Medicina de Emergências

Editorial | 20 recomendações para individualizar intervenções na ressuscitação precoce de pacientes com sepse.

19 Nov, 2021 | 12:20h

Twenty recommendations to individualize interventions in the early resuscitation of patients with sepsis – Critical Care

Conteúdo relacionado: Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021.

Estudo randomizado | Imunoglobulinas intravenosas não melhoram os desfechos em pacientes com síndrome da angústia respiratória aguda moderada a grave associada a COVID-19.

16 Nov, 2021 | 12:47h

Intravenous immunoglobulins in patients with COVID-19-associated moderate-to-severe acute respiratory distress syndrome (ICAR): multicentre, double-blind, placebo-controlled, phase 3 trial – The Lancet Respiratory Medicine

Comentário no Twitter

NEW Research—In pts w/ #COVID19 who received IMV for mod-to-sev #ARDS, intravenous immunoglobulins did not improve clinical outcomes at day 28

Phase 3 ICAR trial from Prof Tarek Sharshar & colleagues https://t.co/TBWxngXIPT pic.twitter.com/W2dNBaM1o1

— The Lancet Respiratory Medicine (@LancetRespirMed) November 12, 2021

Revisão | Trombocitopenia trombótica imune induzida por vacina.

16 Nov, 2021 | 12:46h

Vaccine-induced immune thrombotic thrombocytopenia – The Lancet Haematology

Conteúdos relacionados:

Vaccine induced immune thrombocytopenia and thrombosis: summary of NICE guidance.

Clinical features of vaccine-induced immune thrombocytopenia and thrombosis.

Review: Clinical characteristics and pharmacological management of COVID-19 vaccine–induced immune thrombotic thrombocytopenia with cerebral venous sinus thrombosis.

Vaccine-induced immune thrombotic thrombocytopenia: what we know and do not know.

Very rare cases of thrombosis with thrombocytopenia syndrome (TTS) after AstraZeneca vaccine: a global safety database analysis – the estimated rate of TTS after the first dose was 8.1 per million vaccinees; after the second dose, the estimated rate was 2.3 per million vaccinees. (vários artigos e fontes sobre o tema)

Comentário no Twitter

NEW Viewpoint by @Erik_Klok_MD, @MPaiMD, Menno Huisman & @ProfMakris discussing the epidemiology, pathophysiology, and optimal diagnostic and therapeutic management of vaccine-induced immune thrombotic thrombocytopenia #VITT #COVID19Vaccine https://t.co/FI4NynwzEn pic.twitter.com/9PbjaioA2T

— The Lancet Haematology (@TheLancetHaem) November 12, 2021

Consenso internacional 2021 sobre ressuscitação cardiopulmonar e cuidado cardiovascular de emergência com recomendações de tratamento.

16 Nov, 2021 | 12:36h

2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Neonatal Life Support; Education, Implementation, and Teams; First Aid Task Forces; and the COVID-19 Working Group – Circulation (para versão HTML, clique aqui)

Principais tópicos a saber: International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations (CoSTR) – American Heart Association

Revisão | Solução de problemas dos dispositivos cardíacos na UTI.

16 Nov, 2021 | 12:24h

Cardiac device troubleshooting in the intensive care unit: an educational review – European Heart Journal. Acute Cardiovascular Care

Comentário no Twitter

Cardiac device troubleshooting in the intensive care unit: an educational review by @JeroenDauw et al. in #EHJACVC on how to deal with common issues of pacemakers, implantable cardioverter-defibrillators, & cardiac resynchronization devices in the CICU https://t.co/CISh3QVH2E pic.twitter.com/vHnfGdq6gU

— European Society of Cardiology Journals (@ESC_Journals) November 15, 2021

Estudo de coorte sugere que tomografia computadorizada com dose baixa vs. dose padrão de radiação têm acurácia diagnóstica similar na suspeita de apendicite aguda.

15 Nov, 2021 | 13:39h

Comunicado de imprensa: Doctors can use CT scans with less radiation to diagnose appendicitis – Oxford University

Estudo original: Diagnostic accuracy using low-dose versus standard radiation dose CT in suspected acute appendicitis: prospective cohort study – British Journal of Surgery (link para o resumo – $ para o texto completo)

Estudo observacional | Em pacientes com parada cardíaca com ritmo sugerindo necessidade de choque no hospital, epinefrina antes da desfibrilação foi associada com pior sobrevida.

15 Nov, 2021 | 13:35h

Epinephrine before defibrillation in patients with shockable in-hospital cardiac arrest: propensity matched analysis – The BMJ

Comentário no Twitter

Despite guidelines suggesting otherwise, 27% of patients with an in-hospital cardiac arrest with a shockable rhythm received epinephrine before defibrillation

– and had a lower survival rate
– were defibrillated later

-> dont do that!https://t.co/BGtNW02hav pic.twitter.com/WCJd7vtnEc

— Konstantin Krychtiuk (@krychtiukmd) November 13, 2021