Critical Care & Emergencies (all articles)
Brain death: a clinical overview.
27 Apr, 2022 | 07:48h | UTCBrain death: a clinical overview – Journal of Intensive Care
Commentary on Twitter
A Review published in the Journal of Intensive Care discusses the philosophy and history of brain death, its clinical determination, special considerations and the main clinical components of the brain death exam. https://t.co/2syaHQVftO
— BMC (@BioMedCentral) March 22, 2022
Primary palliative care recommendations for critical care clinicians.
27 Apr, 2022 | 07:46h | UTCPrimary palliative care recommendations for critical care clinicians – Journal of Intensive Care
Review: Use of antimicrobials for bloodstream infections in the intensive care unit.
27 Apr, 2022 | 01:34h | UTC
Practice Pointer: Making decisions about radiological imaging in pregnancy.
26 Apr, 2022 | 08:44h | UTCMaking decisions about radiological imaging in pregnancy – The BMJ
Yes, relapses after Paxlovid happen — now what?
26 Apr, 2022 | 08:18h | UTCYes, Relapses After Paxlovid Happen — Now What? – HIV and ID Observations
Commentary on Twitter
Some additional thoughts about relapsing Covid19 after treatment with Paxlovid.
Bottom line — *lots* of unknowns, starting w/ how often it happens.
Looking forward to @pfizer sharing further data on the relapsing cases from their EPIC-HR study. https://t.co/1MMhqn4elw
— Paul Sax (@PaulSaxMD) April 25, 2022
Cluster RCT: Supraglottic airway device vs. tracheal intubation in the initial airway management of out-of-hospital cardiac arrest.
26 Apr, 2022 | 08:12h | UTC
Guideline: Use of extracorporeal circulation (ECLS/ECMO) for cardiac and circulatory failure.
26 Apr, 2022 | 08:03h | UTC
Podcast: Inpatient diabetes pearls.
26 Apr, 2022 | 07:48h | UTC#330 Inpatient Diabetes with Dr. Dave Lieb – The Curbsiders
Gout in the ED: Pearls and pitfalls.
26 Apr, 2022 | 07:37h | UTCGout in the ED: Pearls and Pitfalls – emDocs
Echocardiography findings in COVID-19 patients admitted to intensive care units: a multi-national observational study.
25 Apr, 2022 | 01:00h | UTC
Commentary on Twitter
Echocardiography in #COVID19 #ICU pts, ECHO-COVID study
♥︎ systolic dysfunction in ⅓: 23% LV (similar to septic cardiomyopathy), 22.5% RV (due to P overload)
♥︎ ACP in 17% (due to hypercapnia, PE, MV)
♥︎ ACP/age associated with in-ICU mortality
📖 https://t.co/NUlAZh9hHw pic.twitter.com/t17pNolFqy— Intensive Care Medicine (@yourICM) April 21, 2022
WHO recommends highly successful COVID-19 therapy (nirmatrelvir-ritonavir) and calls for wide geographical distribution and transparency from originator.
22 Apr, 2022 | 09:36h | UTCSee also:
A living WHO guideline on drugs for covid-19 – The BMJ
Therapeutics and COVID-19: living guideline – World Health Organization
Related:
Commentary on Twitter
🔥 Our latest @WHO living guidance on drugs for #COVID19, with new recommendations for nirmatrelvir-ritonavir & updated recommendation for remdesivir in non-severe illness.@bmj_latest: https://t.co/KuJjwzeTPV@WHO: https://t.co/n3iQx3pdmY
@theMAGICapp: https://t.co/dA7YYzeAZ1 pic.twitter.com/LvAhJf70UY
— Arnav Agarwal (@ArnavAgarwalMD) April 21, 2022
One-year follow-up of a RCT: In ICU patients with severe hypoxemia, there was no difference in long-term mortality and health-related quality of life with lower vs. higher oxygenation targets.
22 Apr, 2022 | 09:32h | UTCOriginal Study: Lower or Higher Oxygenation Targets for Acute Hypoxemic Respiratory Failure – New England Journal of Medicine
Commentary on Twitter
Lower (8 kPa) vs higher oxygenation (12 kPa) targets: no longterm survival benefit nor HRQoL improvement at 1y in #ICU pts with severe hypoxaemia (HOT-ICU trial cohort). Substantial impairments in several EQ-5D-5L dimensions in survivors in both groups.
🖇️ https://t.co/P48Cd5sIWK pic.twitter.com/JBFEIqDdcB— Intensive Care Medicine (@yourICM) April 20, 2022
Expert Guidance: Strategies to prevent central line-associated bloodstream infections in acute-care hospitals.
20 Apr, 2022 | 10:13h | UTC
Commentary on Twitter
Prevention of central line-associated bloodstream infections in acute-care hospitals- 2022 updatehttps://t.co/o3AReYvJIu pic.twitter.com/QsgYYezhqj
— K Pavithran (@drkpavithran) April 19, 2022
Article under a http://creativecommons.org/licenses/by/4.0/ license
A nonrandomized controlled study found awake prone position (median of 4.2 hours per day) may not benefit hospitalized adults with Covid-19.
20 Apr, 2022 | 09:56h | UTCCommentaries:
Study suggests worse outcomes for awake COVID patients in prone position – CIDRAP
Putting Hospitalized COVID Patients on Their Belly May Not Be a Good Idea After All – HealthDay
Related:
RCT: Prone positioning of patients with moderate hypoxia due to COVID-19 – medRxiv
Commentary on Twitter (thread – click for more)
Important negative study: non randomized trial finds no clinical benefit to awake proning vs usual care in COVID
No difference in rates of intubation, length of stay, or 28 day mortality
Medicine is humbling. This emphasizes the importance of trials
📄https://t.co/ksh9Ic9XBL
1/ pic.twitter.com/sjHHv4WQs8— Nick Mark MD (@nickmmark) April 18, 2022
AAOS Guideline: Prevention of surgical site infections after major extremity trauma.
19 Apr, 2022 | 02:35h | UTCEvidence Review: Prevention of Surgical Site Infection After Extremity Trauma (2022)
Acute hepatitis in ED setting: etiologies, evaluation, and management.
19 Apr, 2022 | 01:54h | UTCAcute Hepatitis in ED Setting: Etiologies, Evaluation, and Management – emDocs
Pre-transplant EASIX (endothelial activation and stress index) may predict the hazard of sepsis after allogeneic stem cell transplantation.
19 Apr, 2022 | 02:04h | UTCPre-transplant EASIX and sepsis after allogeneic stem cell transplantation – Intensive Care Medicine
Commentary on Twitter
🧪 Endothelial complications major causes of mortality post alloSCT. Pre Tx Endothelial Activation & Stress IndeX EASIX (basic lab data characterizing Tx-associated thrombotic microangiopathy) powerful marker of #sepsis, dysfunctional endothelial response.https://t.co/FRGUGT8L78 pic.twitter.com/VF2wTLCHaM
— Intensive Care Medicine (@yourICM) April 18, 2022
Diarrhea during critical illness: a multicenter cohort study.
18 Apr, 2022 | 10:20h | UTCDiarrhea during critical illness: a multicenter cohort study – Intensive Care Medicine
Commentary on Twitter
Diarrhea in #ICU
➡️common but variable incidence (definition applied)
➡️rarely caused by Clostridioides difficile
➡️modifiable predictors include EN/duration of ABs exposure
➡️associated with longer time to discharge but not increased mortality#FOAMcc
📖 https://t.co/Wx0T7RWukV pic.twitter.com/CvhWgTEwJb— Intensive Care Medicine (@yourICM) April 14, 2022
Guidelines for therapeutic drug monitoring of vancomycin in the framework of model-informed precision dosing.
18 Apr, 2022 | 10:26h | UTCRelated Guideline:
Commentary on Twitter
https://twitter.com/IDPharmacometrx/status/1514219239732912131
Prospective validation of a rapid host gene expression test to discriminate bacterial from viral respiratory infection.
18 Apr, 2022 | 09:58h | UTC
Commentary on Twitter
In this diagnostic study, a new host gene expression test identified patients unlikely to have bacterial infection in only 45 minutes, a potential new tool for antibiotic stewardship. https://t.co/3JiYl2N4b0
— JAMA Network Open (@JAMANetworkOpen) April 14, 2022
RCT: Comparison of intranasal vs. intramuscular naloxone in opioid overdoses managed by ambulance staff.
14 Apr, 2022 | 08:23h | UTC
Pre-hospital and emergency department treatment of convulsive status epilepticus in adults: an evidence synthesis.
13 Apr, 2022 | 10:15h | UTC
Empyema: ED presentation, evaluation, and management.
12 Apr, 2022 | 08:44h | UTCEmpyema: ED Presentation, Evaluation, and Management – emDocs
Editorial | Who? When? Where? How? Still the alpha and omega of extracorporeal cardiopulmonary resuscitation.
12 Apr, 2022 | 08:49h | UTCOriginal Study: The association between time to extracorporeal cardiopulmonary resuscitation and outcome in patients with out-of-hospital cardiac arrest – European Heart Journal. Acute Cardiovascular Care (link to abstract – $ for full-text)
Related:
Extracorporeal cardiopulmonary resuscitation in adults: evidence and implications.
Guidelines for extracorporeal cardiopulmonary resuscitation in children and adults
Commentary on Twitter
Focus on eCPR-Who? When? Where? How? Excellent editorial by Prof A. Combes in #EHJACVC https://t.co/VJy8X09wb6@drmilicaa @krychtiukmd @EHJACVCEiC @JohannesGrand @rafavidalperez @ACVCPresident @cvrints @umityasarsinan1 @JasonKatzMD @susannaprice @mrubini pic.twitter.com/mf085I13dc
— European Society of Cardiology Journals (@ESC_Journals) April 11, 2022
Overview of diagnostic criteria and epidemiology of acute kidney injury and acute kidney disease in the critically ill patient.
12 Apr, 2022 | 08:30h | UTC


