Medicina de Emergências

Atualizações de 2021 sobre coagulação e transfusão.

8 Jul, 2022 | 11:09h

Coagulation and Transfusion Updates from 2021 – Journal of Cardiothoracic and Vascular Anesthesia

 

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M-A | Anticoagulantes para tromboprofilaxia em pacientes agudos internados.

6 Jul, 2022 | 11:26h

Anticoagulants for thrombosis prophylaxis in acutely ill patients admitted to hospital: systematic review and network meta-analysis – The BMJ

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Casos EM | Os 7 “T” dos protocolos de hemorragia maciça.

6 Jul, 2022 | 10:44h

EM Cases: The 7 Ts of Massive Hemorrhage Protocols – emDocs

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Sinopse de diretriz | Avaliação e diagnóstico da dor torácica.

5 Jul, 2022 | 11:57h

Evaluation and Diagnosis of Chest Pain – JAMA (gratuito por tempo limitado)

Diretriz original:

2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines – Journal of the American College of Cardiology

Comunicado de imprensa: First-Ever Guideline Focused Solely on Chest Pain Evaluation, Diagnosis Released

Central de diretrizes: Guideline for the Evaluation and Diagnosis of Chest Pain

Pontos principais: 2021 AHA/ACC Chest Pain Guideline – American College of Cardiology

Comentário: New Chest Pain Guidelines Out at Last: Most Tests Have a Role – TCTMD

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Estudo randomizado | Uma dose única e imediata de tenecteplase é não inferior à alteplase para tratar pacientes com AVC isquêmico agudo.

4 Jul, 2022 | 12:21h

Intravenous 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 para o resumo – $ para o texto completo)

Comunicado de imprensa: UCalgary researchers with the Calgary Stroke Program make another breakthrough in the treatment of stroke

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Diretrizes para o tratamento de pacientes com pancreatite aguda grave.

22 Jun, 2022 | 21:29h

Guidelines for the management of patients with severe acute pancreatitis, 2021 – Anaesthesia Critical Care & Pain Medicine

Conteúdos relacionados:

Evidence-Based Disposition of Acute Pancreatitis – emDocs

2019 WSES guidelines for the management of severe acute pancreatitis – World Journal of Emergency Surgery

American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis

Pancreatitis – National Institute for Health and Care Excellence

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Resumo da nova diretriz AHA/ASA 2022 sobre hemorragia intracerebral.

22 Jun, 2022 | 21:26h

Intracerebral Hemorrhage 2022 Guideline Update – emDocs

Diretriz original: 2022 Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage: A Guideline From the American Heart Association/American Stroke Association – Stroke

Principais tópicos a saber: 2022 Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage – American Heart Association

Comunicado de imprensa: New guideline refines care for brain bleeds: compression socks, some meds not effective – American Heart Association

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Estudo randomizado | Uma estratégia de restrição de fluidos intravenosos não melhora os desfechos em pacientes em UTI com choque séptico.

21 Jun, 2022 | 13:14h

Restriction of Intravenous Fluid in ICU Patients with Septic Shock – New England Journal of Medicine (link para o resumo – $ para o texto completo)

Comentário: No Fewer Deaths Seen With Restricted IV Fluid for Septic Shock – HealthDay

Conteúdos relacionados:

Restrictive versus Liberal Fluid Therapy for Major Abdominal Surgery – New England Journal of Medicine

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

Fluid administration and monitoring in ARDS: which management? – Intensive Care Medicine

Perioperative liberal versus restrictive fluid strategies and postoperative outcomes: a systematic review and metanalysis on randomised-controlled trials in major abdominal elective surgery – Critical Care

 

Comentário no Twitter

In this trial, a restrictive approach to intravenous fluid administration in critically ill patients with septic shock did not reduce mortality. #CCR22 https://t.co/UfY1936Qwb pic.twitter.com/FtSaDIIroj

— NEJM (@NEJM) June 17, 2022

 

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[Preprint] Estudo randomizado aberto | Baricitinibe é não inferior ao tocilizumabe em pacientes internados com COVID-19 grave.

21 Jun, 2022 | 13:01h

Tocilizumab versus baricitinib in hospitalized patients with severe COVID-19: an open label, randomized controlled trial – medRxiv

Conteúdos relacionados:

Baricitinib versus dexamethasone for adults hospitalised with COVID-19 (ACTT-4): a randomised, double-blind, double placebo-controlled trial – The Lancet Respiratory Medicine

Baricitinib in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial and updated meta-analysis – medRxiv

WHO recommends two new drugs to treat COVID-19 – World Health Organization

Efficacy and safety of baricitinib for the treatment of hospitalised adults with COVID-19 (COV-BARRIER): a randomised, double-blind, parallel-group, placebo-controlled phase 3 trial – The Lancet Respiratory Medicine

Baricitinib plus Remdesivir for Hospitalized Adults with Covid-19 – New England Journal of Medicine

 

Comentário no Twitter

Preprint⚡⚡
Baricitinib Vs Tocilizumab open label RCT
Baricitinib was non-inferior to tocilizumab with regards to the composite outcome of mechanical ventilation or death by day 28 and the time to discharge by day 28 in patients with severe #COVID19 https://t.co/sQkhATkjEd

— Antibiotic Steward Bassam Ghanem🆔🔥 (@ABsteward) June 16, 2022

 

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Breve revisão | Suporte não invasivo por capacete na insuficiência respiratória hipoxêmica.

21 Jun, 2022 | 12:50h

Helmet noninvasive support in hypoxemic respiratory failure – Intensive Care Medicine (se o acesso a este link for pago, tente este)

 

Comentário no Twitter

Helmet noninvasive support in hypoxemic respiratory failure:
⚙️ set‐up
⛑ physiology of helmet interface: from most relevant feature to major drawbacks
💨 clinical implications
Free to read #FOAMcc on @yourICM
🖇 https://t.co/qNE4Id5oBg pic.twitter.com/b2auLLlW9z

— Intensive Care Medicine (@yourICM) June 18, 2022

 

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