Medicina de Emergências

Comentário de estudo | Luvas não estéreis para suturar lacerações traumáticas?

29 Ago, 2022 | 14:04h

Non-Sterile Gloves for Suturing Traumatic Lacerations? – RebelEM

Estudo original: Non-sterile gloves and dressing versus sterile gloves, dressings and drapes for suturing of traumatic wounds in the emergency department: a non-inferiority multicentre randomised controlled trial – Emergency Medicine Journal (link para o resumo – $ para o texto completo)

 

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Um estudo de coorte de pacientes com lesão cerebral traumática leve mostrou que 56% dos pacientes tiveram recuperação incompleta após 6 meses.

29 Ago, 2022 | 14:03h

Outcomes in Patients With Mild Traumatic Brain Injury Without Acute Intracranial Traumatic Injury – JAMA Network Open

Comentário: Incomplete Recovery Common 6 Months After Mild TBI – Medscape (necessário cadastro gratuito)

Conteúdo relacionado: Cohort Study | Half of non-hospitalized patients with minor head injury experience incomplete recovery after 3 months.

 

Comentário no Twitter (fio – clique para saber mais)

1/🧵Mild Traumatic Brain Injury (TBI) isn’t “Mild” 🧠
 
Our daughter fell off a high diving board headfirst to cement years ago. Though she had 2 cracks through her foramen magnum, her GCS was 15 & CT had no bleeding.
 
“She’s OK,” they said.
 
Wrong answer 😔#TrackTBI Data… pic.twitter.com/1FZuRnt4so

— WesElyMD (@WesElyMD) August 22, 2022

 

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Revisões | Causas perigosas de náusea/vômito não causadas pelo sistema gastrintestinal.

29 Ago, 2022 | 13:55h

Dangerous Causes of Nausea/Vomiting Beyond the GI System – emDocs

 

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Revisão | Práticas inadequadas para manejo da encefalopatia hepática no ambiente hospitalar.

29 Ago, 2022 | 13:47h

Inadequate practices for hepatic encephalopathy management in the inpatient setting – Journal of Hospital Medicine

 

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Revisão | Reações à transfusão sanguínea.

29 Ago, 2022 | 13:38h

Blood Transfusion Reactions—A Comprehensive Review of the Literature including a Swiss Perspective – Journal of Clinical Medicine

 

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Como melhorar a entubação na UTI | Atualização sobre conhecimento e dispositivos.

23 Ago, 2022 | 17:10h

How to improve intubation in the intensive care unit. Update on knowledge and devices – Intensive Care Medicine (gratuito por tempo limitado)

 

Comentário no Twitter

Tracheal intubation in #ICU
➡️ preoxygenation & apneic oxygenation
➡️ devices for ETT positioning & airway management algorithms
➡️ tube position confirmation
➡️ hemodynamic optimization/choice of drugs
➡️ bundle to limit complications #FOAMcc @yourICM
📎 https://t.co/Bn5F5aRsHK pic.twitter.com/vWgJh5z8Vl

— Intensive Care Medicine (@yourICM) August 20, 2022

 

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Diretriz de consenso | Prevenção da entubação esofágica não reconhecida.

23 Ago, 2022 | 16:24h

Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies* – Anaesthesia

Comunicado de imprensa: New guidance to prevent the tragedy of unrecognized esophageal intubation – Association of Anaesthetists of Great Britain and Ireland

 

Comentário no Twitter

🔐New #FreeForever @UniversalAirway guidelines!@NicholasChrimes @AndyHiggsGAA @CarinHagberg @PaulBakerORSIM @gaspasser @jadamlaw @hypoxicchicken @SheilaMyatra @ProfEllenO @AirwayOnDemand @crossermed @JohnCSakles @SorbelloMax @doctimcook

🔗https://t.co/UkOWKhFyBG pic.twitter.com/rnvEdsgRDs

— 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 (@Anaes_Journal) August 18, 2022

 

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M-A | Acurácia da oximetria de pulso na medida da saturação de oxigênio conforme os níveis de pigmentação cutânea.

23 Ago, 2022 | 16:18h

The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis – BMC Medicine

Conteúdos relacionados:

Impact of ethnicity on the accuracy of measurements of oxygen saturations: A retrospective observational cohort study – eClinicalMedicine

Racial and Ethnic Discrepancy in Pulse Oximetry and Delayed Identification of Treatment Eligibility Among Patients With COVID-19 – JAMA Internal Medicine

Racial Bias in Pulse Oximetry Measurement – New England Journal of Medicine

Pulse Oximetry for Monitoring Patients with Covid-19 at Home — A Pragmatic, Randomized Trial – New England Journal of Medicine

Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review – The Lancet Digital Health

FDA issues alert on ‘limitations’ of pulse oximeters, without explicit mention of racial bias – STAT

Pulse Oximeter Accuracy and Limitations: FDA Safety Communication – U.S. Food & Drug Administration

 

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Diretriz | Pancreatite aguda.

23 Ago, 2022 | 16:14h

Revised Clinical Practice Guidelines of the Korean Pancreatobiliary Association for Acute Pancreatitis – Gut and Liver

Conteúdos relacionados:

Guidelines for the management of patients with severe acute pancreatitis, 2021 – Anaesthesia Critical Care & Pain Medicine

Evidence-Based Disposition of Acute Pancreatitis – emDocs

2019 WSES guidelines for the management of severe acute pancreatitis – World Journal of Emergency Surgery

American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis

Pancreatitis – National Institute for Health and Care Excellence

 

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Estudo randomizado | Metformina, ivermectina e fluvoxamina não são benéficas para pacientes ambulatoriais obesos com Covid-19.

22 Ago, 2022 | 16:44h

Randomized Trial of Metformin, Ivermectin, and Fluvoxamine for Covid-19 – New England Journal of Medicine

Editorial: Time to Stop Using Ineffective Covid-19 Drugs – New England Journal of Medicine

 

Comentário no Twitter

In this trial involving overweight or obese outpatients with Covid-19, investigators found that none of three repurposed drugs (metformin, ivermectin, and fluvoxamine) reduced the risk of serious disease. https://t.co/8sd6R7CDK6 pic.twitter.com/bPZ6zeuZSA

— NEJM (@NEJM) August 17, 2022

 

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