Critical Care & Emergencies (all articles)
Effect of Using the HEART Score in Patients With Chest Pain in the Emergency Department
2 May, 2017 | 17:20h | UTCEffect of Using the HEART Score in Patients With Chest Pain in the Emergency Department: A Stepped-Wedge, Cluster Randomized Trial – Annals of Internal Medicine (link to abstract – $ for full-text)
See also: HEART Score for Major Cardiac Events – MdCalc (free)
Commentaries: HEART Score for Chest Pain in ED Found to Be Safe, Cost-Effective – Physician’s First Watch (free) AND HEART Score Safely Informs Chest Pain Decisions in ED – Medscape (free registration required) AND HEART score to risk stratify patients with chest pain is safe but underutilized in the ED – ScienceDaily (free)
Echocardiography and lung ultrasonography for the assessment and management of acute heart failure
2 May, 2017 | 17:18h | UTCExpert consensus document: Echocardiography and lung ultrasonography for the assessment and management of acute heart failure – Nature Reviews Cardiology (free)
Source: Critical Care Reviews Newsletter
Review: Acute Respiratory Distress Syndrome
2 May, 2017 | 17:16h | UTCReview: Acute Respiratory Distress Syndrome – European Respiratory Review (free)
Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage
27 Apr, 2017 | 16:33h | UTCEditorial: WOMAN: reducing maternal deaths with tranexamic acid (free)
Commentary: Overlooked Drug Could Save Thousands Of Moms After Childbirth – NPR Goats and Soda (free)
“Tranexamic acid reduced deaths of mothers caused by bleeding after childbirth by 1/3” (RT @LSHTMpress see Tweet)
Role of Biomarkers for the Prevention, Assessment, and Management of Heart Failure
27 Apr, 2017 | 16:32h | UTCGuideline: Role of Biomarkers for the Prevention, Assessment, and Management of Heart Failure: A Scientific Statement From the American Heart Association (free PDF)
News release: New guidance on heart failure tests can improve care – American Heart Association News (free)
Aneurysmal Subarachnoid Hemorrhage: Diagnosis and Treatment
25 Apr, 2017 | 16:03h | UTCReview: Aneurysmal Subarachnoid Hemorrhage: Diagnosis and Treatment – Deutsches Ärzteblatt international (free)
Source: Critical Care Reviews Newsletter (free)
Head injury decision rules in children
26 Apr, 2017 | 16:06h | UTCAccuracy of PECARN, CATCH, and CHALICE head injury decision rules in children: a prospective cohort study – The Lancet (link to abstract – $ for full-text)
Sources: External Validation of Three Decision Rules for Pediatric Head Injury – Journal Watch (free) AND Best way to diagnose head injuries in children and minimize CT scans – ScienceDaily (free) AND PECARN, CATCH, CHALICE … or None of the Above? – By Ryan P. Radecki, MD, in Emergency Medicine Literature of Note (free)
The 3 decision rules performed well with negative predictive values >99%. The PECARN clinical decision rule was more sensitive and missed only 1 patient with clinically important traumatic brain injury, but was less specific, meaning more CTs would be required. These findings indicate that CT can generally be avoided if one of the prediction rules are negative.
The efficacy of bedside chest ultrasound
24 Apr, 2017 | 15:23h | UTCReview: The efficacy of bedside chest ultrasound: from accuracy to outcomes – European Respiratory Review (free)
Single Cardiac Troponin Test Plus ECG Can Quickly Rule Out MI
19 Apr, 2017 | 14:10h | UTCRapid Rule-out of Acute Myocardial Infarction with a Single High-Sensitivity Cardiac Troponin T Measurement Below the Limit of Detection: A Collaborative Meta-analysis – Annals of Internal Medicine (link to abstract – $ for full-text)
See also: High-Sensitivity Troponin T Test Rules Out AMI in ED – Medscape (free registration required) AND Meta-Analysis: Single Cardiac Troponin Test Plus ECG Can Quickly Rule Out MI – Physician’s First Watch (free)
“This analysis indicates that a nonischemic ECG and a single negative High-Sensitivity Cardiac Troponin T only misses about 1 in 100 myocardial infarctions – and can provide rapid, useful information in an assessment.” (from Physician’s First Watch commentary above).
New drugs, new toxicities: severe side effects of modern targeted and immunotherapy of cancer and their management
18 Apr, 2017 | 14:05h | UTCSource: Critical Care Reviews Newsletter
The hospital of tomorrow in 10 points
12 Apr, 2017 | 15:54h | UTCThe hospital of tomorrow in 10 points – Critical Care (free)
This is the first article in a new thematic series about the future of critical care (free)
Emergencies in Hematology and Oncology
11 Apr, 2017 | 15:45h | UTCEmergencies in Hematology and Oncology – Mayo Clinic Proceedings (free)
Comprehensive review covering the most common oncological emergencies.
Benefits of Endovascular Treatment for Stroke Last at Least 2 Years
7 Apr, 2017 | 15:51h | UTCBenefits of Endovascular Treatment for Stroke Last at Least 2 Years – Physician’s First Watch (free)
Original article abstract ($ required for full-text): Two-Year Outcome after Endovascular Treatment for Acute Ischemic Stroke – New England Journal of Medicine
Australian Clinical Guidelines for the Management of Acute Coronary Syndromes
6 Apr, 2017 | 15:08h | UTC
The wound/burn guidelines – Japanese Dermatological Association
5 Apr, 2017 | 21:55h | UTCThe wound/burn guidelines – Japanese Dermatological Association (all guidelines are free)
Wounds in general / Guidelines for the diagnosis and treatment for pressure ulcers / Guidelines for the diagnosis and treatment for diabetic ulcer/gangrene / Guidelines for the management of skin ulcers associated with connective tissue disease/vasculitis / Guidelines for the management of lower leg ulcers/varicose veins / Guidelines for the management of burns
American College of Radiology (ACR) Appropriateness Criteria Adds Topics
4 Apr, 2017 | 21:19h | UTCACR Appropriateness Criteria Adds Topics, Covers More Clinical Variants Than Ever Before (free)
Browse Appropriateness Criteria Topics (free)
Source: Newswise
This comprehensive guide from American College of Radiology (ACR) covers 230 topics with more than 1,100 clinical indications and has just been updated. It is a very useful resource for doctors in all specialties to guide which exam is most appropriate in each clinical situation.
Management of Inpatient Hyperglycemia and Diabetes in Older Adults
4 Apr, 2017 | 21:18h | UTCManagement of Inpatient Hyperglycemia and Diabetes in Older Adults – Diabetes Care (free)
Source: Management of Hyperglycemia in Elderly, Hospitalized Adults – PracticeUpdates (free registration required)
Corticosteroids in septic shock
3 Apr, 2017 | 19:12h | UTCCorticosteroids in septic shock: a systematic review and network meta-analysis – Critical Care (free)
Anemia and blood transfusion in the critically ill patient with cardiovascular disease
3 Apr, 2017 | 19:14h | UTC
Gastric Acid Suppression and Clostridium difficile Infection
28 Mar, 2017 | 16:54h | UTCAssociation of Gastric Acid Suppression with Recurrent Clostridium difficile Infection: A Systematic Review and Meta-analysis (link to abstract – $ required for full-text)
“Another study that suggests gastric acid suppression may increase risk of recurrent Clostridium difficile” (RT @PreetiNMalani)
ESPEN guideline: Clinical nutrition in surgery
27 Mar, 2017 | 00:54h | UTCESPEN guideline: Clinical nutrition in surgery – Clinical Nutrition (free)
Source: Critical Care Reviews Newsletter
Enhanced recovery after surgery
28 Mar, 2017 | 16:43h | UTC
Annual Update in Intensive Care and Emergency Medicine 2017
23 Mar, 2017 | 17:06h | UTC10 open access review articles selected from the Annual Update in Intensive Care and Emergency Medicine 2017.
Mechanical ventilation in obese ICU patients
23 Mar, 2017 | 17:05h | UTCReview: Mechanical ventilation in obese ICU patients: from intubation to extubation – Critical Care (free)