Medicina de Emergências

Posicionamento científico SIMEU sobre suporte respiratório não invasivo na pneumonia por COVID-19.

17 Fev, 2022 | 15:28h

SIMEU position paper on non-invasive respiratory support in COVID-19 pneumonia – Internal and Emergency Medicine

Conteúdos relacionados:

RCT: CPAP improved outcomes in patients with acute hypoxemic respiratory failure due to COVID-19, but high-flow nasal oxygen was not better than conventional oxygen therapy.

RCT: In patients with severe Covid-19, high-flow oxygen therapy reduced the likelihood of invasive mechanical ventilation and decreased the time to clinical recovery compared to conventional oxygen therapy.

Non-invasive respiratory support in the management of acute COVID-19 pneumonia: considerations for clinical practice and priorities for research – “The two randomized controlled trials indicate superiority of non-invasive ventilation over high-flow nasal oxygen in reducing the need for intubation”.

Revisão sistemática | Tratamento do primeiro estágio de estado epiléptico convulsivo em adultos.

17 Fev, 2022 | 15:11h

Management of the first stage of convulsive status epilepticus in adults: a systematic review of current randomised evidence – Journal of Neurology

Perda de visão central vs. periférica na medicina de emergência.

17 Fev, 2022 | 15:07h

Central vs. Peripheral Vision Loss – emDocs

M-A | Impacto da gestão de antibióticos liderada por farmacêuticos sobre a prescrição adequada de antibióticos no departamento de emergência.

17 Fev, 2022 | 14:59h

Impact of Pharmacist-Led Antimicrobial Stewardship on Appropriate Antibiotic Prescribing in the Emergency Department: A Systematic Review and Meta-Analysis – Annals of Emergency Medicine (link para o resumo – $ para o texto completo)

Comentário no Twitter

Hot off the Press: Impact of Pharmacist-Led Antimicrobial
Stewardship on Appropriate Antibiotic Prescribing
in the Emergency Department: A Systematic
Review and Meta-Analysis https://t.co/NsZIubli8z pic.twitter.com/V2Sf6tLoKI

— AnnalsofEM (@AnnalsofEM) January 24, 2022

Estudo prospectivo de diagnóstico e tratamento | Diagnóstico de trombose venosa profunda com D-dímero ajustado para probabilidade clínica.

17 Fev, 2022 | 14:23h

Diagnosis of deep vein thrombosis with D-dimer adjusted to clinical probability: prospective diagnostic management study – The BMJ

Revisão sistemática | Eficácia das terapias antivirais para COVID-19.

15 Fev, 2022 | 11:42h

Efficacy of antiviral therapies for COVID-19: a systematic review of randomized controlled trials – BMC Infectious Diseases

Guia prático de avaliação do sangramento de intestino delgado.

15 Fev, 2022 | 11:35h

A Practical Guide to the Evaluation of Small Bowel Bleeding – Mayo Clinic Proceedings

Estudo randomizado | Uma cateterização de veia subclávia direita orientada por ultrassonografia supraclavicular foi não inferior em relação à segurança, comparada com uma abordagem orientada por ultrassonografia infraclavicular.

15 Fev, 2022 | 11:33h

Supraclavicular versus infraclavicular approach for ultrasound-guided right subclavian venous catheterisation: a randomised controlled non-inferiority trial – Anaesthesia (link para o resumo – $ para o texto completo)

Revisão | Hipertermia clássica e por esforço.

15 Fev, 2022 | 11:26h

Classic and exertional heatstroke – Nature Reviews Disease Primers (se o acesso a este link for pago, tente este)

Comentário no Twitter

Cooling of patients with #heatstroke includes evaporative strategies and conductive methods that aim to establishing the largest possible temperature gradient between the body core and the skin https://t.co/i53jyJBTl5 pic.twitter.com/tofUjiDJYG

— Nature Reviews Disease Primers (@DiseasePrimers) February 8, 2022

Estudos conflitantes levantam questões sobre se algum anticorpo monoclonal funciona contra a variante “irmã” da Ômicron.

14 Fev, 2022 | 16:13h

Conflicting reports raise questions about whether any monoclonals work against Omicron’s sister variant – STAT