Critical Care & Emergencies (all articles)
Brief Review | Optimizing aerosolized therapies in critically ill patients.
11 Jul, 2022 | 12:37h | UTCOptimising aerosolized therapies in critically ill patients – Intensive Care Medicine (if the link is paywalled, try this one)
RCT | 20% albumin vs. plasmalyte in patients with cirrhosis and sepsis-induced hypotension.
11 Jul, 2022 | 12:16h | UTC
Review | Understanding and interpreting artificial intelligence, machine learning and deep learning in Emergency Medicine.
11 Jul, 2022 | 12:02h | UTCUnderstanding and interpreting artificial intelligence, machine learning and deep learning in Emergency Medicine – Emergency Medicine Journal (free for a limited period)
M-A | Fluid resuscitation with balanced crystalloids vs. normal saline in critically ill patients.
11 Jul, 2022 | 12:00h | UTCRelated:
Back to BaSICS – Annals of Emergency Medicine
The ongoing saga of normal saline versus balanced fluids – First10EM
Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults – New England Journal of Medicine (link to abstract – $ for full-text)
Brief Review | Monitoring cerebral oxygenation in acute brain-injured patients.
11 Jul, 2022 | 11:51h | UTCMonitoring cerebral oxygenation in acute brain-injured patients – Intensive Care Medicine (if the link is paywalled, try this one)
Commentary on Twitter
Monitoring cerebral oxygenation to understand brain dysfunction after #ABI & individualize management
🧠 pathophysiology of cerebral oxygenation
⚙️ technology of cerebral oxygen measurement
📖 evidence/clinical applications#FOAMcc @yourICM @chiara_robba
📎https://t.co/QpXQjznu8z pic.twitter.com/TrR62tWIyC— Intensive Care Medicine (@yourICM) July 9, 2022
AHA Scientific Statement | Escalating and de-escalating temporary mechanical circulatory support in cardiogenic shock.
8 Jul, 2022 | 12:05h | UTCTop Things to Know: Escalating and De-escalating Temporary Mechanical Circulatory Support in Cardiogenic Shock– American Heart Association
Commentary: Guiding Cardiogenic Shock Management: Filling in the (Wide) Data Gaps – American Heart Association
RCT | Neutralizing COVID-19 convalescent plasma does not benefit adults hospitalized with COVID-19.
8 Jul, 2022 | 11:59h | UTC
Interim Analysis | Oral Sabizabulin for high-risk, hospitalized adults with Covid-19.
8 Jul, 2022 | 12:02h | UTCOral Sabizabulin for High-Risk, Hospitalized Adults with Covid-19: Interim Analysis – NEJM Evidence
Retrospective Cohort Study | Racial bias and reproducibility in pulse oximetry among medical and surgical inpatients.
7 Jul, 2022 | 12:57h | UTCNews Release: Pulse oximeters missed low oxygen levels in more Black veterans than white veterans – University of Michigan
Related:
Racial Bias in Pulse Oximetry Measurement – New England Journal of Medicine
FDA issues alert on ‘limitations’ of pulse oximeters, without explicit mention of racial bias – STAT
Pulse Oximeter Accuracy and Limitations: FDA Safety Communication – U.S. Food & Drug Administration
Commentary on Twitter
New research found that for individuals in general (medical and surgical) care in hospital, occult hypoxemia was more common for black patients than for white patients https://t.co/DrNlaIE7ho
— The BMJ (@bmj_latest) July 6, 2022
Coagulation and transfusion updates from 2021.
7 Jul, 2022 | 12:36h | UTCCoagulation and Transfusion Updates from 2021 – Journal of Cardiothoracic and Vascular Anesthesia
Perspective | The future of intensive care: delirium should no longer be an issue.
7 Jul, 2022 | 12:28h | UTCThe future of intensive care: delirium should no longer be an issue – Critical Care
Commentary on Twitter
The future of intensive care: delirium should
no longer be an issue
Excellent review by @KatarzynaKotfis @markvdboogaard @WesElyMD https://t.co/KEb6MngpRg pic.twitter.com/yfkgKEZQCS— Peter Nydahl (@NydahlPeter) July 6, 2022
Under a http://creativecommons.org/licenses/by/4.0/ license
RCT | High-dose dexamethasone and oxygen support strategies in intensive care unit patients with severe COVID-19 acute hypoxemic respiratory failure.
6 Jul, 2022 | 11:51h | UTC
Commentary on Twitter
In this RCT, high-dose dexamethasone did not significantly improve the 60-day survival. The oxygenation strategy in initially non-intubated patients did not significantly modify the 28-day risk of invasive mechanical ventilation requirement. https://t.co/ZNajW2KBKR
— JAMA Internal Medicine (@JAMAInternalMed) July 5, 2022
M-A | Anticoagulants for thrombosis prophylaxis in acutely ill patients admitted to hospital.
5 Jul, 2022 | 12:19h | UTCEM Cases | The 7 Ts of massive hemorrhage protocols.
5 Jul, 2022 | 11:35h | UTCEM Cases: The 7 Ts of Massive Hemorrhage Protocols – emDocs
Guideline Synopsis | Evaluation and diagnosis of chest pain.
4 Jul, 2022 | 12:49h | UTCEvaluation and Diagnosis of Chest Pain – JAMA (free for a limited period)
Original Guideline:
News Release: First-Ever Guideline Focused Solely on Chest Pain Evaluation, Diagnosis Released
Guideline Hub: Guideline for the Evaluation and Diagnosis of Chest Pain
Key Points: 2021 AHA/ACC Chest Pain Guideline – American College of Cardiology
Commentary: New Chest Pain Guidelines Out at Last: Most Tests Have a Role – TCTMD
Brief Review | Ventilator-associated pneumonia.
4 Jul, 2022 | 12:15h | UTCVentilator-associated pneumonia – Intensive Care Medicine (if the link is paywalled, try this one in PMC)
Commentary on Twitter
VAP, main challenges & lessons learned
➡️ epidemiology: surveillance & data from LMICs
➡️ pathophysiology
➡️ prevention bundle
➡️ gold standard for diagnosis & microbiology
➡️ treatment: appropriate/timely ABTs
➡️ MDR pathogens
➡️ #COVID19: VAP's back
📎 https://t.co/oYblI6OGLK pic.twitter.com/qXWcABsU0H— Intensive Care Medicine (@yourICM) July 1, 2022
How doctors manage conflicts with families of critically ill patients during conversations about end-of-life decisions in neonatal, pediatric, and adult intensive care.
4 Jul, 2022 | 12:13h | UTCRCT: A single immediate dose of intravenous tenecteplase is noninferior to alteplase for the treatment of patients with acute ischemic stroke.
1 Jul, 2022 | 11:44h | UTCIntravenous tenecteplase compared with alteplase for acute ischaemic stroke in Canada (AcT): a pragmatic, multicentre, open-label, registry-linked, randomised, controlled, non-inferiority trial – The Lancet (link to abstract – $ for full-text)
News Release: UCalgary researchers with the Calgary Stroke Program make another breakthrough in the treatment of stroke
Review: Nutrition management for critically ill adult patients requiring non-invasive ventilation.
1 Jul, 2022 | 10:42h | UTC
Brief Review: Point-of-care ultrasound for critically-ill patients.
1 Jul, 2022 | 10:41h | UTC
RCT: Effects of early Empagliflozin initiation on diuresis and kidney function in patients with acute decompensated heart failure.
30 Jun, 2022 | 11:24h | UTC
Consensus Guidelines: Management of hematoma after thyroid surgery.
30 Jun, 2022 | 11:06h | UTC
Expert consensus: Diaphragm ultrasonography in the critically ill.
30 Jun, 2022 | 11:04h | UTC
RCT: Prothrombin complex concentrate vs. plasma for post–cardiopulmonary bypass coagulopathy and bleeding.
30 Jun, 2022 | 10:50h | UTCProthrombin Complex Concentrate vs Plasma for Post–Cardiopulmonary Bypass Coagulopathy and Bleeding: A Randomized Clinical Trial – JAMA Surgery (free for a limited period)
Commentary on Twitter
https://twitter.com/JAMASurgery/status/1542176079728738305
Brief Review: Update on prevention of intra-vascular accesses complications.
30 Jun, 2022 | 10:38h | UTCUpdate on prevention of intra-vascular accesses complications – Intensive Care Medicine (if the link is paywalled, try this one)
Commentary on Twitter
Update on intra-vascular accesses complications
🎯 choice
🗝 key measures to prevent CRBSI
Most of times CVL essential in #ICU but deescalation to PVL to be promoted. ⬆️ occlusions/thrombosis w midline/PICCS, CRBSI similar to CVL; interesting out ICU.
🖇 https://t.co/XVxJDkOL4i pic.twitter.com/iIQNEXctoe— Intensive Care Medicine (@yourICM) June 30, 2022