Critical Care & Emergencies (all articles)
Head Positioning in Acute Stroke
23 Jun, 2017 | 01:04h | UTCCluster-Randomized, Crossover Trial of Head Positioning in Acute Stroke – New England Journal of Medicine (link to abstract – $ for full-text)
Quick Take Video Summary: The Head Position in Stroke Trial (free)
Commentary: Head Positioning During Early Stroke Treatment Apparently Doesn’t Affect Outcome – Physician’s First Watch (free)
Guideline summary: Consensus on Surgical Treatment of Infective Endocarditis
23 Jun, 2017 | 01:35h | UTCOriginal article: 2016 The American Association for Thoracic Surgery (AATS) consensus guidelines: Surgical treatment of infective endocarditis: Executive summary (link to abstract – $ for full-text)
Continuous positive airway pressure for children with undifferentiated respiratory distress
23 Jun, 2017 | 01:00h | UTCInvited commentary: Every breath you take… (free)
Commentary: CPAP improves respiratory and survival rates in children in Ghana – Columbia University’s Mailman School of Public Health, via EurekAlert (free)
Cardiopulmonary resuscitation – 30:2 or just keep going?
22 Jun, 2017 | 15:30h | UTCCardiopulmonary resuscitation – 30:2 or just keep going? – by Scott Munro, in Evidently Cochrane (free) (RT @NIHR_DC see Tweet)
“Untrained bystander CPR had better outcomes when given telephone advice from EMS services to perform continuous CPR, rather than interrupted CPR with rescue breaths”. For trained EMS professionals, “it is possible that there is little or no difference between the two approaches”.
Performance Improvement: Phenytoin Toxicity
22 Jun, 2017 | 00:02h | UTCPerformance Improvement: Phenytoin Toxicity – JAMA (free)
Interesting case of medication error and prevention of subsequent adverse events (RT @JAMA_current see Tweet)
Acupuncture for analgesia in the emergency department
21 Jun, 2017 | 19:01h | UTCAcupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non-inferiority trial – Medical Journal of Australia (link to abstract – Free PDF here) (RT @theMJA see Tweet)
Positive commentaries: Acupuncture Found to Be an Effective Analgesia Option in ER – PracticeUpdate (free registration required) AND Acupuncture relieves pain in emergency patients: Study – RMIT University, via ScienceDaily (free)
“Not so fast” commentaries: Acupuncture in the ER: No, study did not prove it was ‘safe and effective’ – HealthNewsReview (free)AND A skeptical look at a study of acupuncture delivered in emergency rooms, by James C Coyne (free)
Nucleated RBCs may be a predictor of post-discharge mortality and unplanned hospital readmission
21 Jun, 2017 | 18:27h | UTC“Presence of nucleated RBCs is a robust predictor of post-discharge mortality and unplanned hospital readmission” (RT @Crit_Care see Tweet)
Corticosteroids not helpful for acute urticaria
21 Jun, 2017 | 02:12h | UTCCommentaries: No Benefit From Corticosteroids for Acute, Simple Urticaria – Medscape (free registration required) AND Got hives? Hold the steroids – American College of Emergency Physicians, via EurekAlert (free)
Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery
20 Jun, 2017 | 18:23h | UTCAntibiotic stewardship reduces the incidence of antibiotic-resistant bacteria
20 Jun, 2017 | 12:41h | UTCEffect of antibiotic stewardship on the incidence of infection and colonisation with antibiotic-resistant bacteria and Clostridium difficile infection: a systematic review and meta-analysis – The Lancet Infectious Diseases (link to abstract – $ for full-text)
Commentaries: Antibiotic Stewardship Programs Linked to Lower Rates of Drug-Resistant Infections – Physician’s First Watch (free) AND Review ties stewardship to sharp drop in resistant bacteria – CIDRAP (free)
Inspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss
20 Jun, 2017 | 12:25h | UTCInspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss – The New York Times (10 articles per month are free)
Management of Potential Organ Donor
16 Jun, 2017 | 01:11h | UTC
Association of Adverse Events With Antibiotic Use in Hospitalized Patients
14 Jun, 2017 | 00:41h | UTCAssociation of Adverse Events With Antibiotic Use in Hospitalized Patients – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentary: Antibiotic-Associated Adverse Events Common – Medscape (free registration required)
“20% of hospitalized patients receiving antibiotics had adverse drug event. Of those, 20% of regimens inappropriate” (RT @PeterPronovost see Tweet)
Combination inhaler treatment in emergency departments may reduce admissions for asthma attacks
14 Jun, 2017 | 00:35h | UTCCombination inhaler treatment in emergency departments may reduce admissions for asthma attacks – NIHR Signal (free)
Original article: Combined inhaled beta-agonist and anticholinergic agents for emergency management in adults with asthma – Cochrane Library(link to abstract – $ for full-text)
A Test in Context: Fractional Flow Reserve: Accuracy, Prognostic Implications, and Limitations
14 Jun, 2017 | 00:37h | UTCA Test in Context: Fractional Flow Reserve: Accuracy, Prognostic Implications, and Limitations – Journal of The American College of Cardiology(link to abstract – $ for full-text)
10 key points to remember: FFR: Accuracy, Prognostic Implications, and Limitations – American College of Cardiology, Latest in Cardiology (free)
Improving Recognition of Pediatric Severe Sepsis
13 Jun, 2017 | 20:05h | UTCEditorial: Between the Devil and the Deep Blue Sea: Use of Real-Time Tools to Identify Children With Severe Sepsis in the Pediatric Emergency Department (free)
Commentary: New pediatric protocol reduces missed sepsis diagnoses by 76 percent – American College of Emergency Physicians, via EurekAlert(free)
Prevention of acute kidney injury and protection of renal function in the intensive care unit
12 Jun, 2017 | 19:57h | UTCSource: Critical Care Reviews Newsletter
Head injury: assessment and early management
9 Jun, 2017 | 16:07h | UTCHead injury: assessment and early management – NICE Guideline (free)
Practice Guidelines for Preoperative Fasting
9 Jun, 2017 | 16:03h | UTCPractice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration – Anesthesiology, via Medscape (free registration required)
Handshake-free zones to prevent infections?
8 Jun, 2017 | 15:51h | UTCHandshake-free zone in a neonatal intensive care unit: Initial feasibility study – American Journal of Infectious Control (link to abstract – $ for full-text)
Commentaries: Hospitals Could One Day Be Handshake-Free Zones To Prevent The Spread Of Disease – WBGH News (free) AND Handshake-Free Zone: Stopping the Spread of Germs in the Hospital – Medscape (free registration required) AND Handshake-Free Zones Target Spread Of Germs In The Hospital – NPR Health News (free)
Antibiotics Versus Surgical Therapy for Uncomplicated Appendicitis (again)
7 Jun, 2017 | 15:21h | UTCAntibiotics Versus Surgical Therapy for Uncomplicated Appendicitis: Systematic Review and Meta-analysis of Controlled Trials – Annals of Surgery (link to abstract – $ for full-text)
Commentary: Antibiotics Versus Surgery: Equally Effective in Treating Appendicitis? – Medscape (free registration required)
This meta-analysis and the author’s conclusions do not favor antibiotics alone for the treatment of uncomplicated appendicitis, contradiction the results of other recent meta-analysis, as well as a recent guideline on the subject, suggesting antibiotics might be an option in selected cases.
Simplified diagnostic management of suspected pulmonary embolism
7 Jun, 2017 | 15:12h | UTCSimplified diagnostic management of suspected pulmonary embolism (the YEARS study): a prospective, multicentre, cohort study – The Lancet(link to abstract – $ for full-text)
Commentaries: Simplified Diagnosis of Acute PE: The YEARS Study – American College of Cardiology, Latest in Cardiology (free) AND A Simple, Safe Approach to Decrease Use of CT for Pulmonary Embolism – Journal Watch (free)
What is the best antidote for a jellyfish sting?
7 Jun, 2017 | 15:08h | UTCCommentary: What is the best antidote for a jellyfish sting? (Clue: it’s not urine) – The Guardian (free)
Vinegar seems to be the best treatment.
Reengineering the analgesic ladder for critically ill patients
6 Jun, 2017 | 14:56h | UTCReengineering the analgesic ladder for critically ill patients – PulmCrit (free)
Predicting the Need for Fluid Therapy
6 Jun, 2017 | 15:00h | UTCReview: Predicting the Need for Fluid Therapy—Does Fluid Responsiveness Work? – Journal of Intensive Care (free)
Related: Fluid management series – Journal of Intensive Care (all articles are free)


