Medicina de Emergências

COVID-19 e trombose: busca por evidências.

13 Dez, 2021 | 11:35h

COVID-19 and thrombosis: searching for evidence – Hematology, ASH Education Program

Como reconhecer e tratar a coagulopatia associada a COVID-19.

13 Dez, 2021 | 11:34h

How to recognize and manage COVID-19-associated coagulopathy – Hematology, ASH Education Program

M-A | Desempenho dos algoritmos 0/1-hora, 0/2-horas e 0/3-horas da European Society of Cardiology para triagem rápida de infarto agudo do miocárdio.

10 Dez, 2021 | 11:10h

Performance of the European Society of Cardiology 0/1-Hour, 0/2-Hour, and 0/3-Hour Algorithms for Rapid Triage of Acute Myocardial Infarction: An International Collaborative Meta-analysis – Annals of Internal Medicine (link para o resumo – $ para o texto completo)

Comentários:

Rapid ESC hs-cTn Algorithms Best 3-Hour Protocol for MI Rule-out: Meta-analysis – TCTMD

Performance of ESC 0/1-, 0/2-, 0/3-Hour Algorithms for AMI Compared – HealthDay

Comentário no Twitter

New meta-analysis published this week confirms new algorithms proposed by @escardio for ruling out #myocardialinfarction are more accurate than the previously preferred diagnostic tool: https://t.co/lAnozWXuOF pic.twitter.com/v2JGjyPRRW

— Annals of Int Med (@AnnalsofIM) November 25, 2021

M-A | Diltiazem vs. metoprolol intravenosos para fibrilação atrial com frequência ventricular rápida.

10 Dez, 2021 | 11:08h

Intravenous diltiazem versus metoprolol for atrial fibrillation with rapid ventricular rate: A meta-analysis – The American Journal of Emergency Medicine (link para o resumo – $ para o texto completo)

Estratégia global para diagnóstico e tratamento de lesão renal aguda em pacientes com cirrose hepática.

10 Dez, 2021 | 11:02h

Global strategy for the diagnosis and management of acute kidney injury in patients with liver cirrhosis – United European Gastroenterology Journal

Estudo randomizado | Em adultos criticamente doentes submetidos a entubação traqueal, o uso de bougie não aumentou significativamente a taxa de sucesso na primeira tentativa vs. uso de tubo endotraqueal com fio-guia.

9 Dez, 2021 | 15:30h

Effect of Use of a Bougie vs Endotracheal Tube With Stylet on Successful Intubation on the First Attempt Among Critically Ill Patients Undergoing Tracheal Intubation: A Randomized Clinical Trial – JAMA (gratuito por tempo limitado)

Conteúdo relacionado: Randomized Trial: Comparison of Intubation Techniques in Patients with Difficult Airways

Atualização no diagnóstico e no tratamento da embolia pulmonar aguda para médicos de outras áreas que não a respiratória.

9 Dez, 2021 | 15:17h

Update in the diagnosis and management of acute pulmonary embolism for the non-respiratory physician – Clinical Medicine Journal

OMS faz recomendação contra o uso de plasma convalescente para tratar COVID-19.

8 Dez, 2021 | 13:22h

Comunicado de imprensa: WHO recommends against the use of convalescent plasma to treat COVID-19 – World Health Organization

Ver orientação: WHO’s living guidelines on COVID-19 therapeutics

Infográfico: A living WHO guideline on drugs for covid-19 – The BMJ

Comentário no Twitter (fio – clique para saber mais)

Convalescent plasma is a transfusion of blood plasma from someone who has recovered from #COVID19, and is used as a treatment for COVID19 https://t.co/Bobq7OTDGq pic.twitter.com/pfO1sFvUpJ

— World Health Organization (WHO) (@WHO) December 7, 2021

Estudo randomizado | Em pacientes com Covid-19 grave, o cateter nasal de alto fluxo reduziu a chance de ventilação mecânica invasiva e diminuiu o tempo de recuperação clínica, em comparação à oxigenoterapia convencional.

8 Dez, 2021 | 13:16h

Effect of High-Flow Oxygen Therapy vs Conventional Oxygen Therapy on Invasive Mechanical Ventilation and Clinical Recovery in Patients With Severe COVID-19: A Randomized Clinical Trial – JAMA

Conteúdos relacionados:

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”.

[Preprint] RCT: non-invasive respiratory strategies in acute respiratory failure in patients with COVID-19 – CPAP reduced the composite outcome of intubation or death within 30 days; high-flow nasal oxygenation was not associated with better outcomes.

Série de casos com 139 adolescentes e adultos jovens com suspeita de miocardite após vacina de mRNA mostrou que a maioria deles teve curso clínico leve e resolução rápida dos sintomas.

7 Dez, 2021 | 11:46h

Clinically Suspected Myocarditis Temporally Related to COVID-19 Vaccination in Adolescents and Young Adults – Circulation

Comunicado de imprensa: Young people recover quickly from rare myocarditis side effect of COVID-19 vaccine – American Heart Association