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Critical Care & Emergencies (all articles)

Mechanical Thrombectomy Outcomes With and Without Intravenous Thrombolysis in Stroke Patients

11 Aug, 2017 | 13:41h | UTC

Mechanical Thrombectomy Outcomes With and Without Intravenous Thrombolysis in Stroke Patients: A Meta-Analysis – Stroke (link to abstract – $ for full-text)

Commentary: Better outcomes seen in patients who received IV thrombolysis before thrombectomy – ACP Hospitalist (free)

“The results support current guideline recommendations to give intravenous thrombolysis to eligible patients even if they are being considered for mechanical thrombectomy, according to the meta-analysis authors” (from ACP)

 


Hyperventilation Therapy for Control of Posttraumatic Intracranial Hypertension

11 Aug, 2017 | 12:49h | UTC

Review: Hyperventilation Therapy for Control of Posttraumatic Intracranial Hypertension – Frontiers in Neurology (free)

 


Procalcitonin: a promising diagnostic marker for sepsis and antibiotic therapy

11 Aug, 2017 | 12:37h | UTC

Procalcitonin: a promising diagnostic marker for sepsis and antibiotic therapy – Journal of Intensive Care (free)

“it is unlikely that a single biomarker serve as an effective diagnosis tool”

 


Seasonal influenza: managing cases in critical care units

11 Aug, 2017 | 12:35h | UTC

Guideline: Seasonal influenza: managing cases in critical care units – Public Health England (free PDF)

Source: Critical Care Reviews Newsletter

 


Suicide Prevention in an Emergency Department Population

10 Aug, 2017 | 22:27h | UTC

Suicide Prevention in an Emergency Department Population: The ED-SAFE Study – JAMA Psychiatry (link to abstract – Free Full Text PDF via @unpaywall)

Commentaries: Intervention Phone Calls May Save The Lives Of Suicidal Patients, Reduce New Attempts, Trial Finds – Medical Daily (free) AND National study shows interventions like telephone calls can reduce suicides – EurekAlert (free) AND Intervention Curbs New Suicide Attempts in At-Risk ED Patients – Medscape (free registration required)

Source: Psychiatry Research Review

“Patients who received a multifaceted intervention that included follow-up telephone calls resulted in a 30 percent reduction in future suicide attempts” (from Medical Daily)

 


Surgical Guidelines for Perioperative Management of Older Adults

10 Aug, 2017 | 20:48h | UTC

Surgical Guidelines for Perioperative Management of Older Adults: What Geriatricians Need to Know – Journal of The American Geriatrics Society, via Medscape (free)

 


Ventilation in Extremely Preterm Infants and Respiratory Function at 8 Years

10 Aug, 2017 | 20:04h | UTC

Ventilation in Extremely Preterm Infants and Respiratory Function at 8 Years – New England Journal of Medicine (free)

Commentaries: Long-Term Lung Function in Children Born Premature – NEJM Resident 360 (free) AND Benefit of newer NICU ventilation strategies questioned – Medical Xpress (free)

 


Continuous glucose monitoring in the ICU: clinical considerations and consensus

10 Aug, 2017 | 18:08h | UTC

Review: Continuous glucose monitoring in the ICU: clinical considerations and consensus – Critical Care (free)

 


Alternatives to hospital admission for people aged over 65 years

9 Aug, 2017 | 17:58h | UTC

A systematic review to identify and assess the effectiveness of alternatives for people over the age of 65 who are at risk of potentially avoidable hospital admission – BMJ Open (free) (RT @NIHR_DC)

Alternatives to hospital admission for people aged over 65 years can be safe and reduce costs across a range of acute and chronic conditions.

 


Acute mesenteric ischemia: guidelines

9 Aug, 2017 | 16:57h | UTC

Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery – World Journal of Emergency Surgery (free)

 


Clinical management of hypercholesterolaemia in patients with acute coronary syndromes

9 Aug, 2017 | 17:01h | UTC

ANMCO Scientific Statement: clinical management of hypercholesterolaemia in patients with acute coronary syndromes – European Heart Journal (free)

 


Advances in the diagnosis of pneumonia in children

7 Aug, 2017 | 22:13h | UTC

State of The Art Review: Advances in the diagnosis of pneumonia in children – The BMJ (free)

 


Optimal timing of an invasive strategy in patients with non-ST-elevation acute coronary syndrome

7 Aug, 2017 | 21:55h | UTC

Optimal timing of an invasive strategy in patients with non-ST-elevation acute coronary syndrome: a meta-analysis of randomised trials – The Lancet (link to abstract – $ for full-text)

Commentary: Optimal Timing of an Invasive Strategy in NSTE-ACS Patients – American College of Cardiology, Latest in Cardiology (free)

An early invasive strategy does not reduce mortality compared with a delayed invasive strategy in most patients with NSTE-ACS, but seems to reduce mortality in high-risk patients.

 


Mechanical clot removal for stroke reduces disability at two years

3 Aug, 2017 | 22:07h | UTC

Mechanical clot removal for stroke reduces disability at two years – NIHR Signal (free)

“Mechanical thrombectomy within six hours of stroke onset provides a sustained reduction of disability for patients” (RT @NIHR_DC see Tweet)

 


Discover and defeat your diagnostic errors

3 Aug, 2017 | 20:33h | UTC

Discover and defeat your diagnostic errors – ACP Internist (free) (RT @acpinternist  see Tweet)

“Experts explain the causes and solutions for common mistakes in diagnosis”.

 


Peri-operative myocardial injury and infarction in patients undergoing coronary artery bypass graft surgery

3 Aug, 2017 | 14:09h | UTC

ESC Joint Working Groups on Cardiovascular Surgery and the Cellular Biology of the Heart Position Paper: Peri-operative myocardial injury and infarction in patients undergoing coronary artery bypass graft surgery (free)

Summary with 10 key points to remember: Perioperative Myocardial Injury and Infarction After CABG – American College of Cardiology, Latest in Cardiology (free)

 


Resuscitation medicine – Singapore Guidelines

3 Aug, 2017 | 13:54h | UTC

Resuscitation medicine – Singapore Guidelines

– Basic Cardiac Life Support (free)

– Defibrillation (free)

– Advanced Cardiac Life Support (free)

– Paediatric Resuscitation (free)

– Neonatal Resuscitation (free)

– Post-resuscitation care (free)

– Therapeutic temperature management (TTM): post-resuscitation care for adult cardiac arrest (free)

– Bystander First Aid (free)

 


Predicting Risk of Serious Bacterial Infections in Febrile Children in the Emergency Department

1 Aug, 2017 | 22:40h | UTC

Predicting Risk of Serious Bacterial Infections in Febrile Children in the Emergency Department – Pediatrics (link to abstract – $ for full-text)

Commentaries: UK researchers fine-tune diagnostic tool for serious bacterial infections – CIDRAP (free) AND Clinical and biomarker-based diagnostic model identifies serious bacterial infections – 2 Minute Medicine (free)

 


Resuscitative endovascular balloon occlusion of the aorta (REBOA) or open aortic cross-clamping by resuscitative thoracotomy in non-compressible torso hemorrhage patients

1 Aug, 2017 | 21:31h | UTC

A meta-analysis of resuscitative endovascular balloon occlusion of the aorta (REBOA) or open aortic cross-clamping by resuscitative thoracotomy in non-compressible torso hemorrhage patients – World Journal of Emergency Surgery (free)

This meta-analysis, mainly from observational studies and including 1276 patients, suggests a positive effect of REBOA on mortality among non-compressible torso hemorrhage patients.

 


Efficacy of corticosteroid treatment for severe community-acquired pneumonia: A meta-analysis

1 Aug, 2017 | 17:39h | UTC

Efficacy of corticosteroid treatment for severe community-acquired pneumonia: A meta-analysis – American Journal of Emergency Medicine (link to abstract – $ for full-text)

Source: More Evidence That Steroids Are Beneficial in Community-Acquired Pneumonia – Journal Watch ($)

In this meta-analysis of randomized controlled trials in patients with severe community-acquired pneumonia, corticosteroid treatment was associated with reduced in-hospital mortality and length of hospital stay.

 


Targeted Temperature Management for 48 vs 24 Hours and Neurologic Outcome After Out-of-Hospital Cardiac Arrest

1 Aug, 2017 | 17:38h | UTC

Targeted Temperature Management for 48 vs 24 Hours and Neurologic Outcome After Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)

Commentaries: Targeted Temperature Management for 24 vs. 48 Hours After OHCA – American College of Cardiology, Latest in Cardiology (free) AND Longer Induced Cooling Not Better After Cardiac Arrest – MedPage Today (free registration required)

“Small trial shows no advantage to an additional day of cooling” (from MedPage Today)

 


A ‘perfect storm’ superbug: How an invasive fungus got health officials’ attention

1 Aug, 2017 | 17:35h | UTC

A ‘perfect storm’ superbug: How an invasive fungus got health officials’ attention – STAT (free)

Related: CDC keeping a watchful eye on Candida auris – CIDRAP (free) AND CDC reports uptick in Candida auris cases – CIDRAP (free)

 


Diagnostic Stewardship – Leveraging the Laboratory to Improve Antimicrobial Use

1 Aug, 2017 | 17:37h | UTC

Diagnostic Stewardship – Leveraging the Laboratory to Improve Antimicrobial Use – JAMA (free)

“This Viewpoint discusses the potential benefits and harms of diagnostic stewardship – modifying the ordering, performance, and reporting of diagnostic tests to improve antimicrobial use”

 


Clinical practice guideline for the management of ARDS

1 Aug, 2017 | 17:26h | UTC

The clinical practice guideline for the management of ARDS in Japan – Journal of Intensive Care (free)

Source: Critical Care Reviews Newsletter (free)

 


Laparoscopy in Blunt Abdominal Trauma: for Whom? When?and Why?

1 Aug, 2017 | 17:10h | UTC

Review: Laparoscopy in Blunt Abdominal Trauma: for Whom? When?and Why? – Current Trauma Reports (free)

 


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