Care Reviews Newsletter
Review: Thrombotic Microangiopathy and the Kidney
22 Feb, 2018 | 21:46h | UTCThrombotic Microangiopathy and the Kidney – Clinical Journal of the American Society of Nephrology (free)
Source: Critical Care Reviews Newsletter
Review: Integration of Bedside Ultrasound into the ICU
22 Feb, 2018 | 21:39h | UTCSource: Critical Care Reviews Newsletter
Research: Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine
16 Feb, 2018 | 02:32h | UTCOutcomes after Angiography with Sodium Bicarbonate and Acetylcysteine – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: No benefit of sodium bicarbonate or acetylcysteine for prevention of complications after angiography: The PRESERVE trial – 2 Minute Medicine (free) AND Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine – NEJM Resident 360 (free)
“Among patients at high risk for renal complications who were undergoing angiography, there was no benefit of intravenous sodium bicarbonate over intravenous sodium chloride or of oral acetylcysteine over placebo for the prevention of death, need for dialysis, or persistent decline in kidney function at 90 days or for the prevention of contrast-associated acute kidney injury”.
Guideline: Antiarrhythmic drugs–clinical use and clinical decision making
16 Feb, 2018 | 02:31h | UTCGuideline: Antiarrhythmic drugs–clinical use and clinical decision making: a consensus document from EHRA, ESC, HRS, APHRS and ISCP (free)
Source: Antiarrhythmics: multinational consensus recommendations – Univadis (free registration required)
Guideline: The Open Abdomen in Trauma and Non-Trauma Patients
16 Feb, 2018 | 02:28h | UTC
Guideline: Management of Immune-Related Adverse Events in Patients Treated With Immune Checkpoint Inhibitor Therapy
16 Feb, 2018 | 02:17h | UTCCommentary: New Guidelines for Treating Checkpoint Inhibitor Toxicities – Medscape (free registration required)
Relate guideline: Managing toxicities associated with immune checkpoint inhibitors: consensus recommendations from the Society for Immunotherapy of Cancer (SITC) Toxicity Management Working Group (free) AND Review: New drugs, new toxicities: severe side effects of modern targeted and immunotherapy of cancer and their management – Critical Care (free)
Infographic: ATLS Trauma Update 2018
16 Feb, 2018 | 01:29h | UTCInfographic: ATLS Trauma Update 2018 (free) (via @CritCareReviews)
Uncertain benefits of BNP blood tests to monitor heart failure treatment
16 Feb, 2018 | 01:08h | UTCUncertain benefits of BNP blood tests to monitor heart failure treatment – NIHR Signal (free)
Perspective: Catheter-Directed Management in Acute Pulmonary Embolism
16 Feb, 2018 | 00:59h | UTC
Review: ED Approach to Agitation
15 Feb, 2018 | 10:44h | UTCemDocs Cases: ED Approach to Agitation – emDocs (free)