Medicina de Emergências

Visão geral da ressuscitação no trauma e complicações de transfusão.

17 Mar, 2022 | 12:39h

Happy TRALIdays: An Overview of Trauma Resuscitation and Transfusion Complications – emDocs

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Revisão | Papel dos exames de imagem nas raras complicações multiórgãos da vacina contra COVID-19.

16 Mar, 2022 | 17:49h

Role of imaging in rare COVID-19 vaccine multiorgan complications – Insights into Imaging

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Revisão | Lesão renal aguda induzida por medicamentos.

14 Mar, 2022 | 13:27h

Drug-Induced Acute Kidney Injury – Clinical Journal of the American Society of Nephrology

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Tratamento da insuficiência respiratória: tratamento com ventilador 101 e ventilação não invasiva.

14 Mar, 2022 | 13:26h

Management of Respiratory Failure: Ventilator Management 101 and Noninvasive Ventilation – Clinical Journal of the American Society of Nephrology

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Eficácia e segurança do tratamento não cirúrgico da apendicite aguda não complicada em comparação à apendicectomia: uma revisão abrangente de revisões sistemáticas e metanálises.

11 Mar, 2022 | 14:58h

Efficacy and Safety of Non-Operative Management of Uncomplicated Acute Appendicitis Compared to Appendectomy: An Umbrella Review of Systematic Reviews and Meta-Analyses – World Journal of Surgery

Conteúdos relacionados:

Cohort Study: Patient factors associated with appendectomy within 30 days of initiating antibiotic treatment for appendicitis – the presence of an appendicolith was associated with a nearly 2-fold increased risk of undergoing appendectomy within 30 days.

Review: Diagnosis of uncomplicated and complicated appendicitis in adults.

Another RCT evaluating the efficacy and quality of life of antibiotic-only treatment of acute uncomplicated appendicitis.

A Randomized trial comparing antibiotics with appendectomy for appendicitis

Antibiotics alone for uncomplicated appendicitis: Oral Moxifloxacin almost as good as intravenous Ertapenem + oral Levofloxacin

Observational study: 67.1% success rate with nonoperative management of children with uncomplicated appendicitis

Randomized Trial: Quality of Life and Patient Satisfaction at 7-Year Follow-up of Antibiotic Therapy vs. Appendectomy for Uncomplicated Acute Appendicitis

Meta-Analysis: Antibiotic Treatment vs. Appendectomy for Uncomplicated Acute Appendicitis in Adults and Children

Nonoperative treatment for nonperforated appendicitis in children: a systematic review and meta-analysis – Pediatric Surgery International

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Estudo randomizado | Em pacientes com parada cardíaca refratária fora do hospital, uma estratégia de transporte durante a ressuscitação, ressuscitação cardiopulmonar extracorpórea e estudo invasivo imediato não trouxe melhora significativa para a sobrevida com um desfecho neurológico favorável (OR 1,63; IC 95% 0,93 a 2,85; P = 0,09).

10 Mar, 2022 | 15:55h

Effect of Intra-arrest Transport, Extracorporeal Cardiopulmonary Resuscitation, and Immediate Invasive Assessment and Treatment on Functional Neurologic Outcome in Refractory Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial – JAMA (link para o resumo – $ para o texto completo)

Comentário: Early Invasive Therapy for Out-of-Hospital Cardiac Arrest – American College of Cardiology

 

Comentário no Twitter

In this randomized clinical trial, early intra-arrest transport, extracorporeal CPR, and invasive assessment and treatment did not significantly improve survival with neurologically favorable outcome at 180 days compared with standard resuscitation. https://t.co/qSqWSFFpOF pic.twitter.com/SLu0bGHhq8

— JAMA (@JAMA_current) February 22, 2022

 

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Perspectiva | Uma vez visto como um tratamento promissor da COVID-19, o plasma convalescente cai em desuso.

10 Mar, 2022 | 15:49h

Once Viewed as a Promising COVID-19 Treatment, Convalescent Plasma Falls Out of Favor – JAMA

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Estudo randomizado | Inibidor de SGLT2 empaglifozina em pacientes internados com insuficiência cardíaca aguda.

9 Mar, 2022 | 13:54h

The SGLT2 inhibitor empagliflozin in patients hospitalized for acute heart failure: a multinational randomized trial – Nature Medicine

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Diretrizes de melhores práticas da ACS | Lesões na coluna.

9 Mar, 2022 | 13:52h

Spine Injury – American College of Surgeons

Comunicado de imprensa: New guidelines will help trauma centers treat spinal injury patients

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Estudo randomizado | Em pacientes com choque hemorrágico relacionado a trauma recebendo cuidados pré-hospitalares, não houve benefício na ressuscitação com hemoderivados em comparação com o cloreto de sódio 0,9%.

9 Mar, 2022 | 13:49h

Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled, phase 3 trial – The Lancet Haematology

Comentário convidado: Prehospital blood transfusion: who benefits? – The Lancet Haematology

 

Comentário no Twitter

NEW research—resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care: results of #RePHILL, a randomised, controlled, phase 3 trial #openaccess #EmergencyMedicine 🚑🩸https://t.co/Ci0lMMCryX pic.twitter.com/iWEtV12N1r

— The Lancet Haematology (@TheLancetHaem) March 8, 2022

 

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