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Medicina de Emergências

Estudo de coorte | Coinfecção SARS-CoV-2 e influenza, vírus sincicial respiratório ou adenovírus está associada com mortalidade aumentada.

29 Mar, 2022 | 14:20h

SARS-CoV-2 co-infection with influenza viruses, respiratory syncytial virus, or adenoviruses – The Lancet

Comentário: Patients with Covid and flu double the risk of dying, say scientists – The Guardian

 

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Estudo randomizado | Tratamento com dose única de anfotericina B lipossomal para meningite por criptococo.

25 Mar, 2022 | 15:01h

Single-Dose Liposomal Amphotericin B Treatment for Cryptococcal Meningitis – New England Journal of Medicine (link para o resumo – $ para o texto completo)

 

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Estudo randomizado | Posição prona em pacientes não intubados não melhorou os desfechos em pacientes com hipoxemia moderada relacionada à Covid-19.

25 Mar, 2022 | 14:58h

Prone positioning of patients with moderate hypoxaemia due to covid-19: multicentre pragmatic randomised trial (COVID-PRONE) – The BMJ

Editorial: Awake prone positioning for patients with covid-19

Comunicado de imprensa: Lying prone long enough to improve outcomes is difficult for many covid-19 patients – BMJ

Revisão sistemática | Efetividade e segurança da oximetria de pulso no monitoramento remoto de pacientes com COVID-19.

25 Mar, 2022 | 14:54h

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

Comentários:

Home blood oxygen monitoring can help COVID patients spot early warning signs – Imperial College London

Simple home oxygen monitors signal when to seek COVID care – CIDRAP

Diretriz científica AHA | Compreensão sobre a importância da experiência dos voluntários na parada cardíaca fora do hospital.

23 Mar, 2022 | 12:06h

Understanding the Importance of the Lay Responder Experience in Out-of-Hospital Cardiac Arrest: A Scientific Statement From the American Heart Association – Circulation

Comunicado de imprensa: Lay rescuers who do CPR are heroes and survivors, new statement addresses their perspective – American Heart Association

Comentário: AHA News: CPR ‘Heroes’ Need More Support, Report Says – HealthDay

Estudo relacionado: Pre-post study: The introduction of a text-message alert system to alert volunteers close to a cardiac arrest patient at home was associated with increased survival to hospital discharge.

Revisão | Quando operar após infecção por SARS-CoV-2?

23 Mar, 2022 | 12:02h

When to operate after SARS-CoV-2 infection? A review on the recent consensus recommendation of the DGC/BDC and the DGAI/BDA – Langenbeck’s Archives of Surgery

Conteúdos relacionados:

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

Avaliação de biomarcadores sanguíneos gliais e neuronais comparada às regras de decisão clínica na avaliação da necessidade de tomografia computadorizada em pacientes com lesão cerebral traumática leve.

23 Mar, 2022 | 11:46h

Evaluation of Glial and Neuronal Blood Biomarkers Compared With Clinical Decision Rules in Assessing the Need for Computed Tomography in Patients With Mild Traumatic Brain Injury – JAMA Network Open

 

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Abordagem baseada em evidências para pancreatite aguda.

23 Mar, 2022 | 11:29h

Evidence-Based Disposition of Acute Pancreatitis – emDocs

Diretrizes relacionadas:

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

Diretrizes de prática clínica da EASL sobre prevenção e tratamento de sangramento e trombose em pacientes com cirrose.

22 Mar, 2022 | 11:58h

EASL Clinical Practice Guidelines on prevention and management of bleeding and thrombosis in patients with cirrhosis – Journal of Hepatology

Infográfico | Mapa de diretrizes da IDSA para tratamento de pacientes ambulatoriais com COVID-19.

22 Mar, 2022 | 11:56h

COVID-19 Outpatient Treatment Guidelines Roadmap – Infectious Diseases Society of America

 

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