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Critical Care & Emergencies (all articles)

Head Positioning in Acute Stroke

23 Jun, 2017 | 01:04h | UTC

Cluster-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 | UTC

Guideline summary: Consensus on Surgical Treatment of Infective Endocarditis – American College of Cardiology, Latest in Cardiology (free)

Original 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 | UTC

Continuous positive airway pressure for children with undifferentiated respiratory distress in Ghana: an open-label, cluster, crossover trial – The Lancet Global Health (free)

Invited 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 | UTC

Cardiopulmonary 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 | UTC

Performance 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 | UTC

Acupuncture 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

Nucleated red blood cells, critical illness survivors and postdischarge outcomes: a cohort study – Critical Care (free)

“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 | UTC

Levocetirizine and Prednisone Are Not Superior to Levocetirizine Alone for the Treatment of Acute Urticaria: A Randomized Double-Blind Clinical Trial – Annals of Emergency Medicine (free)

Commentaries: 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 | UTC

Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery: Continue, Stop, or Something in Between? – JAMA (free)


Antibiotic stewardship reduces the incidence of antibiotic-resistant bacteria

20 Jun, 2017 | 12:41h | UTC

Effect 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 | UTC

Inspired 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

Management of Potential Organ Donor: Indian Society of Critical Care Medicine: Position Statement – Indian Journal of Critical Care (free)

 


Association of Adverse Events With Antibiotic Use in Hospitalized Patients

14 Jun, 2017 | 00:41h | UTC

Association 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 | UTC

Combination 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 | UTC

A 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 | UTC

Improving Recognition of Pediatric Severe Sepsis in the Emergency Department: Contributions of a Vital Sign–Based Electronic Alert and Bedside Clinician Identification – Annals of Emergency Medicine (free)

Editorial: 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 | UTC

Prevention of acute kidney injury and protection of renal function in the intensive care unit: update 2017 – Intensive Care Medicine (free)

Source: Critical Care Reviews Newsletter

 


Head injury: assessment and early management

9 Jun, 2017 | 16:07h | UTC

Head injury: assessment and early management – NICE Guideline (free)

 


Practice Guidelines for Preoperative Fasting

9 Jun, 2017 | 16:03h | UTC

Practice 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 | UTC

Handshake-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 | UTC

Antibiotics 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 | UTC

Simplified 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 | UTC

Assessing the Efficacy of First-Aid Measures in Physalia sp. Envenomation, Using Solution- and Blood Agarose-Based Models – Toxins (free)

Commentary: 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 | UTC

Reengineering the analgesic ladder for critically ill patients – PulmCrit (free)

 


Predicting the Need for Fluid Therapy

6 Jun, 2017 | 15:00h | UTC

Review: 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)

 


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