Medicina de Emergências

Campanha de sobrevivência à sepse: diretrizes internacionais para o tratamento da sepse e do choque séptico 2021.

4 Out, 2021 | 10:23h

Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021 – Intensive Care Medicine

Estudo randomizado | Angiografia coronariana por tomografia computadorizada precoce em pacientes com suspeita de síndrome coronariana aguda não melhorou o desfecho clínico de 1 ano.

4 Out, 2021 | 10:17h

Early computed tomography coronary angiography in patients with suspected acute coronary syndrome: randomised controlled trial – The BMJ

Comentário no Twitter

In this RCT, early CT coronary angiography in the emergency department for patients with suspected / provisional diagnosis of acute coronary syndrome had no effect on rate of death or subsequent non-fatal #heartattack at 1 year.@bmj_latest #Wondrmedical https://t.co/usNKEGPDa4

— Prof Chris P Gale (@cpgale3) October 1, 2021

Mais uma metanálise sugere que anticoagulação profilática é a melhor opção para pacientes hospitalizados com Covid-19.

1 Out, 2021 | 22:02h

A Systematic Review and a Meta-Analysis Comparing Prophylactic and Therapeutic Low Molecular Weight Heparins for Mortality Reduction in 32,688 COVID-19 Patients – Frontiers in Pharmacology

Conteúdo relacionado: M-A: Safety and efficacy of different prophylactic anticoagulation dosing regimens in critically and non-critically ill patients with COVID-19 – According to this analysis, standard-dose prophylactic anticoagulation should be the standard of care for hospitalized patients with COVID-19 who do not have an indication for therapeutic anticoagulation, irrespective of disease severity.

Diretrizes WSES/GAIS/SIS-E/WSIS/AAST para pacientes com infecções intra-abdominais.

1 Out, 2021 | 21:57h

WSES/GAIS/SIS-E/WSIS/AAST global clinical pathways for patients with intra-abdominal infections – World Journal of Emergency Surgery

Conteúdos relacionados:

The Surgical Infection Society Revised Guidelines on the Management of Intra-Abdominal Infection – Surgical Infections

The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections – World Journal of Emergency Surgery

Troponina cardíaca e definição de infarto miocárdico.

1 Out, 2021 | 21:48h

Cardiac troponin and defining myocardial infarction – Cardiovascular Research

Nova técnica de primeiros socorros pode conter a perda de sangue após um ataque de tubarão.

1 Out, 2021 | 21:42h

Doctor’s ‘brilliant’ new first aid technique can stem blood loss after shark attack – The Guardian

Estudo randomizado | Combinação de anticorpos REGEN-COV reduz hospitalizações em pacientes ambulatoriais com Covid-19.

1 Out, 2021 | 20:28h

REGEN-COV Antibody Combination and Outcomes in Outpatients with Covid-19 – New England Journal of Medicine

Revisão | Características clínicas, laboratoriais e achados radiológicos de pacientes com mielopatia inflamatória aguda após infecção por COVID-19.

1 Out, 2021 | 20:23h

Clinical Features, Laboratory, and Radiological Findings of Patients With Acute Inflammatory Myelopathy After COVID-19 Infection: A Narrative Review – American Journal of Physical Medicine & Rehabilitation

Estudo randomizado | Vasopressina + metilprednisolona aumenta a probabilidade de retorno da circulação espontânea em comparação ao placebo em pacientes com parada cardíaca em ambiente hospitalar.

1 Out, 2021 | 20:19h

Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest: A Randomized Clinical Trial – JAMA (gratuito por tempo limitado)

Editorial: Vasopressin and Steroids as Adjunctive Treatment for In-Hospital Cardiac Arrest (gratuito por tempo limitado)

Comentário no Twitter

Randomized trial among patients with in-hospital cardiac arrest found that administration of vasopressin and methylprednisolone, compared with placebo, significantly increased the likelihood of return of spontaneous circulation https://t.co/wfyl56wgpT pic.twitter.com/LjKoxx8Rav

— JAMA (@JAMA_current) September 29, 2021

Casos de Medicina de Emergência | Emergências hepáticas – Insuficiência hepática aguda, encefalopatia hepática, síndrome hepatorrenal, interpretação de testes hepáticos e drogas a se evitar.

1 Out, 2021 | 20:05h

EM Cases: Liver Emergencies – Acute Liver Failure, Hepatic Encephalopathy, Hepatorenal Syndrome, Liver Test Interpretation & Drugs to Avoid – emDocs