Critical Care & Emergencies (all articles)
RCT: 5 days of high-dose amoxicillin therapy noninferior to 10 days for the treatment of pediatric community-acquired pneumonia
9 Mar, 2021 | 02:29h | UTCShort-Course Antimicrobial Therapy for Pediatric Community-Acquired Pneumonia: The SAFER Randomized Clinical Trial – JAMA Pediatrics (free for a limited period)
Editorial: Rightsizing Treatment for Pneumonia in Children
Commentary: Five days of antibiotics fine for children with pneumonia – McMaster University
Commentary on Twitter (thread – click for more)
This is fantastic! In outpatient community acquired pneumonia (CAP) a 5 day course of amoxicillin is just as effective as a 10 day course. A small thread follow1/6https://t.co/ewceFEe4gw
— Ricardo Quiñonez, MD, FAAP, FHM (@QuinonezRicardo) March 8, 2021
Report: Risk of death from Covid-19 significantly increased in countries where most are overweight
9 Mar, 2021 | 02:52h | UTCReport: COVID-19 and Obesity: The 2021 Atlas
Commentaries: Covid-19 death rates 10 times higher in countries where most adults are overweight, report finds – CNN AND Covid-19: Highest death rates seen in countries with most overweight populations – The BMJ AND Covid-19: We must tackle obesity and health inequalities in order to build back better – The BMJ Opinion AND COVID-19 Death Rates 10 Times Higher in Countries Where Most Are Overweight – HealthDay
CDC study: Body mass index and risk for COVID-19–related hospitalization, intensive care unit admission, invasive mechanical ventilation, and death
9 Mar, 2021 | 02:54h | UTCCommentaries: CDC: Obese adults at higher risk for hospitalization, death from COVID-19 – UPI AND Obesity a Big Risk Factor for Severe COVID-19, Study Confirms – HealthDay
Colchicine and COVID-19: a Tale of Two Trials
9 Mar, 2021 | 02:51h | UTCColchicine and COVID-19: a Tale of Two Trials – CVCT CardioBrief
Study 1: RECOVERY trial: Colchicine arm stopped for lack of efficacy in patients hospitalized with COVID-19
Study 2: [Preprint] Efficacy of Colchicine in Non-Hospitalized Patients with COVID-19
[Preprint] Systematic review: Characteristics of SARS-CoV-2 reinfection vs. persistent COVID-19
9 Mar, 2021 | 02:44h | UTCSARS-CoV-2 Sequence Characteristics of COVID-19 Persistence and Reinfection – medRxiv
Commentary: How can physicians distinguish between COVID-19 persistence and SARS-CoV-2 reinfection? – News Medical
Ten things to consider when implementing rationing guidelines during a pandemic
9 Mar, 2021 | 02:46h | UTC
Commentary on Twitter
Rationing in #pandemic? Consider
1⃣identify scarce resources
2⃣exhaust ways to integrate
3⃣be clear/involve public
4⃣prognosis/age
5⃣responsibilities
6⃣pt goals/choice
7⃣disabilities, poverty, racism
8⃣prioritize
9⃣legal coverage
🔟impact on HCWs#COVID19 https://t.co/iSWVbqH3FY pic.twitter.com/bIoYmsSKQD— Intensive Care Medicine (@yourICM) March 7, 2021
Cohort study: Elevated blood pressures are common in the emergency department but are they important?
9 Mar, 2021 | 02:04h | UTCYes, Your BP Is Up. No, It Doesn’t Matter. – Journal Feed
Original study: Elevated Blood Pressures Are Common in the Emergency Department but Are They Important? A Retrospective Cohort Study of 30,278 Adults – Annals of Emergency Medicine (link to abstract – $ for full-text)
Study: Balanced crystalloids vs. saline in critically ill adults with hyperkalemia or acute kidney injury
9 Mar, 2021 | 02:05h | UTCCan We Use LR for Hyperkalemia? – Journal Feed
Systematic review: High‐flow nasal cannula for respiratory support in adult intensive care patients
7 Mar, 2021 | 19:31h | UTCHigh‐flow nasal cannula for respiratory support in adult intensive care patients – Cochrane Library
Summary: High-flow nasal cannulae for breathing support in adult intensive care patients – Cochrane Library
RECOVERY trial: Colchicine arm stopped for lack of efficacy in patients hospitalized with COVID-19
7 Mar, 2021 | 20:16h | UTCCommentary: Cochicine does not improve mortality in COVID19 – St Emlyn’s
Commentary on Twitter
RECOVERY trial update:
Colchicine arm stopped for lack of efficacy in patients hospitalised with COVID-19.https://t.co/hcn9PytegJ pic.twitter.com/q09eddYXYL
— Martin Landray (@MartinLandray) March 5, 2021
RCT: Azithromycin provides no benefit for community treatment of patients with suspected COVID-19
7 Mar, 2021 | 20:15h | UTC
Commentary on Twitter
The PRINCIPLE trial publishes its first peer reviewed paper, showing results from the study of azithromycin as a treatment for Covid-19 in the community. @TheLancet #UrgentCovidResearch #PRINCIPLETrial
👉https://t.co/qKRI5PVpQk pic.twitter.com/BVQztDSvSC— OxPrimaryCareSci (@OxPrimaryCare) March 5, 2021
[Preprint] Genomics and epidemiology of a novel SARS-CoV-2 lineage P.1 – “P.1 may be 1.4–2.2 times more transmissible and 25-61% more likely to evade protective immunity elicited by previous infection with non-P.1 lineages”
7 Mar, 2021 | 20:05h | UTCGenomics and epidemiology of a novel SARS-CoV-2 lineage in Manaus, Brazil – medRxiv
Commentary: Brazil variant can reinfect virus survivors; COVID-19 vaccine antibodies pass into breast milk – Reuters
Diagnosis of non-consensus transient ischemic attacks with focal, negative, and non-progressive symptoms: population-based validation by investigation and prognosis
7 Mar, 2021 | 19:32h | UTC
Commentary on Twitter
Some patients present with symptoms that are considered not definitive for TIA (isolated dysarthria, vertigo, etc). Are these patients at risk for later stroke? Fascinating results in @TheLancet from the Oxford Vascular Study@ESOstroke @WorldStrokeOrg https://t.co/l0tJXseE3Y
— Seemant Chaturvedi (@ChaturvediNeuro) March 5, 2021
[Preprint] Increased risk of hospitalization associated with infection with SARS-CoV-2 Lineage B.1.1.7 in Denmark
7 Mar, 2021 | 19:46h | UTC
Commentary on Twitter (thread – click for more)
📍~64% MORE SEVERE—The already more contagious #B117 variant from 🇬🇧 is now found to increase risk of #COVID19 hospitalization by 64% versus other strains, says Denmark’s 🇩🇰 CDC. Denmark sequences every cases—their data is the best, & now most worrisome.🧵 https://t.co/F6w2JYEUnM pic.twitter.com/mngJoTBZtl
— Eric Feigl-Ding (@DrEricDing) March 4, 2021
Therapy options for adrenal insufficiency and recommendations for the management of adrenal crisis
7 Mar, 2021 | 19:00h | UTC
Prevention of Clostridioides difficile in hospitals: A position paper of the International Society for Infectious Diseases
7 Mar, 2021 | 18:58h | UTC
RCT: Ivermectin does not improve time to resolution of symptoms among adults with mild COVID-19
5 Mar, 2021 | 08:53h | UTCCommentaries: Ivermectin: Yet Another Fad Runs Into The Brick Wall Known As “Actual Science” – Brief-19 AND Ivermectin doesn’t speed recovery from mild COVID-19, study shows – CIDRAP
Scientific Statement: Invasive management of acute myocardial infarction complicated by cardiogenic shock
5 Mar, 2021 | 08:33h | UTC
Respiratory microbiome in mechanically ventilated patients: a narrative review
5 Mar, 2021 | 08:14h | UTC
Commentary on Twitter
Respiratory microbiome on mechanical ventilation:
➡️definition
➡️state of the art: lung bacterial microbiota in #ICU, invasive mechanical ventilation, #ARDS, lung nosocomial infections & VAP, lung mycobiota, virome
➡️perspectives & clinical applicationshttps://t.co/fO7ggoJNUk pic.twitter.com/0W8hLNkuSO— Intensive Care Medicine (@yourICM) February 9, 2021
RCT: Mixed findings with Terlipressin plus Albumin for the treatment of Type 1 hepatorenal syndrome
4 Mar, 2021 | 08:35h | UTCTerlipressin plus Albumin for the Treatment of Type 1 Hepatorenal Syndrome – New England Journal of Medicine (link to abstract – $ for full-text)
RCT: Albumin provides no benefit to hospitalized patients with decompensated cirrhosis
4 Mar, 2021 | 08:37h | UTCA Randomized Trial of Albumin Infusions in Hospitalized Patients with Cirrhosis – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary: Albumin provides no benefit to hospitalized patients with advanced liver disease – University College London
RCT: Inspiratory muscle training with an electronic resistive loading device improves prolonged weaning outcomes
4 Mar, 2021 | 08:10h | UTCInspiratory Muscle Training With an Electronic Resistive Loading Device Improves Prolonged Weaning Outcomes in a Randomized Controlled Trial – Critical Care Medicine (link to abstract – $ for full-text)
Commentaries on Twitter
In 101 patients on MV, inspiratory muscle training vs T-piece led to better maximal inspiratory pressure, weaning success, and 60d-survival.
Thanks to @CritCareReviews https://t.co/8RR9e8nDVm— Peter Nydahl (@NydahlPeter) January 2, 2021
Inspiratory muscle training in patients on prolonged weaning increases muscle strength and is associated with a higher 60d survival rate and successful weaning. Another contribution from Brazilian physiotherapy! Kudos to @brunoguimaraesp and team! https://t.co/LEw7vGSZey
— Angelo Roncalli (@curso_vm) December 25, 2020
NIH halts trial of COVID-19 convalescent plasma in emergency department patients with mild symptoms
3 Mar, 2021 | 08:55h | UTC
COVID-19 research in critical care: the good, the bad, and the ugly
3 Mar, 2021 | 08:49h | UTCCOVID-19 research in critical care: the good, the bad, and the ugly – Intensive Care Medicine
Commentary on Twitter
Challenges, achievements, directions of critical care research in #pandemic, from early small #COVID19 studies (incomplete/inconsistent data), to large-scale registries, through overlapping/competing & underpowered trials, often with poor LMIC involvement.https://t.co/EyEui4pKPi pic.twitter.com/jUDXAVaD5z
— Intensive Care Medicine (@yourICM) March 1, 2021
More transmissible and evasive SARS-CoV-2 variant growing rapidly in Brazil
3 Mar, 2021 | 08:53h | UTCOriginal study (preprint): Genomics and epidemiology of a novel SARS-CoV-2 lineage in Manaus, Brazil
Commentaries: Covid Brazil variant ‘may spread more easily’ – BBC AND Brazil coronavirus variant: what is it and why is it a concern? An expert explains – The Conversation


