Medicina de Emergências

Estudo de coorte | Embolia pulmonar de risco intermediário: preditores ecocardiográficos da deterioração clínica.

19 Jun, 2022 | 15:03h

Intermediate-risk pulmonary embolism: echocardiography predictors of clinical deterioration – Critical Care

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Comentário de estudo | Dexametasona não deve ser dada a pessoas com hematoma subdural crônico.

19 Jun, 2022 | 14:53h

Dexamethasone should not be given to people with a chronic subdural haematoma

Estudo original: Trial of Dexamethasone for Chronic Subdural Hematoma – New England Journal of Medicine

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Diretriz | Tratamento da hiperglicemia em pacientes adultos internados.

19 Jun, 2022 | 14:44h

Management of Hyperglycemia in Hospitalized Adult Patients in Non-Critical Care Settings: An Endocrine Society Clinical Practice Guideline – The Journal of Clinical Endocrinology & Metabolism

Ver também: A Systematic Review Supporting the Endocrine Society Clinical Practice Guideline for the Management of Hyperglycemia in Adults Hospitalized for Noncritical Illness or Undergoing Elective Surgical Procedures – The Journal of Clinical Endocrinology & Metabolism

Comentário: Endocrine Society Issues New Guidelines for Hospitalized Patients With Diabetes – Clinical Advisor

Conteúdos relacionados:

Podcast: #330 Inpatient Diabetes with Dr. Dave Lieb – The Curbsiders

Revisão: Managing hyperglycaemia in inpatients – Clinical Medicine Journal

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Revisão sistemática | Inibidores da Janus quinase para o tratamento de COVID-19.

19 Jun, 2022 | 14:38h

Janus kinase inhibitors for the treatment of COVID‐19 – Cochrane Library

Resumo: Are systemic Janus kinase inhibitors an effective treatment for people with COVID-19? – Cochrane Library

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Revisão | Ingestão de drogas ilícitas, embaladas ou não, relacionada ao tráfico: bombas relógio nos departamentos de emergências.

19 Jun, 2022 | 14:04h

Body Packers, Stuffers, and Pushers: Time Bombs in Our Eds – emDocs

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Diretriz BSH para manejo hematológico de hemorragia de grande volume.

19 Jun, 2022 | 13:44h

A guideline for the haematological management of major haemorrhage: a British Society for Haematology Guideline – British Journal of Haematology

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Diretriz atualizada NIH | Oxigenação e ventilação para adultos com Covid-19.

19 Jun, 2022 | 13:37h

Oxygenation and Ventilation for Adults – National Institutes of Health

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Estudo randomizado | Cineangiocoronariografia de emergência vs. tardia em sobreviventes de parada cardíaca fora do hospital.

19 Jun, 2022 | 13:36h

Emergency vs Delayed Coronary Angiogram in Survivors of Out-of-Hospital Cardiac Arrest: Results of the Randomized, Multicentric EMERGE Trial – JAMA Cardiology (gratuito por tempo limitado)

Estudo relacionado: #ESCCongress – RCT: Immediate coronary angiography after out-of-hospital cardiac arrest without ST-segment elevation did not improve outcomes compared to delayed/selective angiography – New England Journal of Medicine

 

Comentário no Twitter

In this RCT, performing an emergency coronary angiogram (CAG) after an out-of-hospital cardiac arrest without ST-segment elevation showed no difference in the 180-day survival rate compared to a delayed CAG. https://t.co/gYwPdNV32v

— JAMA Cardiology (@JAMACardio) June 8, 2022

 

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M-A | Coinfecções respiratórias virais em pacientes com COVID-19 e desfechos associados.

19 Jun, 2022 | 13:34h

Respiratory viral co-infections in patients with COVID-19 and associated outcomes: A systematic review and meta-analysis – Reviews in Medical Virology

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Seguimento de longo prazo de estudo randomizado | Craniectomia descompressiva vs. cuidado médico padrão para pacientes com hipertensão intracraniana traumática.

16 Jun, 2022 | 14:03h

Evaluation of Outcomes Among Patients With Traumatic Intracranial Hypertension Treated With Decompressive Craniectomy vs Standard Medical Care at 24 Months: A Secondary Analysis of the RESCUEicp Randomized Clinical Trial – JAMA Neurology (gratuito por tempo limitado)

Estudo original: Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension – New England Journal of Medicine

Conteúdos relacionados:

Partial removal of skull (decompressive craniectomy) to lower treatment-resistant high pressure in the skull and brain after traumatic brain injury – Cochrane Library

Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury – Acta Neurochirurgica

The Current Status of Decompressive Craniectomy in Traumatic Brain Injury – Current Trauma Reports

 

Comentário no Twitter

In this study, at 24 months, patients with posttraumatic refractory intracranial hypertension managed with a decompressive craniectomy had a sustained mortality reduction and higher rates of vegetative state, severe disability, and moderate disability. https://t.co/I8GqG885jh

— JAMA Neurology (@JAMANeuro) June 9, 2022

 

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