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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 | UTC

Outcomes of non-invasive diagnostic modalities for the detection of coronary artery disease: network meta-analysis of diagnostic randomised controlled trials – The BMJ (free)

Among 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 | UTC

Avoid 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 | UTC

Effect of Haloperidol on Survival Among Critically Ill Adults With a High Risk of Delirium: The REDUCE Randomized Clinical Trial – JAMA (free)

Prophylactic 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 | UTC

Review: 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 | UTC

Opinion: 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 | UTC

Delirium 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 | UTC

Sepsis – 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 | UTC

New-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 | UTC

PulmCrit- Mastering the dark arts of BiPAP & HFNC (free)

 


Editorial: Animal-Assisted Intervention in the ICU

22 Feb, 2018 | 21:51h | UTC

Editorial: 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 | UTC

Syncope: ED Updates from the 2017 AHA/ACC/HRS Clinical Policy – emDocs (free)

 


Review: Pediatric Traumatic Brain Injury

22 Feb, 2018 | 21:48h | UTC

Pediatric 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 | UTC

Anticoagulation in extracorporeal membrane oxygenation – Journal of Emergency and Critical Care Medicine (free)

Source: Critical Care Reviews Newsletter

 


Review: When Psychiatric Symptoms Reflect Medical Conditions

22 Feb, 2018 | 21:47h | UTC

When psychiatric symptoms reflect medical conditions – Journal of Emergency and Critical Care Medicine (free)

Source: Critical Care Reviews Newsletter

 


Review: A Systematic Approach to the Unconscious Patient

22 Feb, 2018 | 21:43h | UTC

A 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 | UTC

Thrombotic 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 | UTC

Integration of bedside ultrasound into the ICU—a review of indications, techniques and interventions – Journal of Emergency and Critical Care Medicine (free)

Source: Critical Care Reviews Newsletter

 


Research: Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine

16 Feb, 2018 | 02:32h | UTC

Outcomes 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 | UTC

Guideline: 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

The open abdomen in trauma and non-trauma patients: WSES guidelines – World Journal of Emergency Surgery (free)

 


Guideline: Management of Immune-Related Adverse Events in Patients Treated With Immune Checkpoint Inhibitor Therapy

16 Feb, 2018 | 02:17h | UTC

Management of Immune-Related Adverse Events in Patients Treated With Immune Checkpoint Inhibitor Therapy: American Society of Clinical Oncology Clinical Practice Guideline (free)

Commentary: 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 | UTC

Infographic: ATLS Trauma Update 2018 (free) (via @CritCareReviews)

 


Uncertain benefits of BNP blood tests to monitor heart failure treatment

16 Feb, 2018 | 01:08h | UTC

Uncertain benefits of BNP blood tests to monitor heart failure treatment – NIHR Signal (free)

Original article: Effectiveness and cost-effectiveness of serum B-type natriuretic peptide testing and monitoring in patients with heart failure in primary and secondary care: an evidence synthesis, cohort study and cost-effectiveness model – Health Technology Assessment (free)

 


Perspective: Catheter-Directed Management in Acute Pulmonary Embolism

16 Feb, 2018 | 00:59h | UTC

Catheter-Directed Management in Acute Pulmonary Embolism – American College of Cardiology, Latest in Cardiology (free)

 


Review: ED Approach to Agitation

15 Feb, 2018 | 10:44h | UTC

emDocs Cases: ED Approach to Agitation – emDocs (free)

 


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