Medicina de Emergências

Revisão Cochrane sobre trombectomia endovascular e intervenções intra-arteriais para AVC isquêmico agudo.

13 Jul, 2022 | 12:10h

Cochrane Review on Endovascular Thrombectomy and Intra-Arterial Interventions for Acute Ischemic Stroke – Stroke (gratuito por tempo limitado)

 

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Revisão | Como avaliar e cuidar do paciente suicida no departamento de emergência.

13 Jul, 2022 | 11:59h

How to evaluate and care for the suicidal patient in the ED – emDocs

 

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Revisão sistemática de 391 casos relatados | Distúrbios hipertensivos na gestação complicada por ruptura hepática ou hematoma.

13 Jul, 2022 | 11:55h

Hypertensive disorders in pregnancy complicated by liver rupture or hematoma: a systematic review of 391 reported cases – World Journal of Emergency Surgery

 

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Estudo randomizado | Albumina 20% vs. plasmalyte em pacientes com cirrose e hipotensão induzida pela sepse.

12 Jul, 2022 | 11:36h

A randomized-controlled trial comparing 20% albumin to plasmalyte in patients with cirrhosis and sepsis-induced hypotension [ALPS trial] – Journal of Hepatology

 

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Revisão | Compreensão e interpretação de inteligência artificial, aprendizado de máquina (machine learning) e aprendizado profundo (deep learning) na medicina de emergência.

12 Jul, 2022 | 11:26h

Understanding and interpreting artificial intelligence, machine learning and deep learning in Emergency Medicine – Emergency Medicine Journal (gratuito por tempo limitado)

 

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M-A | Ressuscitação por fluidos com soluções balanceadas vs. salina normal em pacientes críticos.

12 Jul, 2022 | 11:24h

Fluid resuscitation with balanced crystalloids versus normal saline in critically ill patients: a systematic review and meta-analysis – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Conteúdos relacionados:

Back to BaSICS – Annals of Emergency Medicine

Effect of Intravenous Fluid Treatment With a Balanced Solution vs 0.9% Saline Solution on Mortality in Critically Ill PatientsThe BaSICS Randomized Clinical Trial – JAMA

Effect of Slower vs Faster Intravenous Fluid Bolus Rates on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial – JAMA

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 para o resumo – $ para o texto completo)

Balanced Crystalloids versus Saline in Critically Ill Adults — A Systematic Review with Meta-Analysis – NEJM Evidence

Buffered solutions versus 0.9% saline for resuscitation in critically ill adults and children – Cochrane Library

 

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Diretriz científica AHA | Escalonamento e de-escalonamento temporário de suporte circulatório mecânico no choque cardiogênico.

11 Jul, 2022 | 14:01h

Escalating and De-escalating Temporary Mechanical Circulatory Support in Cardiogenic Shock: A Scientific Statement From the American Heart Association – Circulation

Principais tópicos a saber: Escalating and De-escalating Temporary Mechanical Circulatory Support in Cardiogenic Shock– American Heart Association

Comentário: Guiding Cardiogenic Shock Management: Filling in the (Wide) Data Gaps – American Heart Association

 

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Análise provisória | Sabizabulina oral para adultos de alto risco internados com Covid-19.

11 Jul, 2022 | 13:59h

Oral Sabizabulin for High-Risk, Hospitalized Adults with Covid-19: Interim Analysis – NEJM Evidence

 

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Estudo randomizado | Plasma convalescente neutralizante de COVID-19 não traz benefícios a adultos internados com a doença.

11 Jul, 2022 | 13:58h

Neutralizing COVID-19 Convalescent Plasma in Adults Hospitalized with COVID-19: A Blinded Randomized Placebo-Controlled Trial – CHEST

Comentário: Study shows convalescent plasma doesn’t benefit severely ill patients hospitalized with COVID-19 – Vanderbilt University Medical Center

 

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Estudo de coorte retrospectiva | Viés racial e reprodutibilidade da oximetria de pulso entre pacientes internados clínicos e cirúrgicos.

8 Jul, 2022 | 11:24h

Racial bias and reproducibility in pulse oximetry among medical and surgical inpatients in general care in the Veterans Health Administration 2013-19: multicenter, retrospective cohort study – The BMJ

Comunicado de imprensa: Pulse oximeters missed low oxygen levels in more Black veterans than white veterans – University of Michigan

Conteúdos relacionados:

Racial and Ethnic Discrepancy in Pulse Oximetry and Delayed Identification of Treatment Eligibility Among Patients With COVID-19 – JAMA Internal Medicine

Racial Bias in Pulse Oximetry Measurement – New England Journal of Medicine

Pulse Oximetry for Monitoring Patients with Covid-19 at Home — A Pragmatic, Randomized Trial – New England Journal of Medicine

Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review – The Lancet Digital Health

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

 

Comentário no 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

 

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