Acesso livre
Acesso livre

Medicina de Emergências

Revisão | Tratamento antimicrobiano inicial na sepse – terapia imediata, empírica e de amplo espectro é fundamental, mas deve ser acompanhada por um comprometimento em de-escalonar e por gestão de antimicrobianos.

2 Set, 2021 | 11:33h

Initial antimicrobial management of sepsis – Critical Care

Estudo de coorte | Uma estratégia combinada de teste rápido de antígeno e TC torácica foi efetiva para excluir COVID-19 no departamento de emergência.

2 Set, 2021 | 11:23h

Rapid Antigen Test Combined with Chest Computed Tomography to Rule Out COVID-19 in Patients Admitted to the Emergency Department – Journal of Clinical Medicine

Estudo de coorte | Pacientes com Covid-19 infectados pela variante Delta são 2 vezes mais suscetíveis à necessidade de admissão hospitalar ou atendimento de emergência.

30 Ago, 2021 | 13:41h

Hospital admission and emergency care attendance risk for SARS-CoV-2 delta (B.1.617.2) compared with alpha (B.1.1.7) variants of concern: a cohort study – The Lancet Infectious Diseases

Comentários:

Importance of epidemiological factors in the evaluation of transmissibility and clinical severity of SARS-CoV-2 variants – The Lancet Infectious Diseases

Covid: Delta variant patients twice as likely to need hospital care – BBC

Covid-19 hospitalization risk doubles with Delta variant, UK study suggests – CNN

Expert reaction to study looking at risk of hospitalisation from the delta variant compared with alpha – Science Media Centre

 

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#ESCCongress | Estudo randomizado: angiografia coronariana imediatamente após parada cardíaca fora do ambiente hospitalar sem elevação do segmento ST não melhorou os desfechos em comparação com angiografia eletiva/seletiva.

30 Ago, 2021 | 13:14h

Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation – New England Journal of Medicine

Comunicado de imprensa: Trial does not support early coronary angiography in cardiac arrest without ST elevation – European Society of Cardiology

Comentários:

Angiography After Out-of-Hospital Cardiac Arrest Without ST-Segment Elevation – TOMAHAWK – American College of Cardiology

TOMAHAWK: Immediate Coronary Angiography vs. Delayed Angiography in OHCA Patients Without ST-Segment Elevation – American College of Cardiology

 

Comentário no Twitter

 

#ESCCongress | Estudo piloto na Suécia mostrou que drones entregaram desfibriladores mais rápido do que ambulâncias para pacientes com suspeita de parada cardíaca.

30 Ago, 2021 | 13:03h

Automated external defibrillators delivered by drones to patients with suspected out-of-hospital cardiac arrest – European Heart Journal

Editorial: Automated external defibrillator delivery by drones: are we ready for prime time?

Comunicados de imprensa:

Drones delivered defibrillators to patients with suspected cardiac arrests – Karolinska Institutet

Drones could deliver defibrillators to cardiac arrest victims faster than ambulances – European Society of Cardiology

 

Comentário no Twitter

 

Mucormicose associada a COVID-19: fatores de risco e mecanismos de doença.

30 Ago, 2021 | 12:50h

COVID-19 associated Mucormycosis (CAM): risk factors and mechanisms of disease – Clinical Infectious Diseases

Conteúdo relacionado: Clinical Picture: Mucormycosis after COVID-19 in a patient with diabetes. (vários artigos sobre o tema)

 

Comentário no Twitter

 

M-A de estudos randomizados | Efetividade da manobra de Valsalva (MV) modificada em adultos com taquicardia supraventricular (TSV) – “A metanálise mostrou uma taxa significativamente maior de conversão para ritmo sinusal com MV modificada em comparação à MV padrão em pacientes com TSV (odds ratio = 4,36; 95% intervalo de confiança, 3.30–5.76; P < 0.001).”

26 Ago, 2021 | 12:24h

Effectiveness of the modified Valsalva manoeuvre in adults with supraventricular tachycardia: a systematic review and meta-analysis – European Journal of Emergency Medicine (link para o resumo – $ para o texto completo)

Conteúdo relacionado: Randomized Trial: Standard Valsalva vs. Modified Valsalva for Cardioversion of SVT (estudos e comentários sobre o tema)

Vídeo: Modified Valsalva manoeuvre for supraventricular tachycardia – The Lancet

Revisão | Hiponatremia aguda e crônica.

25 Ago, 2021 | 13:05h

Acute and Chronic Hyponatremia – Frontiers in Medicine

Conteúdos relacionados:

Randomized trial suggests rapid intermittent bolus of hypertonic saline is the best approach for the treatment of symptomatic hyponatremia

Podcast: Hyponatremia deconstructed

Diagnosis and Management of Disorders of Body Tonicity—Hyponatremia and Hypernatremia: Core Curriculum 2020 – American Journal of Kidney Diseases

Guidelines for the Management of Exercise-Associated Hyponatremia

[Preprint] Estudo randomizado | Fluvoxamina reduz o risco de hospitalização em pacientes com Covid-19.

24 Ago, 2021 | 11:54h

RCT: Effect of Early Treatment with Fluvoxamine on Risk of Emergency Care and Hospitalization Among Patients with COVID-19 – Together Clinical Trials

Conteúdos relacionados:

Opinion | Could this be our first effective, inexpensive, widely available outpatient treatment for COVID-19? (It’s fluvoxamine).

Preliminary study shows fluvoxamine may reduce clinical deterioration in outpatients with symptomatic COVID-19

 

Comentário no Twitter

 

Estudo randomizado | Posição pronada reduz a necessidade de entubação em pacientes com COVID-19.

23 Ago, 2021 | 13:27h

Awake prone positioning for COVID-19 acute hypoxaemic respiratory failure: a randomised, controlled, multinational, open-label meta-trial – The Lancet Respiratory Medicine

Comentário convidado: Awake prone positioning in COVID-19: is tummy time ready for prime time?

Conteúdos relacionados:

RCT: Awake prone positioning in patients with hypoxemic respiratory failure due to COVID-19 – no difference in intubation rates compared to standard care.

M-A: Prone positioning of nonintubated patients with Covid-19 improve oxygenation variables without any reported serious adverse events – randomized trials with patient-relevant outcomes such as the need for intubation or mortality rates are required

 

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